Top 168 Nurse case managers Jobs in Idaho

Remote Care Management Nurse
Cambia Health Solutions —Idaho
- $38.00 - $41.50 an hour
- Overtime
- Remote
- Background check
- Nursing
- Microsoft Outlook
- Health insurance
- Dental insurance
Quick Apply
Field Care Coordinator RN or LSW - Remote Idaho Falls, ID and surrounding areas
UnitedHealthcare —Idaho Falls, ID
- $29 - $52 an hour
- Full-time
- Remote
- LMFT
- Spanish
- Microsoft Outlook
12d
Telephonic RN Case Manager
Paradigm Corp —Idaho
- $86,000 - $90,000 a year
- Full-time
- Remote
- Spanish
- Nursing
- RN License
- Health savings account
- Paid holidays
6d
Field Care Coordinator RN or LSW - Remote in Northern Idaho
UnitedHealthcare —Coeur d'Alene, ID
- $29 - $52 an hour
- Full-time
- Remote
- LMFT
- Spanish
- Nursing
6d
Remote Triage Nurse
firsthand Health —Boise, ID
- $80,000 a year
- 8 hour shift
- Remote
- Nursing
- RN License
- Bachelor of Science
- Dental insurance
- Parental leave
Quick Apply
RN Case Manager 15,000 SIGN ON BONUS
Visions Home Health and Visions Home Care, LLC. —Twin Falls, ID
- Full-time
- In person
- CPR Certification
- RN License
- Home Health
- Continuing education credits
- Health insurance
Quick Apply
RN Case Manager / RNCM (Home Health)
Mission Healthcare —Idaho Falls, ID
- $36 - $38 an hour
- Full-time
- Hybrid work
- CPR Certification
- Nursing
- RN License
- Mileage reimbursement
- Health savings account
Quick Apply
RN Case Manager
Keystone Hospice —Eagle, ID
- Full-time
- Skilled nursing facility
- RN License
- Home health
- Health insurance
- Dental insurance
Quick Apply
Care Manager Assistant - LPN
Life Care Center of Post Falls —Post Falls, ID
- $38.00 - $44.10 an hour
- Full-time
- Nursing
- Skilled nursing facility
- Customer service
Quick Apply
6d
PRN Physical Therapist (PT)
Advanced Home Health & Hospice of Northern Idaho —Coeur d'Alene, ID
- $75 - $175 a day
- Part-time
- Writing skills
- Physical & Rehabilitation Medicine
- Mid-level
- Flexible schedule
Quick Apply
PRN Physical Therapist (PT)
Advanced Home Health & Hospice of Northern Idaho —Lewiston, ID
- $75 - $175 a day
- Part-time
- CPR Certification
- Writing skills
- BLS Certification
- Flexible schedule
Quick Apply
Physical Therapist (PT) ***$10,000 Sign on BONUS***
Advanced Home Health & Hospice of Northern Idaho —Pocatello, ID
- $100,000 - $120,000 a year
- Full-time
- Writing skills
- Physical & Rehabilitation Medicine
- No experience needed
- Health insurance
- Dental insurance
Quick Apply
Physical Therapist (PT) ***$10,000 Sign On Bonus***
Advanced Home Health & Hospice of Northern Idaho —Lewiston, ID
- $95,000 - $125,000 a year
- 8 hour shift
- Physical & Rehabilitation Medicine
- Mid-level
- Home Health
- Health insurance
- Dental insurance
Quick Apply
Physical Therapist (PT) ***$10,000 Sign on Bonus***
Advanced Home Health & Hospice of Northern Idaho —Coeur d'Alene, ID
- $95,000 - $125,000 a year
- 8 hour shift
- Writing skills
- Physical & Rehabilitation Medicine
- Mid-level
- Health insurance
- Dental insurance
Quick Apply
Chronic Care Management LPN
Keystone Health —Eagle, ID
- Full-time
- Background check
- Driver's License
- Medical-surgical
- Free parking
- Health insurance
Quick Apply
8d
Return-to-Work Consultant
SIF —Boise, ID
- From $71,000 a year
- Full-time
- Hybrid work
- Background check
- Spanish
- Up to 50% travel
- Paid jury duty
- Health savings account
Quick Apply
Part-Time Hospice RN Case Manager
Aspen Home Health & Hospice of The Treasure Valley —Meridian, ID
- Part-time
- CPR Certification
- RN License
- BLS Certification
Quick Apply
7d
Registered Nurse
New Hope Services —Boise, ID
- From $40 an hour
- Part-time
- Background check
- Medication administration
- RN License
- Paid time off
- Flexible schedule
Quick Apply
Hospice Case Manager
Auburn Crest Hospice —Twin Falls, ID
- $40 - $45 an hour
- Full-time
- CPR Certification
- RN License
- BLS Certification
- Health insurance
- Paid time off
Quick Apply
Field Care Coordinator - Remote in Ada County, ID and Surrounding Areas
UnitedHealthcare —Boise, ID
- $29 - $52 an hour
- Full-time
- LMFT
- Spanish
- Microsoft Outlook
6d

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Remote Care Management Nurse

Cambia Health Solutions -
Idaho

Quick Apply

Job Details

Full-time
$38.00 - $41.50 an hour

Benefits

Health insurance
Dental insurance
401(k)
Flexible spending account
Tuition reimbursement
Paid time off
Employee assistance program
Vision insurance
401(k) matching
Flexible schedule
Life insurance
Referral program

Qualifications

Microsoft Outlook
RN License
Customer service
Writing skills
Health insurance policy knowledge
Case management
Utilization management
Decision making
Industry trends
Clinical documentation
Time management

Full Job Description

Care Management Nurse
Remote within WA, OR, ID, UT. Candidates outside of these states will not be considered.

