- Magellan Health Services (Boise, ID)
- …criteria for RN, Masters or Doctoral level provider. General Job Information Title Clinical Manager , Behavioral Health (UM) -Licensed, Remote ... community resources and providers. Thorough knowledge of healthcare services in physical health , behavioral health or other medical specialty area based… more
- Molina Healthcare (Nampa, ID)
- …of enterprise-wide education on psychiatric diagnoses and treatment. * Provides second level behavioral health clinical reviews, peer reviews and appeals. * ... strategy to provide quality and cost-effective member care. Essential Job Duties * Provides behavioral health oversight and clinical leadership for health… more
- Molina Healthcare (Nampa, ID)
- …more of the following areas: utilization management, care management, care transitions, behavioral health , or equivalent combination of relevant education and ... other related business documents. **Required Qualifications** + At least 5 years of health care experience, including experience in clinical operations, and at… more
- Highmark Health (Boise, ID)
- …Requires thorough understanding of end systems impact of changes across multiple systems, clinical disease process, and healthcare data. As a ** Clinical Business ... providing expert consultation on the design and feasibility of our clinical digital healthcare products, implementing large scale data exchange initiatives, and… more
- CenterWell (Boise, ID)
- …that impact patient well-being. Our integrated care teams, which include physicians, nurses, behavioral health specialists and more, spend up to 50 percent more ... part of our caring community and help us put health first** The Senior Clinical Operations Training...primary care, one of the largest providers of home health services, and fourth largest pharmacy benefit manager… more
- Molina Healthcare (Nampa, ID)
- …facilitate, plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long term care, for members with high need ... determines who may qualify for case management based on clinical judgment, changes in member's health or...management. + Promotes integration of services for members including behavioral health care and long term services… more
- Highmark Health (Boise, ID)
- …effective utilization management strategies including: review of appropriateness of health care services, application of criteria to ensure appropriate resource ... utilization, identification of opportunities for referral to a Health Coach/case management, and identification and resolution of quality issues. Monitors and… more
- Molina Healthcare (Nampa, ID)
- …plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long-term care, for members with high need potential. ... and suggest changes accordingly. + Promotes integration of services for members including behavioral health care and long-term services and supports, home and… more
- Molina Healthcare (Boise, ID)
- …plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long-term care, for members with high need potential. ... and suggest changes accordingly. + Promotes integration of services for members including behavioral health care and long term services and supports, home and… more
- Molina Healthcare (Nampa, ID)
- …regular outreach and management. * Promotes integration of services for members including behavioral health , long-term services and supports (LTSS), and home and ... determines who may qualify for care management based on clinical judgment, changes in member health or...in care management, or experience in a medical and/or behavioral health setting, or equivalent combination of… more
- Molina Healthcare (Nampa, ID)
- …and suggest changes accordingly. * Promotes integration of services for members including behavioral health care and long-term services and supports (LTSS) and ... year of experience in care management, or experience in a medical and/or behavioral health setting, or equivalent combination of relevant education and… more
- HCA Healthcare (Caldwell, ID)
- …services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed ... Center offers a total rewards package that supports the health , life, career and retirement of our colleagues. The...vary by location._** We are seeking a(an) RN Case Manager for our team to ensure that we continue… more
- Veterans Affairs, Veterans Health Administration (Caldwell, ID)
- …which includes a social worker, dietician, clinical pharmacist, behavioral health clinician, and a care manager . Oversees and coordinates medical care ... 401K with up to 5% in contributions by VA Insurance: Federal health /vision/dental/term life/long-term care (many federal insurance programs can be carried into… more
- Sharecare (Boise, ID)
- …of Clinical Objectives** + Reviews status of participant's preventive health exams as defined by the disease-specific Standards of Care guidelines to ... A Disease Management Nurse is supervised by an Operations Manager (OM). All Sharecare clinicians are required to participate...responsive, committed individual who recognizes the impact of the health care delivery system on the clinical … more
- CenterWell (Boise, ID)
- …best care, when needed most, and for the lowest cost. We go beyond physical health - addressing the social, emotional, behavioral and financial needs that can ... provider of senior-focused primary care, one of the largest providers of home health services, and fourth largest pharmacy benefit manager , CenterWell is focused… more
- Molina Healthcare (Nampa, ID)
- …plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long-term care, for members with high need potential. ... have the following:** + Healthcare knowledge or background either clinical (Medical Assistant) or in an administrative capacity +...needs and works under the direction of the Case Manager to implement care plan. + Schedules member visits… more
- Molina Healthcare (Nampa, ID)
- …plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long-term care, for members with high need potential. ... on seven primary areas (ToC Pillars): medication management, use of personal health record, follow up care, signs and symptoms of worsening condition, nutrition,… more