Top 57 Utilization management Jobs in Boise, Id

Care Management Behavioral Health Specialist
Cambia Health Solutions —Boise, ID
- $34.20 - $55.70 an hour
- Full-time
- Background check
- Nursing
- Microsoft Outlook
- Health savings account
- Paid holidays
6d
Swing Shift RN Clinical Review Management
St. Luke's Health System —Boise, ID
- 8 hour shift
- Nursing
- RN License
- Mid-level
- Paid training
Quick Apply
Director of Case Management DCM
Vibra Healthcare —Boise, ID
- Full-time
- Nursing
- RN License
- Computer literacy
- Continuing education credits
- Health savings account
3d
Clinician
Brick House Recovery —Boise, ID
- $65,000 a year
- Full-time
- Background check
- 18 years or older
- Master of Social Work
Quick Apply
5d
Medical Case Manager I
CorVel Corporation —Boise, ID
- $62,306 - $93,123 a year
- Full-time
- Remote
- Nursing
- RN License
- Computer literacy
- Health savings account
- Disability insurance
Quick Apply
Licensed Psychiatric Rater - NP/PA
Healthcare Business Associates —Boise, ID
- $80 - $90 an hour
- PRN
- Psychiatry
- Hospital
- HIPAA
Quick Apply
1d
Medical Field Case Manager
Enlyte —Boise, ID
- $65,000 - $69,000 a year
- Full-time
- Hybrid work
- Nursing
- Microsoft Outlook
- RN License
- Travel reimbursement
- Health savings account
Director of Refugee Programs
One Love Agency —Nampa, ID
- $55,000 - $75,000 a year
- Full-time
- Bilingual
- LMFT
- Licensed Clinical Social Worker
- Health insurance
- Paid time off
Quick Apply
Occupational Health Nurse - RN
WORKCARE INC —Boise, ID
- $48 - $52 an hour
- Full-time
- Nursing
- Microsoft Excel
- Microsoft Outlook
- Health savings account
- Disability insurance
Quick Apply
Clinical Assessor
Northpoint Recovery Holdings, LLC —Nampa, ID
- $34 - $45 an hour
- Monday to Friday
- Adults
- HIPAA
- Mid-level
- AD&D insurance
- Disability insurance
Quick Apply
Telehealth Patient Specialist – Ambulatory Care
St. Luke's Health System —Boise, ID
- $18.37 - $20.27 an hour
- 12 hour shift
- High school diploma or GED
- Computer skills
- CNA
Quick Apply
RN
HOME CAREGIVERS PARTNERSHIP LLC —Meridian, ID
- CPR Certification
- Nursing
- Management
Quick Apply
Surgical Services Equipment & Instrument Specialist
Saint Alphonsus —Boise, ID
- Full-time
- Surgery
- Mid-level
- High school diploma or GED
- Tuition reimbursement
- Paid time off
Senior Registered Nurse (RN) - MED
State of Idaho —Boise, ID
- $33.61 - $34.62 an hour
- Full-time
- Nursing
- RN License
- Customer service
- Paid parental leave
- Paid holidays
Associate Director of Patient Care Services
Geiss Med Hospice —Meridian, ID
- $100,000 - $135,000 a year
- On call
- Nursing
- RN License
- Bachelor of Science
Quick Apply
12d
Remote Clinical Assessor - Idaho
Northpoint Recovery Holdings, LLC —Boise, ID
- $34 - $45 an hour
- Monday to Friday
- Remote
- Adults
- LPC
- HIPAA
- AD&D insurance
- Disability insurance
Quick Apply
12d
Inpatient Imaging Manager
Intermountain Medical Imaging —Nampa, ID
- $130,000 - $140,000 a year
- Full-time
- Customer service
- Inpatient
- 3 years
- Health savings account
- Health insurance
Pharmacy Technician – Inventory Technician – Home Delivery & Specialty Pharmacy
St. Luke's Health System —Boise, ID
- Full-time
- Mid-level
- High school diploma or GED
- Continuous improvement
- Health insurance
- Dental insurance
Quick Apply
Intervention Specialist (Behavior Interventionist)
Caregiver —Boise, ID
- $25 - $27 an hour
- Part-time
- CPR Certification
- BLS Certification
- Mid-level
- Health insurance
- Dental insurance
Quick Apply
Clinical Director
Maraca Learning —Boise, ID
- $82,500 - $100,000 a year
- Weekends as needed
- Applied behavior analysis
- Clinic
- Travel
Quick Apply

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Care Management Behavioral Health Specialist

Cambia Health Solutions -
Boise, ID

Apply Now

Job Details

Full-time
$34.20 - $55.70 an hour
6 days ago

Benefits

Health savings account
Paid holidays
Health insurance
Dental insurance
Paid time off
Work from home
Parental leave
Employee assistance program
Vision insurance
401(k) matching

Qualifications

Customer communication
Patient care
MFA

Full Job Description

Care Management Behavioral Health Specialist

Work from home within Oregon, Washington, Idaho or Utah

Build a career with purpose. Join our Cause to create a person-focused and economically sustainable health care system.

Who We Are Looking For:

Every day, Cambia’s dedicated team of clinical professionals are living our mission to make health care easier and lives better. As a member of the Care Management team, our Care Management Behavioral Health Specialist provide clinical care management (such as case management, disease management, and/or care coordination) to best meet the member’s specific healthcare needs and to promote quality and cost-effective outcomes. Oversees a collaborative process with the member and those involved in the member’s care to assess, plan, implement, coordinate, monitor and evaluate care as needed – all in service of making our members’ health journeys easier.

