- Molina Healthcare (Idaho Falls, ID)
- 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 ... enrolled in this program. We are looking for a Care Manager who have experience working with...Promotes integration of services for members including behavioral health care and long-term services and supports ( LTSS )… more
- Molina Healthcare (Idaho Falls, ID)
- …team members to assess, facilitate, plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long-term care , for ... staff work to ensure that patients progress toward desired outcomes with quality care that is medically appropriate and cost-effective based on the severity of… more
- Molina Healthcare (Idaho Falls, ID)
- …services and supports ( LTSS ) issues. * Identifies and reports quality of care issues. * Prepares and presents cases in conjunction with the chief medical officer ... guidelines. Assesses appropriateness of services, length of stay and level of care provided to members. Contributes to overarching strategy to provide quality and… more
- Molina Healthcare (Idaho Falls, ID)
- …and supports ( LTSS ) issues. + Identifies and reports quality of care issues. + Assists with complex claim review including diagnosis-related group (DRG) ... to overarching strategy to provide quality and cost-effective member care . **ESSENTIAL JOB DUTIES:** + Facilitates clinical/medical reviews of retrospective… more