- Sharecare (Boise, ID)
- … more accessible and affordable for everyone. To learn more, visit www.Sharecare.com. The Care Manager supports the implementation of the Value Based Care ... telephonic Case or Care Management with CareFirst members. The Care Manager partners with members, caregivers, providers, and the interdisciplinary… more
- Veterans Affairs, Veterans Health Administration (Boise, ID)
- …refers problems that are beyond the scope of the LPN to resolve to the RNCM ( Registered Nurse Care Manager ) or nurse manager . Applicants pending ... patient information. Completed work should need only a general review by a registered nurse (RN) or physician (MD/DO) for appropriateness and conformity with… more
- Idaho Division of Human Resources (Boise, ID)
- Registered Nurse Manager - RN -...Veterans Home in Boise. IDVS is dedicated to providing exceptional care to those who have served us! As the RN ... Division of Veterans Services (IDVS) is recruiting for a Registered Nurse Manager at the...the nursing staff, ensuring the delivery of high-quality resident care , and maintaining compliance with regulatory standards. Responsibilities: +… more
- CVS Health (Boise, ID)
- …. + Perform medical necessity reviews. **Required Qualifications** + 5+ years' experience as a Registered Nurse with at least 1 year of experience in a hospital ... position consists of working intensely as a telephonic case manager with patients and their care team...setting. + A Registered Nurse that holds an active, unrestricted… more
- Jet Health (Boise, ID)
- …our staff makes our company the best in the industry. Requirements Registered Nurse (RN) Responsibilities: + Follow a designated care plan in accordance with ... Registered Nurse - Hospice Boise, ID...+ Perform assigned duties, including administration of medication, wound care , treatments, and procedures + Monitor clients' conditions, reporting… more
- Humana (Boise, ID)
- …, to cost-effectively achieve desired clinical outcomes and to enhance quality of medical care . The **Telephonic Nurse Case Manager ** will collect and ... in Nurse (BSN). + Valid and unrestricted Registered Nurse (RN) license in the (appropriate...disciplinary action. + An active designation as a Certified Care Manager (CCM). If no active designation… more
- Jet Health (Boise, ID)
- RN Clinical Nurse Manager - Home Health Boise, ID... Nurse Manageris a licensed registered nurse who provides oversight of all patient/client care ... Physical Therapist, Speech-language Pathologist, Occupational Therapist, Audiologist, Social Worker, or Registered Nurse . Must have a current State Driver's… more
- Trinity Health (Boise, ID)
- …to our **Telemetry** unit. The position will share supporting duties with a nurse manager and another supervisor. **Schedule:** This position offers a ... all interactions. + **Support Department Operations** : Assist the Nurse Manager in overseeing daily operations, including...** : Actively perform the essential functions of a Registered Nurse within the assigned unit and… more
- Sharecare (Boise, ID)
- …to enable individuals with disabilities to perform the essential functions. + Current Registered Nurse multi-state compact license in the state in which they ... support in an appropriate, efficient and cost-effective manner while ensuring high quality care . The Disease Management Nurse works with participating members to… more
- BioLife Plasma Services (Boise, ID)
- …Currently licensed or certified in the state where responsibilities will be assigned: Registered Nurse (RN), Nurse Practitioner (NP) or Physician Assistant ... Nurse ) works under the guidance of the Center Manager (or Assistant Manager as applicable) for...Center Physician's standing orders and donor transport to emergency care facilities. You will refer to the Center Physician… more
- Trinity Health (Boise, ID)
- …on job performance. + Consistently performs the essential functions of a Registered Nurse in the assigned patient care unit and assists the nursing staff ... ourselves on exceptional service and the highest quality of care . **GENERAL SUMMARY AND PURPOSE:** + Ensures high quality,...and incident (VOICE) reports. + Attends meetings and represents Nurse Manager in his/her absence. + Facilitates… more
- Trinity Health (Boise, ID)
- …on job performance. + Consistently performs the essential functions of a Registered Nurse in the assigned patient care unit and assists the nursing staff ... + Reviews patient grievances and incident (VOICE) reports.Attends meetings and represents Nurse Manager in his/her absence. + Facilitates communication between… more
- Molina Healthcare (Caldwell, ID)
- …and/or coding experience, or equivalent combination of relevant education and experience. * Registered Nurse (RN). License must be active and unrestricted in ... JOB DESCRIPTION **Job Summary** The Medical Claim Review Nurse provides support for medical claim review activities....regarding coverage and benefit interpretation, and appropriate level of care for provision of member services in alignment with… more
- Molina Healthcare (Caldwell, ID)
- …of documentation to ensure medical necessity and appropriate level of care utilizing MCG/InterQual, state/federal guidelines, billing and coding regulations, and ... appropriate/accurate billing and claims processing. + Identifies and reports quality of care issues. + Assists with Complex Claim review including DRG Validation,… more
- Molina Healthcare (Caldwell, ID)
- …concerns. * May provide consultation, resources and recommendations to peers as needed. * Care manager RNs may be assigned complex member cases and medication ... regimens. * Care manager RNs may conduct medication reconciliation...or equivalent combination of relevant education and experience. * Registered Nurse (RN). License must be active… more
- Molina Healthcare (Caldwell, ID)
- …behavioral health, or equivalent combination of relevant education and experience. + Registered Nurse (RN), Licensed Vocational Nurse (LVN), Licensed ... Contributes to overarching strategy to provide quality and cost-effective member care . **Essential Job Duties** + Collaboratively plans and executes internal… more
- HCA Healthcare (Caldwell, ID)
- …of unparalleled patient service. **What qualifications you will need:** + Current licensure as a Registered Nurse in the State of Utah or RN compact license from ... you to apply! **Job Summary and Qualifications** The Case Manager (CM) ensures high-quality, patient-centered care by...The Case Manager (CM) ensures high-quality, patient-centered care by managing Rehabilitative care to ensure… more
- St. Luke's Health System (Boise, ID)
- …applicable license in the state of practice in one of the following Registered Nurse (RN) Respiratory Therapist (RRT) Occupational Therapist Physicial Therapist ... Medical Technologist (ASCP-MT) Medical Technologist (AMT-MT) Certified Medical Assistant (CMA) Registered Medical Assistant (RMA) Licensed Practical Nurse (LPN)… more
- Magellan Health Services (Boise, ID)
- … MgmtCare Mgmt, PC - Professional Counselor - Care MgmtCare Mgmt, RN - Registered Nurse , State and/or Compact State Licensure - Care MgmtCare Mgmt ... and/or nonclinical management staff, including utilization management and intensive care management staff, providing expertise in designated programs. + Assists… more
- Molina Healthcare (Caldwell, ID)
- …education and experience. r equivalent combination of relevant education and experience. + Registered Nurse (RN), Licensed Vocational Nurse (LVN), Licensed ... deadlines. Excellent organizational, problem-solving and critical-thinking skills. Preferred Qualifications + Registered Nurse (RN). License must be active and… more