- Molina Healthcare (Idaho Falls, ID)
- …SummaryProvides subject matter expertise and leadership to healthcare services function - providing support for project/ program /process design, execution, ... into functional requirements. * Conducts quality audits to assess healthcare services staff educational needs and service quality, and implements quality… more
- Molina Healthcare (Idaho Falls, ID)
- …Summary** Provides subject matter expertise and leadership to healthcare services function - providing support for project/ program /process design, execution, ... into functional requirements. + Conducts quality audits to assess healthcare services staff educational needs and service quality, and implements quality… more
- Molina Healthcare (Idaho Falls, ID)
- **Job Description** **Job Summary** The In-Home Assessment Program Manager is part of our innovative Risk Adjustment department to assist our diverse team of ... medical loss ratio (MLR) targets. In conjunction with the Manager of the In-Home Assessment Program , this...Programs, Market & Segment Leaders, health plan teams, member services , provider services , external vendors, actuary, and… more
- Molina Healthcare (Idaho Falls, ID)
- **JOB DESCRIPTION** Job Summary: The AI Program Manager serves as a strategic leader driving the execution of AI initiatives to deliver meaningful business ... process improvement and organizational change management to operationalize the AI program vision. This includes end-to-end program planning (estimating,… more
- Molina Healthcare (Idaho Falls, ID)
- …Medicaid. This position will have a case load and manage members enrolled in this program . We are looking for a Care Manager who have experience working with ... For this position we are seeking a Care Manager who lives in Idaho Care manager...Job Summary Provides support for care management/care coordination long-term services and supports specific activities and collaborates with multidisciplinary… more
- Molina Healthcare (Idaho Falls, ID)
- **JOB DESCRIPTION** **Job Summary** Molina Healthcare Services (HCS) works with members, providers and multidisciplinary team members to assess, facilitate, plan ... based on the severity of illness and the site of service . **KNOWLEDGE/SKILLS/ABILITIES** + Completes face-to-face comprehensive assessments of members per regulated… more
- Molina Healthcare (Idaho Falls, ID)
- **JOB DESCRIPTION** **Job Summary** Molina Healthcare Services (HCS) works with members, providers and multidisciplinary team members to assess, facilitate, plan ... based on the severity of illness and the site of service . **KNOWLEDGE/SKILLS/ABILITIES** + Completes clinical assessments of members per regulated timelines… more
- Molina Healthcare (Idaho Falls, ID)
- …including behavioral health, long-term care, and population health-related education and services for members with high-need potential. Strives to ensure member ... and written communication skills. * Microsoft Office suite/applicable software program (s) proficiency. Preferred Qualifications **LVN is preferred for this role.**… more
- Molina Healthcare (Idaho Falls, ID)
- …standards and requirements established by the Centers for Medicare and Medicaid Services (CMS). **Essential Job Duties** * Manages team responsible for the ... appeals and denials. * Previous experience leading projects. * Strong customer service experience. * Strong organizational and time management skills; ability to… more
- HCA Healthcare (Idaho Falls, ID)
- …Regional Medical Center which is part of the nation's leading provider of healthcare services , HCA Healthcare . **Benefits** Eastern Idaho Regional Medical ... 3% to 9% of pay (based on years of service ) + Employee Stock Purchase Plan with 10% off...of five years' experience in managing food or hospitality services Required + Knowledge of hospital and healthcare… more
- HCA Healthcare (Idaho Falls, ID)
- …Regional Medical Center which is part of the nation's leading provider of healthcare services , HCA Healthcare . **Benefits** Eastern Idaho Regional Medical ... include: + Comprehensive medical coverage that covers many common services at no cost or for a low copay....3% to 9% of pay (based on years of service ) + Employee Stock Purchase Plan with 10% off… more
- HCA Healthcare (Idaho Falls, ID)
- …Technician Nights? At Eastern Idaho Regional Medical Center, you come first. HCA Healthcare has committed up to $300 million in programs to support our incredible ... include: + Comprehensive medical coverage that covers many common services at no cost or for a low copay....3% to 9% of pay (based on years of service ) + Employee Stock Purchase Plan with 10% off… more
- HCA Healthcare (Idaho Falls, ID)
- …Regional Medical Center which is part of the nation's leading provider of healthcare services , HCA Healthcare . **Benefits** Eastern Idaho Regional Medical ... include: + Comprehensive medical coverage that covers many common services at no cost or for a low copay....3% to 9% of pay (based on years of service ) + Employee Stock Purchase Plan + Retirement readiness… more
- HCA Healthcare (Idaho Falls, ID)
- …Regional Medical Center which is part of the nation's leading provider of healthcare services , HCA Healthcare . **Benefits** Eastern Idaho Regional Medical ... include: + Comprehensive medical coverage that covers many common services at no cost or for a low copay....3% to 9% of pay (based on years of service ) + Employee Stock Purchase Plan + Retirement readiness… more
- Liberty Healthcare Corporation (Idaho Falls, ID)
- …worked as a Direct Support Professional, Social Worker, Healthcare or Human Services Intake / Admissions Specialist, Case Manager , Social Services ... helps people who have disabilities receive supports and services so they may achieve their personal goals while...Service Coordinator, Case Worker or Client Advocate. Liberty Healthcare is an equal opportunity employer committed to diversity,… more
- Molina Healthcare (Idaho Falls, ID)
- …Professional in Healthcare Management (CPHM), Certified Professional in Healthcare Quality (CPHQ), Commission for Case Manager Certification (CCMC), ... business segment (ie Medicare, Marketplace, advanced imaging/central utilization management services ) in the development and execution of care management,… more
- Molina Healthcare (Idaho Falls, ID)
- …supported by the plan such as utilization review, medical claims review, long-term services and supports (LTSS), or other specific program experience as needed ... Clinical Coder (CCC), Certified Medical Audit Specialist (CMAS), Certified Case Manager (CCM), Certified Professional Healthcare Management (CPHM), Certified… more
- Molina Healthcare (Idaho Falls, ID)
- …Clinical Coder (CCC), Certified Medical Audit Specialist (CMAS), Certified Case Manager (CCM), Certified Professional Healthcare Management (CPHM), Certified ... procedures, and individual judgment and experience to assess the appropriateness of services provided, length of stay, level of care, and inpatient readmissions. +… more
- Molina Healthcare (Idaho Falls, ID)
- …Clinical Coder (CCC), Certified Medical Audit Specialist (CMAS), Certified Case Manager (CCM), Certified Professional Healthcare Management (CPHM) or Certified ... National Committee for Quality Assurance (NCQA), Centers for Medicare and Medicaid Services (CMS), state Medicaid entity requirements and all other standards and… more
- Molina Healthcare (Idaho Falls, ID)
- …oversight and expertise related to behavioral health and chemical dependency services , and assists with implementation of integrated behavioral health care programs ... management and care management behavioral health programs and chemical dependency services - working closely with regional medical directors to standardize… more