- Cambia Health Solutions, Inc (Boise, ID)
- …or Master's degree in Behavioral Health preferred for behavioral health care management); or Registered nurse ( RN ) license (must have a current unrestricted ... Care Management Nurse - Hybrid ID - Independent Doctors of...or related field and 3 years of case management, utilization management, disease management, or behavioral health case management… more
- R1 RCM (Boise, ID)
- …as needed to support service delivery **Required Qualifications:** + Must have a current Registered Nurse license in your state of residence + At least 2 ... cash flows while reducing operating costs and enhancing the patient experience. The Utilization Review Author will be part of our Physician Advisory Team providing… more
- St. Luke's Health System (Boise, ID)
- …or Payer + Licenses/Certifications: Must have current licensure in one of the following: + Registered Nurse in the State of Idaho OR + Licensed Master Social ... commercial insurances and makes post-acute care placement recommendations for appropriate utilization . + Establishes and maintains a supportive, collegial role with… more
- Humana (Boise, ID)
- …UM Timeliness Monitoring and Reporting + Working knowledge using Power BI + Registered Nurse or Behavioral Health Licensed Professional. + Managed care, Medicaid ... Minimum 3 years of experience in NCQA Health Plan Accreditation and/or Utilization Management + Experience compiling NCQA File Review Universes and timeliness… more
- Molina Healthcare (Twin Falls, ID)
- …+ Current unrestricted driver's license **PREFERRED EXPERIENCE:** + 3-5-year experience as a Registered Nurse and/or Nurse Practitioner, ideally in a home ... program for new Grads!* *Molina Student Loan Payment program available to Nurse Practitioners* **JOB DESCRIPTION** **Job Summary** The Care Connections Nurse … more
- Marriott (Boise, ID)
- …Information** Nurse CARE Manager (CARE - Coordinated Action and Response) Registered Nurse license required **Job Number** 24069165 **Job Category** Finance ... losses. The NCM is responsible for conducting first level Utilization Review and coordinates subsequent levels if necessary, as...informed **Education or Certification** + Must be a licensed registered nurse + Certification as an occupational… more
- Magellan Health Services (Pocatello, ID)
- …- Licensed Professional Counselor - Care Mgmt, LSW - Licensed Social Worker - Care Mgmt, RN - Registered Nurse , State and/or Compact State Licensure - Care ... other members of the clinical team, authorizes and reviews utilization of mental health and substance abuse services provided...with necessary degrees: CEAP, LMSW, LCSW, LSW, LPC or RN . Minimum 2 years experience post degree in healthcare,… more
- Magellan Health Services (ID)
- …- Licensed Professional Counselor - Care Mgmt, LSW - Licensed Social Worker - Care Mgmt, RN - Registered Nurse , State and/or Compact State Licensure - Care ... other members of the clinical team, authorizes and reviews utilization of mental health and substance abuse services provided...with necessary degrees: CEAP, LMSW, LCSW, LSW, LPC or RN . Minimum 2 years experience post degree in healthcare,… more
- College of Western Idaho (Nampa, ID)
- …* A current, valid and unencumbered license to practice in Idaho as a licensed registered nurse ( RN ). License must be in good/current standing without ... classroom facilitation and organization, as well as ensuring effective utilization of resources, including supplies and time management. Nursing Assistant… more
- Magellan Health Services (Boise, ID)
- …Certified Case Manager - Care Mgmt, LCSW - Licensed Clinical Social Worker - Care Mgmt, RN - Registered Nurse , State and/or Compact State Licensure - Care ... field, or relevant experience in lieu of degree., Experience in utilization management, quality assurance, home or facility care, community health, long… more
- Magellan Health Services (ID)
- …Mgmt, PsyD - Doctorate of Psychology - Care Mgmt, PSY - Psychologist - Care Mgmt, RN - Registered Nurse , State and/or Compact State Licensure - Care Mgmt ... post degree in psychiatric and/or substance abuse health care setting, including utilization review. Licensure is required for this position, specifically a current… more