Primary Job Purpose

The Care Management Nurse provides 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.

General Functions and Outcomes

Responsible for essential activities of case management including assessment, planning, implementation, coordination, monitoring and evaluation.
Assessment: collection of in-depth information about a member’s situation and functioning to identify individual needs.
Planning: identification of specific objectives, goals, and actions designed to meet the member’s needs as identified in the assessment.
Implementation: execution of the specific case management activities that will lead to accomplishing the goals set forth in the plan.
Coordination: organization, securing, integrating and modifying resources.
Monitoring: gathering sufficient information to determine the plan’s effectiveness and the evaluation phase should determine the effectiveness of reaching the desired outcomes.
Applies clinical expertise and judgment to ensure compliance with medical policy, medical necessity guidelines, and accepted standards of care.
Utilizes evidence-based criteria that incorporates current and validated clinical research findings. Practices within the scope of their license.
Consults with physician advisors to ensure clinically appropriate determinations.
Serves as a resource to internal and external customers.
Collaborates with other departments to resolve claims, quality of care, member or provider issues.
Identifies problems or needed changes, recommends resolution, and participates in quality improvement efforts.
Responds in writing or by phone to members, providers and regulatory organizations in a professional manner while protecting confidentiality of sensitive documents and issues.
Provides consistent and accurate documentation.
Plans, organizes and prioritizes assignments to comply with performance standards, corporate goals, and established timelines.

Minimum Requirements

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.
Strong oral, written and interpersonal communication and customer service skills.
Ability to interpret policies and procedures, make decisions, and 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.

Normally to be proficient in the competencies listed above

Care Management Nurse would have a/an Associate or Bachelor’s Degree in Nursing or related field and 3 years of case management, utilization management, disease management, or behavioral health case management experience or equivalent combination of education and experience.

Required Licenses, Certifications, Registration, Etc.

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

Must have at least one of the following: Certification as a case manager from the URAC-approved list of certifications; or Bachelor’s degree (or higher) in a health or human services-related field (psychiatric RN or Master’s degree in Behavioral Health preferred for behavioral health care management); or Registered nurse (RN) license (must have a current unrestricted RN license for medical care management)

The expected hiring range for a Care Management Nurse is $38.00 - $41.50 an hour depending on skills, experience, education, and training; relevant licensure / certifications; and performance history. The bonus target for this position is 10% .  The current full salary range for this role is $33.80 - $55.00 an hour.

At Cambia, we take a variety of factors into account when creating a job offer, including your skills, experience, education, and training; relevant licensure / certifications; performance history; and work location. While we offer competitive salaries, in general, we do not hire candidates at or near the top of the pay range.

We are an Equal Opportunity and Affirmative Action employer dedicated to workforce diversity and 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
. As a health care company, we are committed to the health of our communities and employees during the COVID-19 pandemic. Please review the policy on our Careers
site.

Job Type: Full-time

Pay: $38.00 - $41.50 per hour

Expected hours: 40 per week

Benefits:

401(k)
401(k) matching
Dental insurance
Employee assistance program
Flexible schedule
Flexible spending account
Health insurance
Life insurance
Paid time off
Referral program
Tuition reimbursement
Vision insurance

Supplemental Pay:

Bonus opportunities
Overtime pay

Application Question(s):

Do you have a valid RN license in ID, OR, WA or UT?
Do you have at least 3 years clinical experience working directly with patients?

Location:

Idaho (Required)

Work Location: Remote

Quick Apply

Refine Your Search

nurse case managers jobs in idaho

Remote Care Management Nurse

Field Care Coordinator RN or LSW - Remote Idaho Falls, ID and surrounding areas

Telephonic RN Case Manager

Field Care Coordinator RN or LSW - Remote in Northern Idaho

Remote Triage Nurse

RN Case Manager 15,000 SIGN ON BONUS

RN Case Manager / RNCM (Home Health)

RN Case Manager

Care Manager Assistant - LPN

PRN Physical Therapist (PT)

PRN Physical Therapist (PT)

Physical Therapist (PT) $10,000 Sign on BONUS

Physical Therapist (PT) $10,000 Sign On Bonus

Physical Therapist (PT) $10,000 Sign on Bonus

Chronic Care Management LPN

Return-to-Work Consultant

Part-Time Hospice RN Case Manager

Registered Nurse

Hospice Case Manager

Field Care Coordinator - Remote in Ada County, ID and Surrounding Areas

I want to receive the latest job alert for nurse case managers in idaho

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