- Molina Healthcare (Nampa, ID)
- …outcomes within compliance standards. **KNOWLEDGE/SKILLS/ABILITIES** + The Clinical Appeals Nurse ( RN ) performs clinical/medical reviews of previously denied ... these guidelines. **Required License, Certification, Association** Active, unrestricted State Registered Nursing ( RN ) license in good standing. **Preferred… more
- Molina Healthcare (Nampa, ID)
- **JOB DESCRIPTION** **Job Summary** Molina Healthcare Services (HCS) works with members, providers and multidisciplinary team members to assess, facilitate, plan ... behavioral health settings. **Required License, Certification, Association** Active, unrestricted State Registered Nursing ( RN ) license in good standing. Must… more
- Public Consulting Group (Boise, ID)
- …learn more, visit www.publicconsultinggroup.com . PCG is currently seeking a qualified Registered Nurse to perform as a Case Manager . The Case Manager ... , assisting families and program recipients through prior approval of certain healthcare services , and collaborating with the claim's administration team.… more
- Sharecare (Boise, ID)
- …to the disease management program intervention guidelines. A Clinical Registered Nurse is supervised by an Operations Manager (OM). All Sharecare clinicians ... for everyone. To learn more, visit www.sharecare.com . **Job Summary:** The Clinical Registered Nurse has the responsibility for supporting the goals and… more
- Public Consulting Group (Boise, ID)
- …of case management plans. + Current license, certification or registration as a Registered Nurse or Social Worker **Working Conditions** + Office Setting **The ... improvement firm that partners with health, education, and human services agencies to improve lives. Founded in 1986, PCG...Proven working experience in case management, including as a nurse , medical, mental health care manager or… 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
- IQVIA (Boise, ID)
- …and after in- service assignments. **Required Qualifications:** + Bachelor's Degree + RN License + ICU, Oncology, ER and/or critical care unit experience of at ... desired **\#LI-CES** IQVIA is a leading global provider of clinical research services , commercial insights and healthcare intelligence to the life sciences… more
- Molina Healthcare (Nampa, ID)
- …Improvement function oversees, plans, and implements new and existing healthcare quality improvement initiatives and education programs; ensures maintenance of ... accreditation surveys and federal/state QI compliance activities. **KNOWLEDGE/SKILLS/ABILITIES** The Manager , Health Plan Quality Interventions is responsible for developing,… more
- Highmark Health (Boise, ID)
- …of disease processes + Understanding of healthcare costs and the broader healthcare service delivery system + Proficiency in MS Excel and strong analytic ... dialectical behavior therapy (DBT) + Experience working with the healthcare needs of diverse populations + Understanding of the...in addressing targeted populations **LICENSES AND CERTIFICATIONS** **Required** + RN license in PA or WV or DE or… more
- Highmark Health (Boise, ID)
- …management** strategies including: review of appropriateness of health care services , application of criteria to ensure appropriate resource utilization, ... of quality issues. Monitors and analyzes the delivery of health care services ; educates providers and members on a proactive basis; and analyzes qualitative… more
- Highmark Health (Boise, ID)
- …often intense environment + Understanding of healthcare costs and the broader healthcare service delivery system + Ability to analyze data, measure outcomes, ... and federal law standards and are within the care manager 's professional discipline. + For assigned case load, create...behavior therapy (DBT) + 1 year working with the healthcare needs of diverse population and understanding of the… more
- Magellan Health Services (Boise, ID)
- …- Licensed Professional Counselor - Care Mgmt, LSW - Licensed Social Worker - Care Mgmt, RN - Registered Nurse , State and/or Compact State Licensure - Care ... LPC or RN . Minimum 2 years experience post degree in healthcare , behavioral health, psychiatric and/or substance abuse health care setting. Strong organization,… more
- St. Luke's Health System (Boise, ID)
- …& Sports Medicine facility (COSM). COSM has brought together numerous complementary healthcare services , such as orthopedic walk-in care, a surgery center, ... expanding based on recent growth and are hiring a new Surgical Services leader for the Perioperative RN team **Our team!** In our efforts to improve health in… more
- Trinity Health (Boise, ID)
- …discharge, and home planning process with other hospital departments, external service organizations, agencies and healthcare facilities. Completes a ... smooth transition to the next level of care and services . Coordinates the integration of social services ...KNOWLEDGE, EDUCATION AND EXPERIENCE** : Colleague must have an RN license, as defined by their primary work state… more
- Trinity Health (Boise, ID)
- …department staff on job performance. + Consistently performs the essential functions of a Registered Nurse in the assigned patient care unit and assists the ... groups. + Functions as a clinical expert within the service area and assists the unit Manager ...patient grievances and incident (VOICE) reports.Attends meetings and represents Nurse Manager in his/her absence. + Facilitates… more
- Molina Healthcare (Boise, ID)
- …organization + Supports provision of high-quality clinical care and services by facilitating/building strategic relationships with community-based organizations + ... to identify opportunities for improvement + Surfaces to the Manager and Director any gaps in processes that may...education and work experience. + 3 years' experience in healthcare with a minimum of 2 years' experience in… more
- Trinity Health (Nampa, ID)
- …to achieve your potential. Living by these virtues, we pride ourselves on exceptional service and the highest quality of care. We are looking to hire a **Clinical ... Resource Manager ** for our Medical Center in Nampa, Idaho (http://https://www.saintalphonsus.org/location/saint-alphonsus-medical-center-nampa-1) ! The Saint… more
- Trinity Health (Boise, ID)
- …by Forbes as one of **America's Best Large Employers for 2025** , is looking for a ** Nurse Manager ** to lead our Cardiovascular ICU and SDU team at our Level II ... and is passionate about shaping the future of cardiovascular critical care. As Nurse Manager , you will oversee our 10-bed Cardiovascular ICU, leading a… more
- Abbott (Boise, ID)
- …and educational in services , as directed. + As directed by sales manager , contacts, visits, and engages clients and potential clients in the Company's products ... Abbott is a global healthcare leader that helps people live more fully...and programming assistance, primarily in support of 1-2 Territory Manager (s). + Assist Territory Managers in after-hours call support… more