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Case Manager
2 weeks ago
ADN Healthcare Boise, United States TravelWe are looking for a Travel Case Manager - RN RN for a great Travel nursing job in Boise, ID. · This Case Manager - RN Travel nursing job pays for 40 hours a week for 8 weeks. With Wanderly you can compare Travel nurse salary from leading Travel nurse agencies in the United State ...
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case manager
2 weeks ago
GEO Reentry Services LLC. Boise, United States Full timeBenefits Information · ***Now Hiring with a Sign On Bonus Payable in Quarterly Installments*** · Full-time employees will enjoy a competitive benefits package with options for you and your family including: · • Paid Time Off · • 14 Paid Holidays + Birthday Holiday · • 401(k) Mat ...
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Medical Case Manager
4 days ago
CorVel Healthcare Corporation Boise, United States Part timeJob Description · Job DescriptionThe Medical Case Manager coordinates resources and creates flexible, cost-effective options for ill or injured individuals on a case-by-case basis to facilitate quality individualized treatment goals, including timely return-to-work if appropriate ...
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Case Management Associate
5 days ago
Idaho State Job Bank Boise, United StatesCase Management Associate at Sedgwick in Boise, Idaho, United States Job Description Taking care of people is at the heart of everything we do, and we start by taking care of you, our valued colleague. A career at Sedgwick means experiencing our culture of caring. It means having ...
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Community Based Case Manager
1 week ago
Clarvida, LLC Boise, ID, United States· CBRS/Case Manager - Community Based Services Professional · About your role: · Our CBRS and Case Management providers deliver services to clients at their home and in the community focusing on their individual behavioral health and/or mental health needs. This position works w ...
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Case Manager
2 weeks ago
Aureus Group Boise, United StatesTop rated facility in BOISE, ID in need of a CASE MANAGER for a 8 WK travel assignment.Position: Case ManagerSpecialty/Modality: Case ManagementLicenses/Certifications: State License-RN-IdahoPhysical Abilities: Up to 20lbsTravel the country while you enhance your clinical skills, ...
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Case Manager
2 weeks ago
RISE INC FAMILY Boise, United StatesJob Details · Job Location · Boise, ID - Boise, ID · Position Type · Full Time · Education Level · Bachelors Degree in Related Field · Salary Range · $ $24.00 Hourly · Travel Percentage · Up to 25% · Job Shift · Days · Job Category · Health & Human Services · Descri ...
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Senior Fraud Case Manager
1 week ago
Idaho State Job Bank Boise, United StatesSenior Fraud Case Manager at Guidehouse in Boise, Idaho, United States Job Description Job Family : Investigation Consulting Travel Required : Up to 10% Clearance Required : Ability to Obtain Public Trust What You Will Do : This Senior Fraud Case Manager is responsible for modeli ...
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Case Manager I/II
1 week ago
Oklahoma Human Services Ada, United StatesJob Description · Job DescriptionCase Manager I/II · This position is located in Ada, Oklahoma. · Annual Salary: · Level I H21A - $ 40, Full State Employee Benefits · Level II H21B - $43, Full State Employee Benefits · Travel is Extensive - Must possess a valid driver's license a ...
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Social Work Case Manager
1 week ago
Idaho State Job Bank Boise, United StatesSocial Work Case Manager at Elevance Health in Boise, Idaho, United States Job Description WARNING: Please beware of phishing scams that solicit interviews or promote work-at-home opportunities, some of which may pose as legitimate companies. Elevance Health requires a completed ...
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Appeals Case Manager II
1 week ago
Idaho State Job Bank Boise, United StatesAppeals Case Manager II at Guardian Life in Boise, Idaho, United States Job Description P os ition S u mma ry Guardian is seeking individuals with Group Disability claims experience to join our dynamic Appeals Team. The Appeals Case Manager II (ACM 2) is responsible for adjudicat ...
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Outpatient Program Therapist/Case Manager
1 week ago
Universal Health Services Boise, United StatesResponsibilities Intermountain Hospital is looking for a dynamic Outpatient Program Therapist/Case Manager to work with a variety of patients If you have a desire to work in an engaging environment with a team of professionals dedicated to the healing and health of the patients w ...
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Home Health RN Case Manager
2 weeks ago
St. Luke's Health System Boise, United StatesOverview · At St. Luke's, our dedicated team of RNs strive to build a positive, supportive, and inclusive culture that delivers exceptional patient experiences. · St. Luke's home health team of skilled professionals provides comprehensive health care in the warmth and comfort of ...
