- General Motors (Boise, ID)
- …supports GM's vision of zero crashes, zero emissions, and zero congestion. As the AV Behavioral Regulatory Lead, you will report to the Head of AV Safety ... behavioral compliance, ultimately strengthening GM's AV leadership and regulatory trust. **What You'll Do (Responsibilities)** **Strategy & Execution** + Lead… more
- Highmark Health (Boise, ID)
- **Company :** Highmark Health **Job Description :** **JOB SUMMARY** This job has primary ownership and oversight over a specified panel of members that range in ... health status/severity and clinical needs. The incumbent assesses ...and conducted in compliance with applicable business process requirements, regulatory requirements and accreditation standards. + Maintain current knowledge… more
- Highmark Health (Boise, ID)
- **Company :** Highmark Health **Job Description :** **JOB SUMMARY** This job implements effective utilization management strategies including: review of ... appropriateness of health care services, application of criteria to ensure appropriate...industry and corporate standards and are within the care manager 's professional discipline. + Function in accordance with applicable… more
- Magellan Health Services (Boise, ID)
- …LCSW, LSW, LPC or RN. Minimum 2 years experience post degree in healthcare, behavioral health , psychiatric and/or substance abuse health care setting. Strong ... members of the clinical team, authorizes and reviews utilization of mental health and substance abuse services provided in inpatient and/or outpatient care settings.… more
- HCA Healthcare (Idaho Falls, 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 ... region's only Pediatric Intensive Care Unit for critically ill children. Our 74-bed Behavioral Health Center offers inpatient and outpatient mental health … more
- Molina Healthcare (ID)
- …but not limited to, Hospitals, Independent Physician Association, and complex Behavioral Health arrangements. **Job Duties** This role negotiates contracts ... must live in the United States _** **Job Description** **Job Summary** Molina Health Plan Provider Network Contracting jobs are responsible for the network strategy… more
- Highmark Health (Boise, ID)
- …panel. Provides oversight over a specified panel of members that range in health status/severity and clinical needs; and assesses health management needs of ... various resources to assist members in achieving their personal health goals. Will work with providers to insure quality...and federal law standards and are within the care manager 's professional discipline. + For assigned case load, create… more
- Highmark Health (Boise, ID)
- **Company :** Allegheny Health Network **Job Description :** **GENERAL OVERVIEW:** Performs all related internal, concurrent, prospective and retrospective coding ... assignments, ICD diagnosis and procedure coding, DRG/APC structure according to regulatory requirements. Reports findings both verbally and in writing and… more