- Magellan Health Services (Boise, ID)
- …MgmtCare MgmtCare Mgmt, LSW - Licensed Social Worker - Care MgmtCare MgmtCare Mgmt, RN - Registered Nurse , State and/or Compact State Licensure - Care ... with necessary degrees: CEAP, LMSW, LCSW, LSW, LPC or RN . Minimum 2 years experience post degree in healthcare,...care . General Job Information Title Care Manager , BH (Youth / Idaho) - Remote … more
- Humana (Boise, ID)
- **Become a part of our caring community and help us put health first** The Care Manager , Telephonic Nurse 2 employs a variety of strategies, approaches and ... business there is limited day to day flexibility in care manager 's schedule. **Duties:** + Telephonically assess...skills to make an impact** **Required Qualifications** + Active Registered Nurse ( RN ) license with… more
- Sharecare (Boise, ID)
- … more accessible and affordable for everyone. To learn more, visit www.Sharecare.com. The Care Manager supports the implementation of the Value Based Care ... telephonic Case or Care Management with CareFirst members. The Care Manager partners with members, caregivers, providers, and the interdisciplinary… more
- CVS Health (Boise, ID)
- …. + Perform medical necessity reviews. **Required Qualifications** + 5+ years' experience as a Registered Nurse with at least 1 year of experience in a hospital ... position consists of working intensely as a telephonic case manager with patients and their care team...setting. + A Registered Nurse that holds an active, unrestricted… more
- Molina Healthcare (Boise, ID)
- …and/or coding experience, or equivalent combination of relevant education and experience. + Registered Nurse ( RN ). License must be active and unrestricted ... to overarching strategy to provide quality and cost-effective member care . **ESSENTIAL JOB DUTIES:** + Facilitates clinical/medical reviews of retrospective… more
- CenterWell (Boise, ID)
- …**Use your skills to make an impact** **License/Certifications:** + Active and unrestricted Registered Nurse ( RN ) license with authorization to practice in ... individual circumstances and company policy. **This is not a remote or work-from-home position. This position requires you to...insurance and reliable transportation. + Two years as a Registered Nurse ( RN ) with at… more
- Sharecare (Boise, ID)
- …that will positively impact the greater team and aid in their personal development as a Care Manager . + Provide performance management for the team of Care ... of Sharecare with leadership practices. **Qualifications:** + Current licensure as a Registered Nurse is required; Compact state preferred + Bachelor's degree… more
- Humana (Boise, ID)
- …Care Navigator) must meet **one** of the following requirements: **Active unrestricted Registered Nurse , ( RN ) license without disciplinary action with the ... for beneficiaries receiving services under the TRICARE program. The Care Manager , Telephonic Behavioral Health 2 (Focus...best for your schedule. Travel: While this is a remote position, occasional travel to Humana's offices for training… more
- CenterWell (Boise, ID)
- …The Clinical Care Coordinator is under the general supervision of the Manager of Care Coordination and under established performance criteria. This is a ... **Required to work a rotating holiday schedule.** The **Clinical Care Coordinator** helps to ensure optimal continuity of ...work-from-home telephonic nurse position **Essential Functions:** + Act as CenterWell Home… more
- Molina Healthcare (ID)
- …initiating and managing member and/or community interventions (eg, removing barriers to care ) and other federal and state-required quality activities + Monitors and ... within the organization + Supports provision of high-quality clinical care and services by facilitating/building strategic relationships with community-based… more
- Molina Healthcare (ID)
- …NCQA-related) requirements are documented during the year + Works with the Manager and/or Director to maintain up-to-date addendums to quality policies and ... activities and results to identify opportunities for improvement + Surfaces to the Manager and/or Director any gaps in processes that may require remediation + Other… more
- Sedgwick (Boise, ID)
- …to Work(R) Fortune Best Workplaces in Financial Services & Insurance Field Case Manager -Sign-On Bonus Eligible **We are growing all across the US and are looking ... on the health and lives of others, and a remote work environment that allows face to face interaction...more. + Access diverse and comprehensive benefits to take care of your mental, physical, financial and professional needs.… more
- Sedgwick (Boise, ID)
- …Work(R) Fortune Best Workplaces in Financial Services & Insurance Telephonic Case Manager **PRIMARY PURPOSE OF THE ROLE:** While partnering with the injured worker, ... on the health and lives of others, and a remote work environment. + Enjoy flexibility and autonomy in...more. + Access diverse and comprehensive benefits to take care of your mental, physical, financial and professional needs.… more
- Humana (Boise, ID)
- …each day between 6AM and 9AM in their home time zone. **Required Qualifications** + Active Registered Nurse ( RN ) license in the state they reside. + Minimum ... caring community and help us put health first** The Nurse Auditor 2 performs clinical audit/validation processes to ensure...as ER, OR, Pre-op, PACU,L&D, mother-baby, behavioral health, SNF, care manager /discharge manager , LTC, rehab,… more
- CenterWell (Boise, ID)
- …initiatives. **Use your skills to make an impact** + Current and unrestricted Registered Nurse licensure (in the state of practice) _preferred_ + Minimum ... operations to ensure the following: operational efficiencies, quality of patient care , regulatory compliance, support of business development & patient base growth,… more
- CenterWell (Boise, ID)
- …in KPI-driven performance management. **Preferred Certifications:** * Certified Healthcare Access Manager (CHAM) * Certified Revenue Cycle Professional (CRCP) * Lean ... Belt or higher) * Project Management Professional (PMP) * Nursing license ( RN or LPN/LVN) preferred but not required **Additional Information:** To ensure Home… more
- CenterWell (Boise, ID)
- …experience in a supervisory or teaching role + Thorough knowledge of health care policy, industry and related clinical practice + Knowledge in the interpretation and ... assigned **Preferred Qualifications** + Master's Degree preferred + Licenses/Certification: RN , PT or OT preferred + More than 3...PHI / HIPAA information. Travel: While this is a remote position, occasional travel to Humana's offices for training… more