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Medical Case Manager
1 month ago
CorVel Corporation Idaho, United States OTHERThe Medical Case Manager coordinates resources and creates flexible, cost-effective options for ill or injured individuals on a case-by-case basis to facilitate quality individualized treatment goals, including timely return-to-work if appropriate. The Medical Case Manager will r ...
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Primary Behavioral Health Services Boise, United StatesJob Description · Job DescriptionPrimary Behavioral Health Services is a new outpatient behavioral health agency serving our growing number of Idaho residence with one vision. To embark on a path with our community and to ensure compassion, acceptance, respect, empowerment, and s ...
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Access Behavioral Health Services Boise, United StatesJob Description · Job DescriptionAccess Behavioral Health Services (our Nampa and Boise locations) are looking for individuals that enjoy working with people. Providers work with clients to help in rebuilding social skills, re-learning basic living skills, learning to manage thei ...
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Family Services Case Manager
3 weeks ago
Idaho State Job Bank Boise, United StatesFamily Services Case Manager at The Salvation Army in Boise, Idaho, United States Job Description Description Recruiting Opportunity Closes: Hourly Wage: $20.00 Hours Per Week: 35 Status: Non-Exempt / Full Time Number of Positions: 1 Department: Family Services Position Title: Ca ...
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RN Case Manager Onsite
2 weeks ago
AMN Healthcare Boise, United StatesPOSITION SUMMARY - RN Case ManagerPOSITION DUTIES Discharge Planning / Utilization ReviewPREFERRED QUALIFICATIONS RN Care Manager for discharge planning and care coordination, requires prior acute care discharge planning experienceLENGTH OF ASSIGNMENT 8 weeksSHIFT / HOURS PER WEE ...
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RN Case Manager
1 week ago
KEYSTONE HOSPICE Meridian, United StatesExceptional RN needed for an exceptional opportunity. You went to school to be a nurse because you are compassionate and dedicated to helping others. But then you find your job gets in the way of quality time with your patients. Or you are overloaded with patients and feel overwh ...
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Case Manager
1 week ago
Idaho Youth Ranch Caldwell, United States Full timeThe Idaho Youth Ranch is one of the oldest non-profit agencies in the state of Idaho. Our mission: · We unite for Idaho's youth by providing accessible programs and services that nurture hope, healing, and resilience. · How will you impact our mission? Be a part of setting a ne ...
Team Leader, LTD Claims Case Management - Boise, United States - Idaho State Job Bank
Description
Team Leader, LTD Claims Case Management at Guardian Life in Boise, Idaho, United States Job Description The LTD Team Leader is responsible for validating that all LTD claims are accurately and fairly adjudicated according to plan provisions, established best practices and within state and federal guidelines.
The Team Leader must be able to manage and resolve issues that pertain to claim administration procedures cost containment activities, reports and quality control issues.
The Team Leader will serve as primary resource for the team and provide direction to the staff members by setting objectives, communicating progress and goals, and holding the staff accountable for adhering to all quality assurance, turnaround times, best practice standards, and operational efficiency.
You will assist team members with their development and career progression.The Team Leader partners internally with cross-functional areas for program direction, goal setting, service delivery and development of action plans and leveraging bench strength.
The Team Leader works with external customers to enhance the overall experience for the customer. You will be responsible for the overall functioning of the department.You will:
+ Develop and communicate objectives and performance goals for the department + Managing direct reports' performance by coordinating with HR business partners to develop coaching plans and performance improvement plans + Develop employee goals to promote career growth that enhance level of knowledge for future opportunities + Collaborate with business partners including Life and Disability, CRU, SIU, Sales Force, Group Quality Management, and other areas within the company + Promote leadership model to support Guardian values + Create yearly action plan based on the results from the employee engagement survey + Review daily, weekly and monthly reports on team productivity for operational reporting and monitoring purposes and to identify trends and training opportunities + Coordinate and monitor overpayment recovery efforts, vendor/legal negotiations and tracking for liability and reporting purposes + Monitor claim turnaround times to validate decisions are made within DOL and policy time + frames + Oversee settlement checks in accordance with settlement agreements + Assist in self-testing for MARs Financial Control + Develop training tools in conjunction with technical experts to deliver training to the staff + Empower staff through brainstorming sessions to revise workflows and procedures that promote best practices + Support strategic i To view full details and how to apply, please login or create a Job Seeker account
