- Magellan Health Services (Boise, ID)
- …criteria for RN, Masters or Doctoral level provider. General Job Information Title Clinical Manager , Behavioral Health (UM) -Licensed, Remote ... community resources and providers. Thorough knowledge of healthcare services in physical health , behavioral health or other medical specialty area based… more
- Veterans Affairs, Veterans Health Administration (Boise, ID)
- …Department at the Boise VA Medical Center (VAMC), Boise, Idaho. The incumbent serves as the Behavioral Health Consult Program Manager for the Behavioral ... and meet the criteria). Grade Determinations: GS-14 Psychology Program Manager Experience: At least three years of experience as...on both clinical and administrative aspects of Behavioral Health consults, such as standard operating… more
- Molina Healthcare (Caldwell, ID)
- …of enterprise-wide education on psychiatric diagnoses and treatment. * Provides second level behavioral health clinical reviews, peer reviews and appeals. * ... strategy to provide quality and cost-effective member care. Essential Job Duties * Provides behavioral health oversight and clinical leadership for health… more
- St. Luke's Health System (Boise, ID)
- …ultimately drives our exceptional, patient-centered care. **What You Can Expect:** As a ** Behavioral Health RN** in the **Intensive Outpatient Program (IOP)** , ... supporting patients who require a higher level of structured behavioral health care than traditional outpatient therapy,...will work collaboratively with the IOP Medical Director, IOP Clinical Manager , and a multidisciplinary team of… more
- Molina Healthcare (Caldwell, ID)
- …more of the following areas: utilization management, care management, care transitions, behavioral health , or equivalent combination of relevant education and ... other related business documents. **Required Qualifications** + At least 5 years of health care experience, including experience in clinical operations, and at… more
- Molina Healthcare (Caldwell, ID)
- …+ 3 or more years in case, disease or utilization management; managed care; or medical/ behavioral health settings. + 3 or more years in a training, auditing ... years in case, disease or utilization management; managed care; or medical/ behavioral health settings. **PREFERRED LICENSE, CERTIFICATION, ASSOCIATION** :… more
- Highmark Health (Boise, ID)
- …Requires thorough understanding of end systems impact of changes across multiple systems, clinical disease process, and healthcare data. As a ** Clinical Business ... providing expert consultation on the design and feasibility of our clinical digital healthcare products, implementing large scale data exchange initiatives, and… more
- Highmark Health (Boise, ID)
- …primary ownership and oversight over a specified panel of members that range in health status/severity and clinical needs. The incumbent assesses health ... over specified panel of members by performing ongoing assessment of members' health management needs, identifying the right clinical interventions to address… more
- CenterWell (Boise, ID)
- …that impact patient well-being. Our integrated care teams, which include physicians, nurses, behavioral health specialists and more, spend up to 50 percent more ... part of our caring community and help us put health first** The Senior Clinical Operations Training...primary care, one of the largest providers of home health services, and fourth largest pharmacy benefit manager… more
- Molina Healthcare (Caldwell, ID)
- …facilitate, plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long term care, for members with high need ... determines who may qualify for case management based on clinical judgment, changes in member's health or...management. + Promotes integration of services for members including behavioral health care and long term services… more
- CVS Health (Boise, ID)
- …experience in Oncology, Transplant, Specialty Pharmacy, Pediatrics, Medical/Surgical, Behavioral Health /Substance Abuse or Maternity/ Obstetrics experience. ... At CVS Health , we're building a world of health...position consists of working intensely as a telephonic case manager with patients and their care team for fully… more
- Highmark Health (Boise, ID)
- …effective utilization management strategies including: review of appropriateness of health care services, application of criteria to ensure appropriate resource ... utilization, identification of opportunities for referral to a Health Coach/case management, and identification and resolution of quality issues. Monitors and… more
- Humana (Boise, ID)
- …of contact for the beneficiary for all activities within the medical and behavioral health spectrum. They will also coordinate with other Medical Management ... part of our caring community and help us put health first** The Telephonic Nurse Case Manager ...(SDOH). Plan shall include psychosocial issues, home environment and behavioral health needs across the full continuum… more
- Molina Healthcare (Caldwell, ID)
- …plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long-term care, for members with high need potential. ... and suggest changes accordingly. + Promotes integration of services for members including behavioral health care and long-term services and supports, home and… more
- Molina Healthcare (Caldwell, ID)
- …facilitate, plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long term care, for members with high need ... determines who may qualify for case management based on clinical judgment, changes in member's health or...management. + Promotes integration of services for members including behavioral health care and long term services… more
- Molina Healthcare (Boise, ID)
- …plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long-term care, for members with high need potential. ... and suggest changes accordingly. + Promotes integration of services for members including behavioral health care and long term services and supports, home and… more
- Molina Healthcare (Caldwell, ID)
- …regular outreach and management. * Promotes integration of services for members including behavioral health , long-term services and supports (LTSS), and home and ... determines who may qualify for care management based on clinical judgment, changes in member health or...in care management, or experience in a medical and/or behavioral health setting, or equivalent combination of… more
- St. Luke's Health System (Fruitland, ID)
- **Overview** At St. Luke's, our dedicated team of Behavioral Health professionals strive to build a positive, supportive, and inclusive culture that delivers ... + Licenses/Certifications: Licensed Master Social Worker (LMSW) or Licensed Clinical Social Worker (LCSW) in Idaho **What's in it...via our Employee Assistance Program, access to the Personify Health Wellness tool, as well as other formal training… more
- HCA Healthcare (Caldwell, ID)
- …services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed ... Center offers a total rewards package that supports the health , life, career and retirement of our colleagues. The...vary by location._** We are seeking a(an) RN Case Manager for our team to ensure that we continue… more
- Veterans Affairs, Veterans Health Administration (Boise, ID)
- …information in collaboration with licensed personnel. This may involve completing clinical reminders, obtaining patient health history, chief complaints, ... Assisting with patient exams and screening. Examples: gynecology exams. Mental health care. Examples: Crisis intervention, performs behavioral /mental health… more