- CVS Health (Boise, ID)
- …Quality of Care: -Application and/or interpretation of applicable criteria and clinical guidelines, standardized case management plans, policies, procedures, and ... Master's degree in Behavioral /Mental Health or related field** -Unencumbered Independent Behavioral Health clinical license in the state where they work:… more
- Highmark Health (Boise, ID)
- …Nursing **EXPERIENCE** **Required** + 7 years of any combination of clinical , case management and/or disease/condition management experience, provider operations ... panel of members that range in health status/severity and clinical needs. The incumbent assesses health management needs of...interventions and referrals, the incumbent will manage an active case load of members in his/her panel that are… more
- Molina Healthcare (Meridian, ID)
- … health settings. Preferred License, Certification, Association Active, unrestricted Certified Case Manager (CCM) To all current Molina employees: If ... an integrated delivery of care across the continuum, including behavioral health and long term care, for members with...per regulated timelines and determines who may qualify for case management based on clinical judgment, changes… more
- Molina Healthcare (Meridian, ID)
- …health settings. Preferred License, Certification, Association Active, unrestricted Certified Case Manager (CCM) **Bilingual (Spanish)** **WORK SCHEDULE:** ... an integrated delivery of care across the continuum, including behavioral health and long term care, for members with...per regulated timelines and determines who may qualify for case management based on clinical judgment, changes… more
- Highmark Health (Boise, ID)
- …resource utilization, identification of opportunities for referral to a Health Coach/ case management, and identification and resolution of quality issues. Monitors ... with established industry and corporate standards and are within the care manager 's professional discipline. + Function in accordance with applicable state, federal… more
- Idaho Division of Human Resources (Boise, ID)
- …the diverse needs of families. (in tandem with regional Case Manager and Intensive Care Coordinator). + Deliver clinical support and psychoeducation ... plan that aligns with the youth's therapeutic goals. (working together with DHW Case Manager to coordinate and collaborate for youth/family needs). + Dependent… more
- Trinity Health (Nampa, ID)
- …years of experience in healthcare setting required, preferably ambulatory. Case management and care management experience preferred. **License/Certification** **:** ... and documentation requirements highly desired + Knowledge of evidence-based behavioral change methodologies and motivational coaching techniques. + Excellent… more
- Highmark Health (Boise, ID)
- …Is responsible for or works with external resources to create and monitor inpatient case mix reports and the top 25 assigned DRGs/APCs in the facilities to identify ... related to special projects and providing coverage for coding manager (s). (10%) + Depending on location provides or arranges...processes as it relates to the DRG/APC and other clinical data quality management factors. With technical direction and… more