- Molina Healthcare (ID)
- …provides care coordination and assistance to member to address concerns. + Collaborates with RN case managers/supervisors as needed or required + Case ... the assigned members, particular state-specific regulations, or whether the Case Manager position is located within Molina's...of the following: Completion of an accredited Licensed Vocational Nurse (LVN) or Licensed Practical Nurse (LPN)… more
- Molina Healthcare (ID)
- …**Required License, Certification, Association** Active, unrestricted State Registered Nursing ( RN ) license in good standing. Must have valid driver's ... travel required. + RNs provide consultation, recommendations and education as appropriate to non- RN case managers. + RNs are assigned cases with members who… more
- Idaho Division of Human Resources (Caldwell, ID)
- Registered Nurse Manager ( RN ) - MED Posting Begin Date: 2025/04/11 Posting End Date: 2025/05/01 Category: Nursing Work Type: Full Time Remote: Flexible ... Health and Welfare has an exciting opportunity for a Registered Nurse Manager to oversee...staff, direction and support of performance and development objectives. Manager will also manage their own case … more
- Fresenius Medical Center (Idaho Falls, ID)
- PURPOSE AND SCOPE: The registered professional nurse Home Therapies RN CAP 1 is an entry level designation into the Clinical Advancement Program (CAP). This ... from the Educator, Preceptor or in collaboration with another Registered Nurse . . Performs ongoing, systematic collection...+ Position functions as an onsite Patient Educator and Case Manager for patients with various shifts… more
- Gentiva (Coeur D Alene, ID)
- …performance improvement programs. **About You** **Hospice Registered Nurse / RN Case Manager Requirements:** + Hospice heart: compassionate, kind and ... need with dignity, grace, and love. **As a Hospice RN / RN Case Manager...+ We maintain a drug-free workplace ReqID: 2025-120816 Category: Registered Nurse Position Type: Full-Time Company: Gentiva… more
- Sharecare (Boise, ID)
- …within a matrix organizational design. **Qualifications:** + Current multi-state compact Registered Nurse licensure in state of residence is required, ... 2025** **Salary:** **$85,000 annually, plus comprehensive benefits package** The Care Manager supports the implementation of the Value Based Care Management program… more
- Molina Healthcare (ID)
- **JOB DESCRIPTION** For this position we are seeking a ( RN ) Registered Nurse who must live and have a current active unrestricted RN license in the ... health and welfare. + Provides consultation, recommendations and education as appropriate to non- RN case managers + Works cases with members who have complex… more
- Highmark Health (Boise, ID)
- …+ RN license in PA or WV or DE or NY is required. Other RN license(s), if applicable, must be obtained within the first 6 months of employment. **Preferred** ... interventions and referrals, the incumbent will manage an active case load of members in his/her panel that are...information, cardholder data, or other confidential customer information that must be protected at all times. In connection with… more
- Molina Healthcare (ID)
- …provides care coordination and assistance to member to address concerns. + Collaborates with RN case managers/supervisors as needed or required + Case ... we are seeking a licensed master's social worker who must live and have a current active unrestricted license...the assigned members, particular state-specific regulations, or whether the Case Manager position is located within Molina's… more
- Molina Healthcare (Idaho Falls, ID)
- …unrestricted Certified Clinical Coder + Certified Medical Audit Specialist + Certified Case Manager + Certified Professional Healthcare Management + Certified ... within compliance standards. This position will support our Claims business. The candidate must have an unrestricted RN license. This position will performs… more
- Highmark Health (Boise, ID)
- …industry, corporate, state, and federal law standards and are within the care manager 's professional discipline. + For assigned case load, create care plans ... :** **JOB SUMMARY** This job implements effective complimentary utilization and case management strategies for an assigned member panel. Provides oversight over… more
- Molina Healthcare (Boise, ID)
- …unrestricted Certified Clinical Coder + Certified Medical Audit Specialist + Certified Case Manager + Certified Professional Healthcare Management + Certified ... outcomes within compliance standards. **KNOWLEDGE/SKILLS/ABILITIES** + The Clinical Appeals Nurse ( RN ) performs clinical/medical reviews of previously denied… more
- Humana (Boise, ID)
- …**OR** A current, valid, and unrestricted nursing license to include: ** Registered Nurse ( RN )** with; + Must have clinical experience in: pediatrics, ... to make an impact** **Required Qualifications** The Telephonic Care Manager (Autism Care Navigator) must meet **ONE**...+ Minimum of 1 year of managed care and case management experience + An active designation as a… more
- Molina Healthcare (ID)
- …Practical Nurse in good standing. **Preferred Education** Completion of an accredited Registered Nurse ( RN ) Program or a bachelor's degree in Nursing. ... Certified Clinical Coder + Certified Medical Audit Specialists (CMAS) + Certified Case Manager (CCM) + Certified Professional Healthcare Management (CPHM)… more
- Trinity Health (Boise, ID)
- …and to facilitate transition planning. **SKILLS, KNOWLEDGE, EDUCATION AND EXPERIENCE** : Colleague must have an RN license, as defined by their primary work ... Day Shift **Description:** **GENERAL SUMMARY AND PURPOSE:** Provides hospital case management/utilization review and discharge planning collaboratively determining level… more
- Molina Healthcare (ID)
- …to resolve/correct them. **JOB QUALIFICATIONS** **Required Education** Completion of an accredited Registered Nurse ( RN ) Program and Associate's or ... **KNOWLEDGE/SKILLS/ABILITIES** + Performs monthly auditing of registered nurse and other clinical functions... and other clinical functions in Utilization Management (UM), Case Management (CM), Member Assessment Team (MAT), Health Management… more
- Jet Health (Boise, ID)
- …prevent breakdown over bony prominence. + Report significant changes in patient conditions to the Registered Nurse Case Manager . + Assist in patient ... support services for patients under the supervision of a Registered Nurse . This role is essential in...year of home health or hospice experience preferred. + Must be at least 18 years old. + Ability… more