- CVS Health (Boise, ID)
- …solutions that promote high-quality healthcare for members. **Position Summary** The Associate Manager is responsible for oversight of Utilization Management ... At CVS Health , we're building a world of health...teams. Works closely with functional area leadership team (department Associate Managers, Manager , and other key stakeholders… more
- Magellan Health Services (Boise, ID)
- …criteria for RN, Masters or Doctoral level provider. General Job Information Title Clinical Manager , Behavioral Health (UM) -Licensed, Remote in Idaho ... Required Clinical , Supervisory Work Experience - Preferred Education - Required Associate - Nursing, Master's - Behavioral Health Education - Preferred… more
- CenterWell (Boise, ID)
- **Become a part of our caring community and help us put health first** The Associate Director of WFM Capacity Planning is responsible for leading and optimizing ... chronic and complex illnesses, as well as offer personalized clinical and educational services to improve health ...primary care, one of the largest providers of home health services, and fourth largest pharmacy benefit manager… more
- Humana (Boise, ID)
- **Become a part of our caring community and help us put health first** The Care Manager , Telephonic Nurse 2, in a telephonic environment, assesses and evaluates ... resources appropriate for the care and wellbeing of members. The Care Manager , Telephonic Nurse 2 work assignments are varied and frequently require interpretation… more
- CenterWell (Boise, ID)
- … Clinical Care Coordinator is expected to communicate with the CenterWell Home Health clinical team and help facilitate timely patient follow-up for patients ... week.** + **Required to work every other holiday.** The ** Clinical Care Coordinator** helps to ensure optimal continuity of...primary care, one of the largest providers of home health services, and fourth largest pharmacy benefit manager… more
- CenterWell (Boise, ID)
- **Become a part of our caring community and help us put health first** The Senior Product Manager Conceives of, develops, delivers, and manages products for ... chronic and complex illnesses, as well as offer personalized clinical and educational services to improve health ...primary care, one of the largest providers of home health services, and fourth largest pharmacy benefit manager… more
- HCA Healthcare (Caldwell, ID)
- …West Valley Medical Center offers a total rewards package that supports the health , life, career and retirement of our colleagues. The available plans and programs ... a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and...vary by location._** We are seeking a(an) RN Case Manager for our team to ensure that we continue… more
- Humana (Boise, ID)
- **Become a part of our caring community and help us put health first** Step into a leadership role with Humana where your clinical expertise and passion for ... accuracy will make a meaningful impact. As the Nurse Audit Manager , you will spearhead audit and validation processes to ensure medical documentation and coding are… more
- Veterans Affairs, Veterans Health Administration (Boise, ID)
- …The RN Case Manager is responsible for managing care across the health care continuum for a select group of clients. They will provides professional assessment, ... coordination, telephone triage and planning of multiple health care services; acts on behalf of the veteran...on behalf of the veteran to assure that necessary clinical services are received and that progress is being… more
- Trinity Health (Boise, ID)
- … is open to a fully remote work option. **Minimum Qualifications:** + Associate degree in health information management or related field required. Bachelor's ... Full time **Shift:** Day Shift **Description:** At Saint Alphonsus Health System, we are looking for people who are...families. + Saint Alphonsus also holds the region's largest clinical trials. + We offer market-competitive pay, generous PTO,… more
- CenterWell (Boise, ID)
- …- Lead medical strategy to reduce avoidable ED visits, including oversight of clinical protocols with vendor partners (eg, Dispatch Health ), ensuring appropriate ... Health care model integration - Develop and integrate clinical models to enhance coordination between primary care and...primary care, one of the largest providers of home health services, and fourth largest pharmacy benefit manager… more
- Humana (Boise, ID)
- **Become a part of our caring community and help us put health first** Humana is an $80 billion (Fortune 41) market leader in integrated healthcare with a clearly ... achieve lifelong well-being. As a company focused on the health and well-being of the people we serve, Humana...to advancing the employment experience and vitality of the associate community. Through offerings anchored in a whole-person view… more
- Grifols Shared Services North America, Inc (Boise, ID)
- …(FDA)-approved Standard Operating Procedure Manual, Occupational Safety and Health Administration (OSHA), Clinical Laboratory Improvement Amendments ... a global healthcare company that since 1909 has been working to improve the health and well-being of people around the world. We are leaders in plasma-derived… more
- CenterWell (Boise, ID)
- …provider of senior-focused primary care, one of the largest providers of home health services, and fourth largest pharmacy benefit manager , CenterWell is focused ... part of our caring community and help us put health first** **Become a part of our caring community...use data science and operations research methodologies to recommend clinical staffing needs by skill type, pay type, and… more
- Datavant (Boise, ID)
- Datavant is a data platform company and the world's leader in health data exchange. Our vision is that every healthcare decision is powered by the right data, at the ... Our platform is powered by the largest, most diverse health data network in the US, enabling data to...+ Review disagreements on APC/DRG changes with the appropriate manager . + Prepare the final reports for the coding… more
- Humana (Boise, ID)
- **Become a part of our caring community and help us put health first** The Senior Coding Educator will work closely with providers to identify documentation and ... coding improvement opportunities and give guidance around operational and clinical best practices in the risk adjustment methodology. This role reports to the Risk… more
- CenterWell (Boise, ID)
- …provider of senior-focused primary care, one of the largest providers of home health services, and fourth largest pharmacy benefit manager , CenterWell is focused ... **Become a part of our caring community and help us put health first** **Become a part of our caring community and help us put health first** CenterWell Home … more
- Surgery Care Affiliates (Boise, ID)
- Overview At SCA Health , we believe health care is...we make is rooted in seven core values: + Clinical quality + Integrity + Service excellence + Teamwork ... and values that define our organization. As part of Optum, SCA Health is redefining specialty care by developing more accessible, patient-centered practice solutions… more
- Molina Healthcare (Nampa, ID)
- …candidates will have the following:** + Healthcare knowledge or background either clinical (Medical Assistant) or in an administrative capacity + Experience working ... integrated delivery of care across the continuum, including behavioral health and long-term care, for members with high need...needs and works under the direction of the Case Manager to implement care plan. + Schedules member visits… more
- Datavant (Boise, ID)
- Datavant is a data platform company and the world's leader in health data exchange. Our vision is that every healthcare decision is powered by the right data, at the ... Our platform is powered by the largest, most diverse health data network in the US, enabling data to...communication with colleagues, management, and hospital staff, while addressing clinical and reimbursement issues **What You Need to Succeed:**… more