Clinical Resource Manager Case Manager
Saint Alphonsus Health System —Boise, ID
- Part-time
- Acute care
- Nursing
- RN License
Quick Apply
Case Manager/Community Based Rehabilitation Specialist (Nampa)
Access Behavioral Health Services Inc. —Nampa, ID
- From $25 an hour
- Part-time
- Background check
- 18 years or older
- Driver's License
- Health insurance
- Dental insurance
Quick Apply
CBRS/Case Manager
Hope Center Clinic —Boise, ID
- $22 - $25 an hour
- Part-time
- Background check
- Driver's License
- Bachelor's degree
- Paid training
- Health insurance
Quick Apply
Evenings and Weekends Community Based Rehabilitation Specialist and Case Manager (Boise and Nampa)
Access Behavioral Health Services Inc. —Boise, ID
- From $26 an hour
- Part-time
- Background check
- 18 years or older
- Psychiatry
- Health insurance
- Dental insurance
Quick Apply
CBRS/Case Manager (BS or BA required)
InRoads Mental Health Inc. —Meridian, ID
- $22 - $24 an hour
- Part-time
- Hybrid work
- Bachelor of Science
- Bachelor's degree
- Teaching
- Flexible schedule
Quick Apply
Clinical Resource Manager
Saint Alphonsus Health System —Boise, ID
- Full-time
- Nursing
- RN License
- Hospital
Quick Apply
Utilization Management Clinician
PacificSource Health Plans —Boise, ID
- $70,950.00 - $106,424.99 a year
- Full-time
- LMFT
- Nursing
- Psychiatry
Care Manager, LTSS- MUST Reside in ID
Molina Healthcare —Nampa, ID
- $21.60 - $46.81 an hour
- Full-time
- LVN
- Experience working with individuals with disabilities
- Mid-level
- Health insurance
Care Manager, Long Term Support Services (Idaho based)
Molina Healthcare —Nampa, ID
- $24.00 - $46.81 an hour
- Full-time
- LVN
- Experience working with individuals with disabilities
- Mid-level
- Health insurance
Clinical Resource Manager Case Manager
Saint Alphonsus —Nampa, ID
- Part-time
- Nursing
- RN License
- Hospital
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
Case Manager/CBRS
ACTS, Advanced Clinical Trauma Services —Meridian, ID
- $25 an hour
- Part-time
- Background check
- Word processing
- Mid-level
- Flexible schedule
Quick Apply
11d
Case Manager - ACT Team
Human Supports of Idaho, Inc. —Caldwell, ID
- $22 - $25 an hour
- Full-time
- Hybrid work
- Background check
- Driver's License
- Bachelor's degree
- Continuing education credits
- Mileage reimbursement
Quick Apply
4d
Clinical Care Coordinator
Mana Resources LLC —Nampa, ID
- $25 - $27 an hour
- Full-time
- Spanish
- CPR Certification
- Clean driving record
Quick Apply
4d
Case Manager
TERRACE HOME HEALTH BOISE LLC —Meridian, ID
- Full-time
- CPR Certification
- RN License
- BLS Certification
Quick Apply
4d
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
Case Manager for childrens residential care facility
Guiding star residence —Boise, ID
- $20 - $25 an hour
- Email
- Mid-level
- Residential
- Driver's License
Quick Apply
13d
Case Manager
Idaho Youth Ranch Inc —Caldwell, ID
- $44,707 - $59,616 a year
- Full-time
- Psychiatry
- HIPAA
- Inpatient
- Health insurance
- Dental insurance
Quick Apply
3d
Case Management Nurse - Oncology or Transplant Experience
Innovative Care Management, Inc. —Boise, ID
- Full-time
- Remote
- Nursing
- RN License
- 5 years
- Health insurance
3d
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
10d

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clinical case managers jobs near kuna, id

Clinical Resource Manager Case Manager

Saint Alphonsus Health System -
Boise, ID

Quick Apply

Job Details

Part-time

Qualifications

RN License
Bachelor of Science in Nursing
Bachelor's degree in nursing

Full Job Description

Employment Type:

Part time

Shift:

Day Shift

Description:

CLINICAL RESOURCE MANAGER / CASE MANAGER

Part-time, Friday, Saturday, Sunday and Monday, E/O Week

Boise Regional Medical Center

SUMMARY:

Provides hospital case management/utilization review and discharge planning collaboratively determining level of care needs beyond acute care, providing decision support to patients/families and physicians, managing patient and family expectations, and ensuring a smooth transition to the next level of care and services. Coordinates the integration of social services into patient care as appropriate. Coordinates the hospital activities concerned with case management/utilization review and discharge planning. Adheres to departmental goals, objectives, standards of practice, and policies and procedures. Ensures quality patient care and adheres to regulatory compliance. Provides concurrent assistance and support to physicians and other clinical members of the health care team in coordinating the delivery of services for a select group of patients. To help achieve quality clinical and cost outcomes, incorporates real-time contacts with physicians, nursing, and ancillary care givers to establish specific treatment, cost, and transition targets and to facilitate transition planning.

