47 remote care manager jobs at 22 companies in Idaho

3mo
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Remote Care Management Nurse
Lewiston or Salt Lake City or Medford or Coeur d'Alene or Boise or Burlington or Bend or Portland or Renton or Yakima or Bellevue or Tacoma or Pocatello or Salem
$34-$56/hr RemoteFull Time
Cambia Health Solutions
Cambia Health Solutions: Non-profit health solutions providing insurance and care services.
3+ YOERN with 3+ years direct clinical care or care management; eligible for licensure in ID, OR, UT, WA; nursing degree (Assoc or Bachelor)
Microsoft Office, Outlook, Health care documentation systems
1d
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Care Manager (UM/UR) - Remote, Idaho Licensed
Boise or Coeur d'Alene or Pocatello
$64k-$103k/yr RemoteFull Time
Magellan Health
Magellan HealthNYSE: CNC: Provides managed healthcare, behavioral health, and pharmacy benefit services.
2+ YOERequires applicable CEAP, LMSW, LCSW, LSW, LPC, LMFT, or RN licensure, relevant degree, and 2+ years post-degree healthcare or behavioral health experience. Requires utilization management knowledge and strong analytical, organizational, and communication skills.
DSM V
2w
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Chronic Care Manager (Remote - Compact States)
Illinois or Wisconsin or West Virginia or District of Columbia or Washington or Virginia or Vermont or Utah or Texas or Tennessee or South Dakota or South Carolina or Rhode Island or Pennsylvania or Oregon or Oklahoma or Ohio or North Dakota or North Carolina or New York or New Mexico or New Jersey or New Hampshire or Nevada or Nebraska or Montana or Mississippi or Minnesota or Michigan or Massachusetts or Maryland or Maine or Louisiana or Kentucky or Kansas or Iowa or Indiana or Idaho or Georgia or Florida or Delaware or Connecticut or Colorado or California or Arkansas or Arizona or Alabama or Missouri or Wyoming or United States
RemotePart Time
Harris Computer
Harris Computer: Provides mission-critical vertical market software and service solutions.
2+ YOECurrent compact RN/LPN/LVN license, minimum 2 years clinical experience, EMR and Microsoft Office proficiency, reliable high-speed internet and Windows/Mac computer, strong communication and clinical judgment.
Electronic Medical Records (EMR), Microsoft Office 365, Microsoft Teams, Microsoft Excel, Windows, Mac
1w
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Care Manager RN - UM (Full-Time) Weekends (Remote)
Pennsylvania or Maryland or Washington or North Carolina or Louisiana or Kentucky or Kansas or Indiana or Illinois or Georgia or Iowa or Florida or Colorado or Delaware or Connecticut or Arkansas or Arizona or Alabama or Alaska or Nevada or Vermont or Tennessee or Idaho or Oklahoma or Hawaii or Mississippi or Utah or New Hampshire or New Mexico or Wyoming or North Dakota or South Dakota or Rhode Island or West Virginia or Missouri or Texas or District of Columbia or Ohio or New Jersey or Oregon or South Carolina or Virginia or Massachusetts or Nebraska or Minnesota or Michigan or Wisconsin or New York or Maine
$68k-$106k/yr RemoteFull Time
Highmark Health
Highmark Health: Provides health insurance and integrated medical care services.
3+ YOERequires 3 years of progressive clinical experience, RN experience, PA or eNLC licensure, regulatory knowledge, data analysis, communication, organization, and computer skills.
HIPAA
1mo
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Integrated Care Manager, Ambulatory Care Management Preventive Team
Virginia Beach or Alabama or Delaware or Florida or Georgia or Idaho or Indiana or Kansas or Louisiana or Maine or Maryland or Minnesota or Nebraska or Nevada or New Hampshire or North Carolina or North Dakota or Ohio or Oklahoma or Pennsylvania or South Carolina or South Dakota or Tennessee or Texas or Utah or Virginia or Washington or West Virginia or Wisconsin or Wyoming
RemoteFull Time
Sentara Health
Sentara Health: Operates hospitals and provides health insurance and medical services
3+ YOEActive RN license required, BLS within 90 days (if clinical), specialty case management certification within one year of eligibility, minimum 3 years nursing experience, case management experience preferred, bachelor's in nursing preferred.
