- CVS Health (Boise, ID)
- …clinical skills to coordinate, document and communicate all aspects of the utilization /benefit management program. Applies critical thinking and is knowledgeable ... and external constituents in the coordination and administration of the utilization /benefit management function. **Required Qualifications** + 3+ years post… more
- Molina Healthcare (Boise, ID)
- …and/or procedures. * Works collaboratively with the utilization and care management departments to provide ABA and behavioral health therapy (BHT) services ... Microsoft Office suite/applicable software program(s) proficiency. **Preferred Qualifications** * Utilization management experience. * Health plan/managed care… more
- Molina Healthcare (Boise, ID)
- …Experience** Previous experience in Hospital Acute Care, ER or ICU, Prior Auth, Utilization Review / Utilization Management and knowledge of Interqual ... / MCG guidelines. **Preferred License, Certification, Association** Active, unrestricted Utilization Management Certification (CPHM). **MULTI STATE / COMPACT… more