- CVS Health (Boise, ID)
- …Using advanced clinical skills, performs crisis intervention with members experiencing behavioral health or medical crisis and refers them to the appropriate ... of Care: * Application and/or interpretation of applicable criteria and clinical guidelines, standardized case management plans, policies, procedures, and… more
- CVS Health (Boise, ID)
- …Interviewing and good technological skills + Valid unrestricted independent professional behavioral health clinical license to practice per state regulations ... standard business hours. No weekends and no holidays.** Utilizes advanced clinical judgment and critical thinking skills to facilitate appropriate member physical… 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
- HCA Healthcare (Caldwell, ID)
- …work to deliver clinical excellence behind the scenes in data science, case management or transfer centers. Unlock your potential at West Valley Medical Center! ... passionate about delivering patient-centered care?** Submit your application for RN Outpatient Behavioral Health position and spend more time at the bedside with 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)
- …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
- CenterWell (Boise, ID)
- …Medicare/Medicaid experience a plus + Previous experience in utilization management, case management, discharge planning and/or home health or rehab + Certification ... in Case Management a plus (CCM) + Experience working with...go beyond physical health - addressing the social, emotional, behavioral and financial needs that can impact our patients'… 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
- CenterWell (Boise, ID)
- …Intelligence Lead and support ad hoc reporting. * Develop basic modeling and business case analysis; work closely with Finance and Data teams * Coordinate with ACO ... that impact patient well-being. Our integrated care teams, which include physicians, nurses, behavioral health specialists and more, spend up to 50 percent more time… 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