REQUIREMENTS:

Colleague must have an RN license, as defined by their primary work state (Idaho or Oregon)

IDAHO ONLY: If a nurse moves to Idaho from another compact state, they must apply for licensure by endorsement and update their primary state of residence to Idaho within 60 days of being hired.

All colleagues must provide licensure or proof of application for secondary state within 90 days of hire.

BSN required. A master's degree is preferred.

A minimum of 2 years of varied hospital clinical experience is required.

Experience in case management, home health, and/or the insurance industry preferred.

WHAT YOU WILL DO:

Knows, understands, incorporates, and demonstrates the Organization's Mission, Vision, and Values in behaviors, practices, and decisions.

Demonstrates knowledge and skills to competently care for all assigned age groups (Neonate, Child, Adolescent, Adult, Geriatric as applicable).

Revenue Management: ensures the accuracy of documenting services and supplies provided to the patients.

Coordinates the integration of social services/case management functions into patient care, discharge, and home planning process with other hospital departments, external service organizations, agencies and healthcare facilities.

Completes a screening/assessment of physician assigned cases to determine medical necessity/status determinations and transition needs. Reassesses, monitors, and modifies transition needs as appropriate.

Conducts concurrent medical record review using established medical necessity criteria to determine correct level of care for acute patients. Assists physicians with completing transfer and discharge orders. Maintains knowledge of federal, state, and private agency review requirements and regulations.

Provides education to all health care team members including physicians regarding requirements to meet regulatory standards.

Promotes effective and efficient utilization of clinical resources from admission to discharge.

Initiates and presents "denial letters" as appropriate. Completes PASRRs for admission to skilled nursing facilities. Delivers Condition Code 44 letters to patients and educates them on Medicare benefits.

Researches and locates resources for patients for example: assistance in competing medication applications for financial assistance through pharmaceutical companies, works closely with our Patient Financial Advocates in the Medicaid pending process, and works closely with outside facilities to obtain equipment in situations when patients have limited funding available to them.

Communicates with physicians at regular intervals throughout hospitalization and develops an effective working relationship. Assists physicians to maintain appropriate cost, cases, and desired patient outcomes.

Introduces self to patient and family and explains clinical resource manager role and the process for patient and family to contact clinical resource manager.

Serves as a patient advocate. Enhances a collaborative relationship to maximize the patient's and family's ability to make informed decisions.

Participates in multidisciplinary patient care rounds and/or conferences as appropriate to review treatment goals, optimize resource utilization, provides family education and identification of post-hospital needs.

Utilizes physician advisor referral as appropriate.

Adheres to department established process in reviewing 30 day re-admissions.

Follows established patient choice policy.

Documents assessment of primary and back up plans along with communications to patient, family and care team.

Documents interventions taken to meet the needs of their individual patients in Power Chart.

Actively participates in department staff meetings and department sub teams.

Ensures discharge planning compliance with Medicare Conditions of Participation/regulations and Joint Commission standards.

Colleagues of Saint Alphonsus Health System enjoy competitive compensation with a full benefits package and opportunity for growth throughout SAHS and Trinity Health.

Visit www.saintalphonsus.org/careers to learn more about the benefits, culture and career development opportunities available to you at Saint Alphonsus Health System.

Saint Alphonsus and Trinity Health are committed to promoting diversity in its workforce and to providing an inclusive work environment where everyone is treated with fairness, dignity and respect. We are committed to recruit and retain a diverse staff reflective of the communities we serve. Saint Alphonsus and Trinity Health are equal opportunity employers and prohibit discrimination against any individual with regard to race, color, religion, gender, marital status, national origin, age, disability, sexual orientation, or any other characteristic protected by law.

Our Commitment

Rooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings. By finding common ground and embracing our differences, we grow stronger together and deliver more compassionate, person-centered care. We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other status protected by federal, state, or local law.

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Refine Your Search

clinical case managers jobs in kuna, id

Clinical Resource Manager Case Manager

Case Manager/Community Based Rehabilitation Specialist (Nampa)

CBRS/Case Manager

Evenings and Weekends Community Based Rehabilitation Specialist and Case Manager (Boise and Nampa)

CBRS/Case Manager (BS or BA required)

Clinical Resource Manager

Utilization Management Clinician

Care Manager, LTSS- MUST Reside in ID

Care Manager, Long Term Support Services (Idaho based)

Clinical Resource Manager Case Manager

Medical Case Manager I

Case Manager/CBRS

Case Manager - ACT Team

Clinical Care Coordinator

Case Manager

Medical Field Case Manager

Case Manager for childrens residential care facility

Case Manager

Case Management Nurse - Oncology or Transplant Experience

Part-Time Hospice RN Case Manager

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