- Molina Healthcare (Idaho Falls, ID)
- …Summary** Provides subject matter expertise and leadership to healthcare services function - providing support for project/ program /process design, execution, ... into functional requirements. + Conducts quality audits to assess healthcare services staff educational needs and service quality, and implements quality… more
- Molina Healthcare (Idaho Falls, ID)
- …800 AM to 5 PM MST (No weekends or Holidays) **Job Summary** Molina Healthcare Services (HCS) works with members, providers and multidisciplinary team members to ... a case load and manage members enrolled in this program . We are looking for a Care Manager...on the severity of illness and the site of service . **KNOWLEDGE/SKILLS/ABILITIES** + Completes face-to-face comprehensive assessments of members… more
- Molina Healthcare (Idaho Falls, ID)
- **JOB DESCRIPTION** **Job Summary** Molina Healthcare Services (HCS) works with members, providers and multidisciplinary team members to assess, facilitate, plan ... based on the severity of illness and the site of service . **KNOWLEDGE/SKILLS/ABILITIES** + Completes face-to-face comprehensive assessments of members per regulated… more
- Molina Healthcare (Idaho Falls, ID)
- **JOB DESCRIPTION** **Job Summary** Molina Healthcare Services (HCS) works with members, providers and multidisciplinary team members to assess, facilitate, plan ... based on the severity of illness and the site of service . **KNOWLEDGE/SKILLS/ABILITIES** + Completes clinical assessments of members per regulated timelines… more
- Molina Healthcare (Idaho Falls, ID)
- …Responsible for creating, operating, and monitoring Molina Health Plan's pharmacy services programs in accordance with all federal and state laws. ... **Knowledge/Skills/Abilities** + Monitor the operational aspects of the Pharmacy Benefits Manager and other delegates to assure compliance with contractual and… more
- HCA Healthcare (Idaho Falls, ID)
- …revenue cycle management, or total patient account resolution, for HCA Healthcare . Our services include scheduling, registration, insurance verification, ... Coder Team Lead? At Parallon, you come first. HCA Healthcare has committed up to $300 million in programs...include: + Comprehensive medical coverage that covers many common services at no cost or for a low copay.… more
- Walgreens (Rexburg, ID)
- …when using the pharmacy. Enhances customer experience by increasing focus on healthcare services . **Operations** + Responsible for assisting pharmacist in the ... allowed by law). Under the supervision of a pharmacist assists with healthcare service offerings including administering vaccines, health screenings, and any… more
- HCA Healthcare (Idaho Falls, ID)
- …At Eastern Idaho Regional Medical Center our nurses set us apart from any other healthcare provider. We are seeking a(an) Operating Room RN to join our healthcare ... include: + Comprehensive medical coverage that covers many common services at no cost or for a low copay....3% to 9% of pay (based on years of service ) + Employee Stock Purchase Plan with 10% off… more
- HCA Healthcare (Idaho Falls, ID)
- …Technician Sitter? At Eastern Idaho Regional Medical Center, you come first. HCA Healthcare has committed up to $300 million in programs to support our incredible ... include: + Comprehensive medical coverage that covers many common services at no cost or for a low copay....3% to 9% of pay (based on years of service ) + Employee Stock Purchase Plan with 10% off… more
- HCA Healthcare (Idaho Falls, ID)
- …Regional Medical Center which is part of the nation's leading provider of healthcare services , HCA Healthcare . **Benefits** Eastern Idaho Regional Medical ... include: + Comprehensive medical coverage that covers many common services at no cost or for a low copay....3% to 9% of pay (based on years of service ) + Employee Stock Purchase Plan + Retirement readiness… more
- Liberty Healthcare Corporation (Rigby, ID)
- …worked as a Direct Support Professional, Social Worker, Healthcare or Human Services Intake / Admissions Specialist, Case Manager , Social Services ... helps people who have disabilities receive supports and services so they may achieve their personal goals while...Service Coordinator, Case Worker or Client Advocate. Liberty Healthcare is an equal opportunity employer committed to diversity,… more
- Molina Healthcare (Idaho Falls, ID)
- …of the member's interdisciplinary care team (ICT), including referrals to state plan healthcare services . * Follows-up with members and providers to check on ... staff, and providers. * Reviews and analyzes Pharmacy Benefit Manager (PBM) reports to track general trends in drug...identify potential targeted utilization management activities. * Works with healthcare services team (eg, data managers, care… more
- Molina Healthcare (Idaho Falls, ID)
- **JOB DESCRIPTION** **Job Summary** Molina Healthcare Services (HCS) works with members, providers and multidisciplinary team members to assess, facilitate, plan ... of service . **KNOWLEDGE/SKILLS/ABILITIES** + Follows member throughout a 30-day program that starts at hospital admission and continues through transitions from… more
- Molina Healthcare (Idaho Falls, ID)
- …Clinical Coder (CCC), Certified Medical Audit Specialist (CMAS), Certified Case Manager (CCM), Certified Professional Healthcare Management (CPHM), Certified ... interpretation, and appropriate level of care for provision of member services in alignment with state, federal, accrediting, and billing/coding guidelines and… more
- Molina Healthcare (Idaho Falls, ID)
- …oversight and expertise related to behavioral health and chemical dependency services , and assists with implementation of integrated behavioral health care programs ... management and care management behavioral health programs and chemical dependency services - working closely with regional medical directors to standardize… more
- Molina Healthcare (Idaho Falls, ID)
- …Identifies and refers members with special needs to the appropriate Molina Healthcare program per policy/protocol. **JOB QUALIFICATIONS** Graduate from an ... Certified Clinical Coder, Certified Medical Audit Specialists, Certified Case Manager , Certified Professional Healthcare Management, Certified Professional… more
- Molina Healthcare (Idaho Falls, ID)
- … Healthcare Effectiveness Data Information Set (HEDIS), Consumer Assessment of Healthcare Providers and Services (CAHPS), and other quality metrics. * ... a member-centered interdisciplinary care team (ICT). * Works with the Pharmacy Benefit Manager (PBM) to manage formulary changes and update marketing on any changes… more
- Molina Healthcare (Idaho Falls, ID)
- …QUALIFICATIONS:** + At least 6 years of experience as a Business Analyst or Program Manager in a Managed Care Organization (MCO) or health plan setting, ... and executes tasks and projects to ensure Centers for Medicare & Medicaid Services (CMS) and State regulatory requirements are met for Pre-pay Edits, Overpayment… more
- Molina Healthcare (Idaho Falls, ID)
- …of technology that drives core utilization management, care management, long-term services and supports (LTSS), clinical operations and business processes. Considers ... least 8 years clinical systems experience, preferably as a product owner / manager within a managed care, nursing informatics or health care environment, or… more
- Walgreens (Rexburg, ID)
- …to physicians. + Processes (corrects and resubmits) manual claims for third party program prescription services in a timely and efficient manner, and performs ... cash register, provides customers with courteous, fair, friendly, and efficient checkout service . + In accordance with state and federal regulations, assists the… more