- HCA Healthcare (Caldwell, ID)
- …**_Note: Eligibility for benefits may vary by location._** We are seeking a(an) RN Case Manager for our team to ensure that we continue to provide ... we do. We want you to apply! **Job Summary and Qualifications** The Case Manager (CM) ensures high-quality, patient-centered care by managing Rehabilitative care… more
- Molina Healthcare (Nampa, ID)
- …level of the assigned members, particular state-specific regulations, or whether the Case Manager position is located within Molina's Central Programs unit. ... Licensed Clinical Social Worker (LCSW), Advanced Practice Social Worker (APSW), Certified Case Manager (CCM), Certified in Health Education and Promotion (CHEP),… more
- CVS Health (Boise, ID)
- …members. **Key Responsibilities** + This position consists of working intensely as a telephonic case manager with patients and their care team for fully and/or ... within Aetna/CVS Health. Founded in 1993, AHH is URAC accredited in Case Management, Disease Management and Utilization Management. AHH delivers flexible medical… more
- Molina Healthcare (Nampa, ID)
- …services. **PREFERRED LICENSE, CERTIFICATION, ASSOCIATION:** Active and unrestricted Certified Case Manager (CCM) Active, unrestricted State Nursing license ... enrollment and disenrollment processes. + Develops and implements a case management plan, including a waiver service plan, in...Long Term Services & Supports. + 1-3 years in case management, disease management, managed care or medical or… more
- Sedgwick (Boise, ID)
- …Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Telephonic Case Manager **PRIMARY PURPOSE OF THE ROLE:** While partnering with the ... injured worker, employer, and medical providers, create a case management strategy to facilitate medical recovery and a successful return to work through advocacy,… more
- Sedgwick (Boise, ID)
- …Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Field Case Manager -Sign-On Bonus Eligible **We are growing all across the US and ... are looking for experienced Workers Comp Field Case Managers! Required to have a minimum of** **1.5...be considered.** **PRIMARY PURPOSE OF THE ROLE:** Sedgwick Field Case Managers work face to face with their injured… more
- St. Luke's Health System (Meridian, ID)
- …Registered Nurses (RNs) to provide exceptional care. **Position Overview** As a Home Health Case Manager , you will play a key role in collaborating with ... physicians and multidisciplinary team members to create and manage individualized care plans for a designated caseload. This is a direct care role, involving travel within Boise, ID and surrounding regions to deliver in-home care from admission to discharge.… more
- St. Luke's Health System (Nampa, ID)
- **Overview** At St. Luke's, our dedicated team of Case Managers are critical in providing exceptional, patient-centered care. We strive to foster an environment that ... embraces our employees' unique strengths, experiences and perspectives which ultimately drives our exceptional, patient-centered care. **SIGN ON BONUS ELIGIBLE** **What You Can Expect From This Role:** + Part Time, 8 Hour Day Shifts + Coverage for Nampa and… more
- St. Luke's Health System (Boise, ID)
- **Overview** At St. Luke's, our dedicated team of Case Managers are critical in providing exceptional, patient-centered care. We strive to foster an environment that ... embraces our employees' unique strengths, experiences and perspectives which ultimately drives our exceptional, patient-centered care. **What You Can Expect From This Role:** + **Schedule:** Full Time, 8 hour weekday shifts + **Benefits:** Full Benefits with… more
- Veterans Affairs, Veterans Health Administration (Boise, ID)
- Summary The RN Case Manager is responsible for managing care across the health care continuum for a select group of clients. They will provides professional ... to include collaborative efforts with other health professionals providing ongoing case management services. VA offers a comprehensive total rewards package: VA… more
- Molina Healthcare (Nampa, ID)
- …behavioral health settings. Preferred License, Certification, Association Active, unrestricted Certified Case Manager (CCM) To all current Molina employees: If ... knowledge/work experience are highly preferred. Candidates must have previous case management, discharge planning or care coordination experience. Bilingual… more
- Molina Healthcare (Boise, ID)
- …waiver services. **Preferred License, Certification, Association** Active and unrestricted Certified Case Manager (CCM) To all current Molina employees: If ... comprehensive waiver enrollment and disenrollment processes. + Develops and implements a case management plan, including a waiver service plan, in collaboration with… more
- Humana (Boise, ID)
- …degree + Knowledge of Milliman or Interqual + Managed care experience + Certified Case Manager (CCM) + Bilingual in English and Spanish (see Language Proficiency ... community and help us put health first** The Care Manager , Telephonic Nurse 2, in a telephonic environment, assesses...homes. Our nurses are titled Care Managers, because our case management services are centered on the person rather… more
- Molina Healthcare (Nampa, ID)
- …to navigate online portals and databases. **Preferred Qualifications** + Certified Case Manager (CCM), Certified Professional in Healthcare Management (CPHM), ... Certified Professional in Healthcare Quality (CPHQ), or other health care or management certification. + Leadership experience. + Medicaid/Medicare population experience. + Six sigma certification + Experience with Agile Methodology + Experience with Epic To… more
- Molina Healthcare (Nampa, ID)
- …Reviews data to identify principal member needs and works under the direction of the Case Manager to implement care plan. + Schedules member visits with team ... Provides telephone, clerical, and data entry support for the Case Management team. + Responsible for initial review of...Management team. + Responsible for initial review of assigned case levels to assist in Case Management… more
- Idaho Division of Human Resources (Caldwell, ID)
- …accessibility and accommodate the diverse needs of families. (in tandem with regional Case Manager and Intensive Care Coordinator). + Deliver clinical support ... that aligns with the youth's therapeutic goals. (working together with DHW Case Manager to coordinate and collaborate for youth/family needs). + Dependent upon… more
- Travelers Insurance Company (Meridian, ID)
- …claims. Coordinate medical and indemnity position of the claim with a Medical Case Manager . Independently handles assigned claims of low to moderate complexity ... the best possible outcome + Collaborate with our internal nurse resources (Medical Case Manager ) in order to integrate the delivery of medical services into the… more
- Ada County (Boise, ID)
- …treatment court, treatment providers and recidivism rate of court defendants; + Serves as case manager ; + Prepares reports required by the Idaho Supreme Court; + ... Coordinator works under the supervision of the Treatment Court Manager . In coordination with the Judge presiding over the...and needs of court program to the Treatment Court Manager and Trial Court Administrator. Essential Functions + Serves… more
- Molina Healthcare (Nampa, ID)
- …Management (CPHM), Certified Professional in Health Care Quality (CPHQ), Commission for Case Manager Certification (CCMC), Case Management Society of ... America (CMSA) or other health care or management certification. To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board. Molina Healthcare offers a competitive benefits and compensation… more
- Molina Healthcare (Nampa, ID)
- …unrestricted State RN or Clinical Social Worker/Counseling License. + Certified Case Manager (CCM), Utilization Management Certification (CPHM), Certified ... regulation or state board licensing mandate. + At least 2 years in case , disease or utilization management; managed care; or medical/behavioral health settings. +… more