- Highmark Health (Boise, ID)
- …the appropriate clinical interventions and referrals, the incumbent will manage an active case load of members in his/her panel that are enrolled in case ... management. The incumbent conducts outreach to members enrolled in case management including but is not limited to: developing a care plan, encouraging behavior… more
- Trinity Health (Boise, ID)
- …exceptional service and the highest quality of care. We have a great opportunity available for an ** RN Complex Care Manager ** to join our team! As an RN ... model (APM) and accountable care organization (ACO) members with complex condition/illness, high utilization, and/or polypharmacy impacting health outcomes.… 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 ... reviews. **Required Qualifications** + 5+ years' experience as a Registered Nurse with at least 1 year...or Maternity/ Obstetrics experience. **Preferred Qualifications** + 1+ years' Case Management experience or discharge planning, nurse … more
- Sharecare (Boise, ID)
- …of their members to ensure successful completion of member goals, while providing Complex Case Management and/or care management support through the duration of ... within a matrix organizational design. **Qualifications:** + Current multi-state compact Registered Nurse licensure in state of residence is required,… more
- Elevance Health (Meridian, ID)
- **Telephonic RN Nurse Case Manager I** **Location** : This role enables associates to work virtually full-time, with the exception of required in-person ... (TPA) of medical benefits, including medical management. The **Telephonic Nurse Case Manager I** is...management within the scope of licensure for members with complex and chronic care needs by assessing, developing, implementing,… more
- Molina Healthcare (ID)
- JOB DESCRIPTION For this position we are seeking a ( RN ) Registered Nurse who must be licensed for the state of South Carolina and or compact license. Care ... or equivalent combination of relevant education and experience. * Registered Nurse ( RN ). License must...navigate online portals and databases. Preferred Qualifications * Certified Case Manager (CCM). To all current Molina… more
- Intermountain Health (Boise, ID)
- …of Intermountain Health, and abide by service behavior standards. **Minimum Qualifications** + Current Registered Nurse ( RN ) license in state of practice. + ... **Job Description:** The RN Ambulatory Care Manager I delivers...**Education and Advocacy** : Educates healthcare team members about case management processes, appropriate referrals, and advocate for patient… more
- Molina Healthcare (Nampa, ID)
- …and supports (LTSS), or equivalent combination of relevant education and experience. * Registered Nurse ( RN ). License must be active and unrestricted ... resources and recommendations to peers as needed. * Care manager RNs may be assigned complex member...individuals with substance use disorders. Preferred Qualifications * Certified Case Manager (CCM). * Experience working with… 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
- Molina Healthcare (Nampa, ID)
- …ICT collaboration. + RNs provide consultation, recommendations, and education as appropriate to non- RN case managers. + RNs are assigned cases with members who ... Association** Active, unrestricted Transitions of Care Sub-Specialty Certification and/or Certified Case Manager (CCM) To all current Molina employees: If… more