Are you a dedicated clinical professional passionate about making healthcare more accessible and effective? Are you ready to make a meaningful impact on members' health journeys every day? Then this role may be the perfect fit.

What You Bring to Cambia:

Qualifications:

Associate or Bachelor’s Degree in Nursing, Behavioral Health, or related field
3 years of case management, utilization management, disease management, or behavioral health case management experience or equivalent combination of education and experience
Must have licensure or certification, in a state or territory of the United States, in a health or human services discipline that allows the professional to conduct an assessment independently as permitted within the scope of practice for the discipline (e.g. medical vs. behavioral health) and at least 3 years (or full time equivalent) of direct clinical care

Skills and Attributes:

Knowledge of health insurance industry trends, technology and contractual arrangements
General computer skills (including use of Microsoft Office, Outlook, internet search)
Familiarity with health care documentation systems
Ability to interpret policies and procedures
Experience with AI tools and technologies to enhance productivity and decision-making in professional settings highly desired
Strong oral, written and interpersonal communication and customer service skills
Ability to communicate complex topics effectively
Strong organization and time management skills with the ability to manage workload independently
Ability to think critically and make decision within individual role and responsibility

What You Will Do at Cambia:

Collect in-depth information about member situations and functioning to identify individual needs, then develop specific objectives, goals, and actions to address those needs
Execute case management activities while organizing, securing, integrating and modifying resources to accomplish established goals
Gather information to determine plan effectiveness and measure success in reaching desired outcomes
Apply clinical expertise and judgment to ensure compliance with medical policy, medical necessity guidelines, and accepted standards of care using evidence-based criteria that incorporates current and validated clinical research findings
Practice within scope of license and consult with physician advisors to ensure clinically appropriate determinations
Serve as a resource to internal and external customers, collaborate with other departments to resolve claims, quality of care, member or provider issues, and respond professionally to members, providers and regulatory organizations while protecting confidentiality
Identify problems or needed changes, recommend resolutions, participate in quality improvement efforts, and provide consistent, accurate documentation
Plan, organize and prioritize assignments to comply with performance standards, corporate goals, and established timelines

#LI-Remote

Pay ranges vary based on the candidate's work location. The expected hiring range depends on skills, experience, education, and training; relevant licensure / certifications; and performance history.

Oregon, Washington, Utah, and Idaho: The expected hiring range is $36.80 – $49.80 an hour, the full salary range is $34.20 – $55.70 an hour and the bonus target is 10%.

About Cambia

Working at Cambia means being part of a purpose-driven, award-winning culture built on trust and innovation anchored in our 100+ year history. Our caring and supportive colleagues are some of the best and brightest in the industry, innovating together toward sustainable, person-focused health care. Whether we're helping members, lending a hand to a colleague or volunteering in our communities, our compassion, empathy and team spirit always shine through.

Why Join the Cambia Team?

At Cambia, you can:

Work alongside diverse teams building cutting-edge solutions to transform health care.
Earn a competitive salary and enjoy generous benefits while doing work that changes lives.
Grow your career with a company committed to helping you succeed.
Give back to your community by participating in Cambia-supported outreach programs.

We believe a career at Cambia is more than just a paycheck – and your compensation should be too. Our compensation package includes competitive base pay as well as a market-leading 401(k) with a significant company match, bonus opportunities and more.

In exchange for helping members live healthy lives, we offer benefits that empower you to do the same. Just a few highlights include:

Medical, dental and vision coverage for employees and their eligible family members, including mental health benefits.
Annual employer contribution to a health savings account.
Generous paid time off varying by role and tenure in addition to 10 company-paid holidays.
Market-leading retirement plan including a company match on employee 401(k) contributions, with a potential discretionary contribution based on company performance (no vesting period).
Up to 12 weeks of paid parental time off (eligibility requires 12 months of continuous service with Cambia immediately preceding leave).
Award-winning wellness programs that reward you for participation.
Employee Assistance Fund for those in need.

Learn more about our benefits .

We are happy to offer work from home options for most of our roles. To take advantage of this flexible option, we require employees to have a wired internet connection that is not satellite or cellular and internet service with a minimum upload speed of 5Mb and a minimum download speed of 10 Mb.

As part of our security requirements, new hires will need access to a personal mobile device to set up Multi-Factor Authentication (MFA) upon joining the company. MFA is an important layer of protection for accessing Cambia systems and is required for all employees.

We are an Equal Opportunity employer dedicated to a drug and tobacco-free workplace. All qualified applicants will receive consideration for employment without regard to race, color, national origin, religion, age, sex, sexual orientation, gender identity, disability, protected veteran status or any other status protected by law. A background check is required.

If you need accommodation for any part of the application process because of a medical condition or disability, please email [email protected] . Information about how Cambia Health Solutions collects, uses, and discloses information is available in our Privacy Policy .

Apply Now

Refine Your Search

utilization management jobs in boise, id

Care Management Behavioral Health Specialist

Swing Shift RN Clinical Review Management

Director of Case Management DCM

Clinician

Medical Case Manager I

Licensed Psychiatric Rater - NP/PA

Medical Field Case Manager

Director of Refugee Programs

Occupational Health Nurse - RN

Clinical Assessor

Telehealth Patient Specialist – Ambulatory Care

RN

Surgical Services Equipment & Instrument Specialist

Senior Registered Nurse (RN) - MED

Associate Director of Patient Care Services

Remote Clinical Assessor - Idaho

Inpatient Imaging Manager

Pharmacy Technician – Inventory Technician – Home Delivery & Specialty Pharmacy

Intervention Specialist (Behavior Interventionist)

Clinical Director

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