- CVS Health (Boise, ID)
- …members. **Key Responsibilities** + This position consists of working intensely as a telephonic case manager with patients and their care team for fully and/or ... within Aetna/CVS Health. Founded in 1993, AHH is URAC accredited in Case Management, Disease Management and Utilization Management. AHH delivers flexible medical… more
- Sedgwick (Boise, ID)
- …as a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Field Case Manager **We are growing all across the US and are looking for ... experienced Workers Comp Field Case Managers! Required to have a minimum of** **1.5...be considered.** **PRIMARY PURPOSE OF THE ROLE:** Sedgwick Field Case Managers work face to face with their injured… more
- St. Luke's Health System (Nampa, ID)
- …ultimately drives our exceptional, patient-centered care. **Position Overview:** The RN Case Manager collaborates with physicians and the multidisciplinary team ... **Overview** At St. Luke's, our dedicated team of Case Managers are critical in providing exceptional, patient-centered care. We strive to foster an environment that… more
- Otsuka America Pharmaceutical Inc. (Boise, ID)
- **Job Description** The Patient Nurse Case Manager (PNCM) is a dynamic, field-based role that serves as a crucial educator for patients. This position helps to ... field + Background in advocacy, counseling, nursing, or social work + Case management experience in the specific therapy area + Bilingual skills, particularly… more
- St. Luke's Health System (Meridian, ID)
- …Registered Nurses (RNs) to provide exceptional care. **Position Overview** As a Home Health Case Manager , you will play a key role in collaborating with ... physicians and multidisciplinary team members to create and manage individualized care plans for a designated caseload. This is a direct care role, involving travel within Boise, ID and surrounding regions to deliver in-home care from admission to discharge.… more
- Public Consulting Group (Boise, ID)
- …that is safe, timely, effective, efficient, equitable, and client-centered + Handles case assignments, draft service plans, review case progress and determine ... to conduct periodic in person assessments + Facilitates multiple care aspects ( case coordination, information sharing, etc.) + Helps patients make informed decisions… more
- Highmark Health (Boise, ID)
- …the appropriate clinical interventions and referrals, the incumbent will manage an active case load of members in his/her panel that are enrolled in case ... management. The incumbent conducts outreach to members enrolled in case management including but is not limited to: developing a care plan, encouraging behavior… more
- St. Luke's Health System (Boise, ID)
- **Overview** At St. Luke's, our dedicated team of Case Managers are critical in providing exceptional, patient-centered care. We strive to foster an environment that ... embraces our employees' unique strengths, experiences and perspectives which ultimately drives our exceptional, patient-centered care. **What You Can Expect From This Role:** + **Schedule:** Full Time, 8 hour weekday shifts + **Benefits:** Full Benefits with… more
- Cardinal Health (Boise, ID)
- …+ Manage the entire care process with a sense of urgency from benefit investigation/verification to medication delivery, ensuring an exceptional patient experience + ... Conduct benefit verifications and collaborate with various healthcare providers, including physicians, specialty pharmacies, and insurance companies, to ensure seamless coordination of patient care and timely access to necessary services + Assist in obtaining… more
- Cardinal Health (Boise, ID)
- …Our diverse expertise in pharma, payer and hub services allows us to deliver best-in-class solutions-driving brand and patient markers of success. We're continuously ... integrating advanced and emerging technologies to streamline patient onboarding, qualification and adherence. Our non-commercial specialty pharmacy is centralized at our custom-designed facility outside of Dallas, Texas, empowering manufacturers to rethink the… more
- Molina Healthcare (Boise, ID)
- …services. **PREFERRED LICENSE, CERTIFICATION, ASSOCIATION:** Active and unrestricted Certified Case Manager (CCM) Active, unrestricted State Nursing license ... DESCRIPTION** For this position we are seeking a Care Manager who lives in Idaho Care manager ...will support Idaho Medicaid. This position will have a case load and manage members enrolled in this program.… more
- Idaho Division of Human Resources (Boise, ID)
- …accessibility and accommodate the diverse needs of families. (in tandem with regional Case Manager and Intensive Care Coordinator). + Deliver clinical support ... that aligns with the youth's therapeutic goals. (working together with DHW Case Manager to coordinate and collaborate for youth/family needs). + Dependent upon… more
- Liberty Healthcare Corporation (Boise, ID)
- …Social Worker, Healthcare or Human Services Intake / Admissions Specialist, Case Manager , Social Services Professional, Service Coordinator, Case ... Worker or Client Advocate. Liberty Healthcare is an equal opportunity employer committed to diversity, equity, and inclusion. Our organization is composed of, and proudly serves, people of diverse backgrounds and abilities. If you're looking for an… more
- Molina Healthcare (Meridian, ID)
- …unrestricted Certified Clinical Coder + Certified Medical Audit Specialist + Certified Case Manager + Certified Professional Healthcare Management + Certified ... Professional in Healthcare Quality + other healthcare certification To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing. Molina Healthcare offers a competitive benefits and… more
- Jet Health (Boise, ID)
- …prominence. + Report significant changes in patient conditions to the Registered Nurse Case Manager . + Assist in patient ambulation and exercise as instructed. ... + Offer and assist with bedpans and urinals. + Perform light laundry tasks and maintain tidy patient living spaces. + Conduct range of motion exercises and other simple procedures as instructed. + Provide respite care for families and caregivers when… more
- Sumitomo Pharma (Boise, ID)
- …highly motivated, and experienced individual for the position of **Associate Manager , Compliance, Training & Strategic Alliance (CTSA), PVRM** . The Associate ... Manager , Compliance, Training & Strategic Alliance (CTSA), PVRM is...compliance issues and significant quality issues originating with the case processing vendor and License Partner. + Participate in… more
- Cognizant (Boise, ID)
- …environments including Windows, Linux, Smallworld Magik, Java, Oracle, Smallworld Core, Design Manager , Smallworld Case Tool, Electric Office, GDO/GTO, XML, FME ... as necessary. **Mandatory Skills:** - Bachelor's or Master's degree in Engineering (Electronics / Electrical / Computer Science or Information Technology) - Minimum 10 years of experience in GE Smallworld product suites, Smallworld App Deveopment, VMDS -… more
- Datavant (Boise, ID)
- …vision for healthcare. **What we're looking for:** The incoming Risk Adjustment Analytics Manager will be stepping into a role on the Business Analytics team and ... of its analysts. We are looking for a hands-on manager who has experience and interest in providing guidance...reviewed by Datavant Human Resources and determined on a case -by- case basis. Depending on the state in… more
- Sharecare (Boise, ID)
- …2025** **Salary:** **$85,000 annually, plus comprehensive benefits package** The Care Manager supports the implementation of the Value Based Care Management program ... in an appropriate and efficient manner by providing high-quality telephonic Case or Care Management with CareFirst members. The Care Manager partners with… more
- Trinity Health (Boise, ID)
- …Shift **Description:** **GENERAL SUMMARY AND PURPOSE:** Provides hospital case management/utilization review and discharge planning collaboratively determining level ... care as appropriate. Coordinates the hospital activities concerned with case management/utilization review and discharge planning. Adheres to departmental goals,… more