- Molina Healthcare (Caldwell, 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 (Caldwell, ID)
- …work of external vendors. Assigns, directs, and monitors system analysis and program staff. These positions' primary focus is project/ program management, rather ... teams in planning and executing business programs. Assigns and monitors work of program management staff providing support and direction. + Serves as the subject… more
- Molina Healthcare (Caldwell, ID)
- …and executes tasks and projects to ensure Centers for Medicare & Medicaid Services (CMS) and state regulatory requirements are met for pre-pay edits and overpayment ... and executing projects and tasks to ensure Centers for Medicare and Medicaid Services (CMS) and state regulatory requirements are met for pre-pay edits, post-payment… more
- Molina Healthcare (Caldwell, ID)
- …governance framework and decision-making processes, as needed. + At the direction of program (CoE, Shared Service or other functional area) leadership, supports ... or a similar field). + Relevant work experience in healthcare compliance program operations and risk management;...experience. + Managed Care experience, preferably in a shared service , CoE or matrixed environment. + Experience with Microsoft… more
- Molina Healthcare (Caldwell, ID)
- …Job Summary Provides support for care management/care coordination long-term services and supports specific activities and collaborates with multidisciplinary team ... processes. * Develops and implements care plans, including a waiver service plan in collaboration with members, caregivers, physicians and/or other appropriate… more
- Molina Healthcare (Caldwell, ID)
- …Job Summary Provides support for care management/care coordination long-term services and supports specific activities and collaborates with multidisciplinary team ... processes. * Develops and implements care plans, including a waiver service plan in collaboration with members, caregivers, physicians and/or other appropriate… more
- Sodexo (Nampa, ID)
- …team will make a real impact every day. Sodexo is seeking an **Environmental Services / Custodial Operations Manager 2** for **St. Luke's Hospital** located in ... Bring** + experience leading and managing a team; + experience driving customer service and/or guest satisfaction results in a healthcare environment is… more
- Walgreens (Emmett, ID)
- …when using the pharmacy. Enhances customer experience by increasing focus on healthcare services . **Operations** + Responsible for assisting pharmacist in the ... allowed by law). Under the supervision of a pharmacist assists with healthcare service offerings including administering vaccines, health screenings, and any… more
- HCA Healthcare (Caldwell, ID)
- …Health opportunity. **Job Summary and Qualifications** Receives direct supervisor from PHP Program Manager . Has a working knowledge of nursing documentation and ... Center our nurses set us apart from any other healthcare provider. We are seeking a(an) RN Outpatient Behavioral...include: + Comprehensive medical coverage that covers many common services at no cost or for a low copay.… more
- Molina Healthcare (Caldwell, 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 (Caldwell, ID)
- **JOB DESCRIPTION** **Job Summary** Molina Healthcare Services (HCS) works with members, providers and multidisciplinary team members to assess, facilitate, plan ... of service . **KNOWLEDGE/SKILLS/ABILITIES** + Follows member throughout a 30-day program that starts at hospital admission and continues through transitions from… more
- Molina Healthcare (Caldwell, 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
- Molina Healthcare (Caldwell, ID)
- …medical oversight and expertise in appropriateness and medical necessity of services provided to members, targeting improvements in efficiency and satisfaction for ... Job Duties * Determines appropriateness and medical necessity of health care services provided to plan members. * Supports plan utilization management program… more
- Molina Healthcare (Caldwell, ID)
- …Duties** * Hires, trains, develops, and supervises a team of pharmacy service representatives supporting processes involved with Medicare Stars and Pharmacy quality ... and average hold time are compliant with Centers for Medicare and Medicaid Services (CMS) regulations. * Ensures that adequate staffing coverage is present at all… more
- Trinity Health (Ontario, OR)
- …achieve your potential. Living by these virtues, we pride ourselves on exceptional service and the highest quality of care. **GENERAL SUMMARY AND PURPOSE:** + ... assesses their needs, and coordinates department to successfully achieve service line objectives. + Assists theSenior LeadershipTeaminpolicy / procedure development… more
- Walgreens (Meridian, ID)
- …to physicians. + Processes (corrects and resubmits) manual claims for third party program prescription services in a timely and efficient manner, and performs ... services as required; assists pharmacy staff in coordination of clinical services , Walgreens healthcare clinics and external providers. + Assists Pharmacy … more
- Willamette Dental (Meridian, ID)
- …the essential functions of the position. Minimum of two years customer service experience preferred. Medical/dental clinic or healthcare experience highly ... partnership with the clinical team, the Care Advocate provides quality customer service through the coordination of patient flow and effective communication with… more
- Trinity Health (Nampa, ID)
- … healthcare team. In collaboration with the Spiritual Care Manager , measures, evaluates, and improves functional processes of Spiritual Care for ... your potential. Living by these virtues, we pride ourselves on exceptional service and the highest quality of care. **POSITION PURPOSE** The Chaplain provides… more