Top 1186 Remote 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
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Account Manager
Alltech —Idaho
- Weekends as needed
- Remote
- Merchandising
- Mid-level
- 3 years
- Health insurance
- Dental insurance
Quick Apply
Outbound Call Center Rep
CVS Health —Idaho
- $15.00 - $26.93 an hour
- Full-time
- Remote
- Background check
- HIPAA
- High school diploma or GED
- Paid training
- Employee stock purchase plan
Client Success Representative (Remote)
Demand.com —Boise, ID
- Remote
- Mid-level
- Communication skills
- Time management
Quick Apply
Patient Care Coordinator
Bridgewell Medical, Inc. —Idaho
- $18 - $23 an hour
- Part-time
- Remote
- Background check
- Spanish
- Customer service
- Paid training
- Work from home
Quick Apply
Customer Service Rep (TX, ID, NV)
REVOLVE —Idaho
- $18 - $20 an hour
- Overtime
- Remote
- Spanish
- Microsoft Excel
- English
Quick Apply
Remote Call Center Representative
Delaware Nation Industries —Idaho
- $10 an hour
- Morning shift
- Remote
- Computer literacy
- Typing
- Communication skills
- Paid training
- Paid time off
Quick Apply
Virtual Medical Receptionist (Welcomer)
STERLING MEDICAL LLC —Idaho Falls, ID
- 12 hour shift
- Remote
- Urgent Care
- 1 year
- Communication skills
8d
Retirement Plan Operations Specialist
Guidant Financial —Idaho
- $23.55 an hour
- Full-time
- Remote
- Background check
- 18 years or older
- Microsoft Outlook
- Paid parental leave
- Paid holidays
Quick Apply
Care Manager – Patient Support Call Center -Remote
IQVIA —Pocatello, ID
- $22 - $23 an hour
- Full-time
- Remote
- Spanish
- Microsoft Excel
- Microsoft Outlook
- Work from home
Senior Claim Benefit Specialist - Remote
CVS Health —Idaho
- $18.50 - $42.35 an hour
- Full-time
- Remote
- Mid-level
- High school diploma or GED
- Mentoring
- Health insurance
- Dental insurance
8d
Customer Service / Tech Support Rep – Financial (Remote)
Concentrix —Idaho
- $15 an hour
- Urgently hiring
- Remote
- Computer literacy
- Residential
- High school diploma or GED
- Paid training
- Paid holidays
2d
Client Experience Associate
AnywhereWorks —Idaho
- From $16 an hour
- Full-time
- Remote
- Background check
- Spanish
- Computer literacy
Quick Apply
Technical Product Support - EdTech
Securly —Boise, ID
- $24.00 - $26.44 an hour
- Overtime
- Remote
- School experience
- Computer Science
- Mid-level
- Paid parental leave
- Paid holidays
Quick Apply
AI Training Generalist (No Prior Experience Needed) - Freelance AI Trainer Project
Meridial —Boise, ID
- $20 an hour
- Remote
- No experience needed
- US work authorization
- Entry level
Medical Debt Collections Call Center Agent
Eastern Idaho Regional Medical Center —Idaho Falls, ID
- $15.46 - $23.19 an hour
- Full-time
- Remote
- Entry level
- Employee stock purchase plan
- Disability insurance
Quick Apply
11d
Process Analyst
CVS Health —Idaho
- $43,888 - $102,081 a year
- Full-time
- Remote
- Management
- Bachelor's degree
- Fair chance
- Health insurance
- Dental insurance
5d
Remote IT Operations Specialist
LedgerGurus —Boise, ID
- $25 - $30 an hour
- Part-time
- Remote
- Continuous improvement
- Communication skills
- Entry level
- Paid time off
- Work from home
Quick Apply
12d
Bookkeeper - Construction (Remote)
ProfitWorks —Idaho
- $23 - $26 an hour
- Full-time
- Remote
- Background check
- Microsoft Excel
- Mid-level
- Paid training
- Paid time off
Quick Apply
Customer Service Rep – Financial (Seasonal, Remote)
Concentrix —Idaho
- $15 - $17 an hour
- Urgently hiring
- Remote
- Computer literacy
- Residential
- High school diploma or GED
- Paid training
- Paid holidays

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remote jobs near idaho

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

remote jobs in idaho

Remote Care Management Nurse

Account Manager

Outbound Call Center Rep

Client Success Representative (Remote)

Patient Care Coordinator

Customer Service Rep (TX, ID, NV)

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Virtual Medical Receptionist (Welcomer)

Retirement Plan Operations Specialist

Care Manager – Patient Support Call Center -Remote

Senior Claim Benefit Specialist - Remote

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Client Experience Associate

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Medical Debt Collections Call Center Agent

Process Analyst

Remote IT Operations Specialist

Bookkeeper - Construction (Remote)

Customer Service Rep – Financial (Seasonal, Remote)

I want to receive the latest job alert for remote in idaho

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