- Molina Healthcare (Nampa, ID)
- …sections and reviews behavioral health portions of state contracts. * Assists behavioral health medical director lead trainers in the development ... SummaryProvides medical oversight and expertise related to behavioral health and chemical dependency services, and...and chemical dependency services - working closely with regional medical directors to standardize behavioral health… more
- Humana (Boise, ID)
- **Become a part of our caring community and help us put health first** The Behavioral Health Medical Director is responsible for behavioral ... health care strategy and/or operations. The Behavioral Health Medical Director work assignments involve moderately complex to complex issues where the… more
- Molina Healthcare (Nampa, ID)
- **JOB DESCRIPTION** **Job Summary** Molina's Behavioral Health function provides leadership and guidance for utilization management and case management programs ... and chemical dependency services and assists with implementing integrated Behavioral Health care management programs. **Knowledge/Skills/Abilities** Provides… more
- Molina Healthcare (Nampa, ID)
- …stay appropriateness for behavioral health services. + Collaborates with Behavioral Health Medical Directors on complex or borderline cases, ensuring ... **Job Description** **Job Summary** Performs behavioral health utilization reviews, applying evidence-based...quality-of-care, safety, and compliance concerns and escalate to the Medical Director as appropriate. + Maintains compliance… more
- CenterWell (Boise, ID)
- **Become a part of our caring community and help us put health first** The Medical Director , Primary Care relies on medical background and reviews ... health claims. The Medical Director , Primary Care work assignments involve...and for the lowest cost. We go beyond physical health - addressing the social, emotional, behavioral … more
- Trinity Health (Boise, ID)
- …serve as the ** Director of Strategy & Operations for Primary Care & Behavioral Health ** . This role is responsible for driving the growth, integration, and ... health systems in the United States. Our physician-led medical group, **Saint Alphonsus Medical Group (SAMG)**...broad regional network that includes primary care and outpatient behavioral health services. Reporting to the **Chief… more
- Highmark Health (Boise, ID)
- …Patient care (hospital, outpatient, or private practice) **Preferred** + 1 year in Medical Management in a Health Insurance Plan; strong knowledge of managed ... current clinical standards. The incumbent reviews escalated cases electronically and using Medical Policy criteria sets to evaluate the medical necessity 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 ... We care like family! Jump-start your career as a(an) Director Supply Chain today with West Valley Medical...Center offers a total rewards package that supports the health , life, career and retirement of our colleagues. The… more
- Highmark Health (Boise, ID)
- …and lines of business. This will require aligning new models to the health plan's strategic objectives based on a deep understanding of innovation and industry ... Analytics, Contracting, Market and Provider support teams, Actuary, Finance, Highmark Health Solutions, Health Plan Operations. **ESSENTIAL RESPONSIBILITIES** +… more
- Veterans Affairs, Veterans Health Administration (Boise, ID)
- …completion of clinical reminders As needed, may provide other levels of behavioral health interventions, include case management or care management. Serves ... professional advice and consultation in areas related to professional psychology and behavioral health . 3. Knowledge of clinical research literature. Physical… more
- Veterans Affairs, Veterans Health Administration (Boise, ID)
- …Service leadership meetings and collaborate with other service lines (eg, Behavioral Health , Pharmacy, Medicine). Monitor and maintain appropriate Full-Time ... cross-service programs aligned with the organizational mission. Support the Associate Director for Patient Care Services/Chief Nurse Executive (ADPCS/CNE) in the… more
- Sevita (Meridian, ID)
- …+ Prepare for medical meetings - gather all paperwork as needed for Medical Director , including vital signs, medication lists, all lab work, and other ... orders, appointments, etc. + Set up and break down medical charts at admit/discharge; file forms in chart and...fax information, and communicate information to charge nurse and Director of Nursing Assist Administration Team as needed when… 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 ... a(an) Housekeeping Team Leader FT Eves with West Valley Medical Center you can be a part of an...Center offers a total rewards package that supports the health , life, career and retirement of our colleagues. The… more
- Molina Healthcare (Boise, ID)
- …but not limited to, Hospitals, Independent Physician Association, and complex Behavioral Health arrangements. **Job Duties** This role negotiates contracts ... **Job Description** **Job Summary** Molina Health Plan Provider Network Contracting jobs are responsible for the network strategy and development with respect to… more