• Care Manager RN -…

    Highmark Health (Boise, ID)
    …consistent with established industry and corporate standards and are within the care manager 's professional discipline. + Function in accordance with applicable ... + Experience in a clinical setting **Preferred** + Experience in UM/CM/QA/Managed Care **LICENSES AND CERTIFICATIONS** **Required** + Current RN state licensure… more
    Highmark Health (10/22/25)
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  • Care Manager , Registered

    Sharecare (Boise, ID)
    … more accessible and affordable for everyone. To learn more, visit www.Sharecare.com. The Care Manager supports the implementation of the Value Based Care ... telephonic Case or Care Management with CareFirst members. The Care Manager partners with members, caregivers, providers, and the interdisciplinary… more
    Sharecare (10/08/25)
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  • RN Case Manager field care

    Molina Healthcare (Meridian, ID)
    …behavioral health setting, or equivalent combination of relevant education and experience. * Registered Nurse ( RN ). License must be active and unrestricted ... We are looking for a candidate with a MA RN licensure. Candidates with case management and home health...consultation, resources and recommendations to peers as needed. * Care manager RNs may be assigned complex… more
    Molina Healthcare (10/29/25)
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  • Case Manager RN

    CVS Health (Boise, ID)
    …And we do it all with heart, each and every day. **Position Summary** This Case Manager RN position is 100% remote , and the employee can live in ... when the member has met discharge criteria. The Case Manager RN role requires a nurse...multi-state licensure upon hire + 3+ years of acute care experience as an RN + 3+… more
    CVS Health (11/05/25)
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  • Clinical Manager , Behavioral Health (UM)…

    Magellan Health Services (Boise, ID)
    …- Care MgmtCare Mgmt, PC - Professional Counselor - Care MgmtCare Mgmt, RN - Registered Nurse , State and/or Compact State Licensure - Care ... RN , Masters or Doctoral level provider. General Job Information Title Clinical Manager , Behavioral Health (UM) -Licensed, Remote in Idaho Grade 27 Work… more
    Magellan Health Services (10/17/25)
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  • Medical Review Nurse ( RN )

    Molina Healthcare (Nampa, ID)
    …and/or coding experience, or equivalent combination of relevant education and experience. + Registered Nurse ( RN ). License must be active and unrestricted ... **JOB DESCRIPTION** Looking for a RN that has a current active unrestricted license This a remote role and can sit anywhere within the United States. Work… more
    Molina Healthcare (09/06/25)
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  • Transition of Care Coach ( RN )

    Molina Healthcare (Nampa, ID)
    …or home health. **Required License, Certification, Association** + Active, unrestricted State Registered Nursing ( RN ) license in good standing. + Must have ... health. **Preferred License, Certification, Association** Active, unrestricted Transitions of Care Sub-Specialty Certification and/or Certified Case Manager more
    Molina Healthcare (09/14/25)
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  • Disease Management Nurse - Remote

    Sharecare (Boise, ID)
    …to enable individuals with disabilities to perform the essential functions. + Current Registered Nurse multi-state compact license in the state in which they ... support in an appropriate, efficient and cost-effective manner while ensuring high quality care . The Disease Management Nurse works with participating members to… more
    Sharecare (10/22/25)
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  • Manager , Fraud & Waste Investigation…

    Humana (Boise, ID)
    …Typical work hours are Monday-Friday, 8 hours/day, 5 days/week. **Required Qualifications** + Registered Nurse ( RN ), holding an active and unrestricted ... caring community and help us put health first** The Manager , Fraud and Waste Investigator: Nurse Audit/Review...Condition Categories (HCC) and refers cases for annual follow-up care by disease management, case management, and primary … more
    Humana (11/04/25)
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  • PICU - Assistant Nurse Manager

    St. Luke's Health System (Boise, ID)
    **Overview** St. Luke's Health System in Boise is seeking a full-time Assistant Nurse Manager to join our Boise PICU team in a variable shift. The St. Luke's ... Pediatric Intensive Care Unit serves infants and children through age 17 and is the most remote PICU in the country. Our pediatric population has a wide range of… more
    St. Luke's Health System (10/11/25)
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