22h
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Supervisor, Customer Care & Sales (Remote)
Prescott or Alabama or Alaska or Arkansas or Arizona or Colorado or Florida or Georgia or Iowa or Idaho or Illinois or Indiana or Kansas or Louisiana or Maryland or Minnesota or Missouri or Mississippi or North Carolina or North Dakota or Nebraska or New Mexico or Ohio or Oklahoma or Oregon or Pennsylvania or South Carolina or Tennessee or Texas or Utah
RemoteFull Time
Cable One
Cable OneNYSE: CABO: Provides broadband internet, cable television, and digital phone services.
2+ YOEHigh school diploma or GED required; two years of customer service, retention, sales, or supervisory experience preferred, with leadership, coaching, communication, analytical, and problem-solving skills.
1w
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CDI Outsourcing Manager - Remote (Solventum)
Florida or Kansas or Arizona or North Dakota or Oklahoma or Massachusetts or Maine or Montgomery County or South Dakota or Michigan or Wisconsin or Iowa or Vermont or Nebraska or Wyoming or Connecticut or Utah or Oregon or Montana or Colorado or Mississippi or New Jersey or Idaho or Delaware or District of Columbia or New Mexico or New York or Nevada or Tennessee or Ohio or Washington or Pennsylvania or North Carolina or Minnesota or West Virginia or Missouri or New Hampshire or California or Arkansas or Maryland or Alabama or Louisiana or Indiana or South Carolina or Illinois or Texas or Virginia or Kentucky
$126k-$173k/yr RemoteFull Time
Solventum
SolventumNYSE: SOLV: Provides medical technology and health information software solutions.
7+ YOE7+ MgmtBachelor's degree plus 7 years or high school diploma/GED plus 11 years of acute-care CDI management; CCDS or RN license, acute-care experience, and travel availability required.
ICD-10-CM/PCS, APR DRGs, HACs, PSIs
2w
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Direct Contracting Manager
Phoenix or Alaska or Arkansas or Arizona or Colorado or Florida or Hawaii or Iowa or Idaho or Illinois or Kansas or Louisiana or Maryland or Minnesota or Missouri or Montana or Nebraska or Nevada or New Mexico or North Carolina or North Dakota or Oklahoma or Oregon or South Carolina or South Dakota or Tennessee or Texas or Utah or Virginia or District of Columbia or Washington or Wisconsin or Wyoming
$87k-$102k/yr RemoteFull Time
TriWest Healthcare Alliance
TriWest Healthcare Alliance: Manages healthcare programs for veterans and military families.
5+ YOEBachelor's degree or equivalent, 5+ years managed care experience, provider contracting and negotiation experience, familiarity with Medicaid/Medicare/TRICARE, Excel proficiency, US citizenship and favorably adjudicated DOD background investigation required.
Microsoft Excel, Microsoft Word, Microsoft Outlook, TriWest Intranet
2w
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Telephonic RN Case Manager
Colorado or Arizona or Idaho
$84k-$92k/yr RemoteFull Time
Paradigm
Paradigm: Specialty care management for complex and catastrophic injuries.
Unencumbered compact RN license required (CA RN preferred), current professional licenses, CCM preferred, ability to provide remote medical case management and coordinate care for injured individuals.
3w
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Case Manager, Behavioral Health
Alaska or Arizona or Arkansas or California or Colorado or Florida or Georgia or Idaho or Iowa or Kansas or Kentucky or Maine or Michigan or Minnesota or Missouri or Montana or Nevada or New Hampshire or New Mexico or North Carolina or Oklahoma or Oregon or South Carolina or South Dakota or Tennessee or Texas or Utah or Washington or Wisconsin
$80k-$126k/yr RemoteFull Time
Premera Blue Cross
Premera Blue Cross: Provides health insurance and medical benefit plans for members.
3+ YOEBehavioral health clinician license (LMFT/LICSW/LMHC/LPC or other CCMC-eligible), 3 years post-licensure direct care, 1 year post-licensure case management, CCM preferred, ability to obtain WA license if remote, internet 75 Mbps.
1mo
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Manager, Medicaid Market Research and Competitive Analysis
Virginia or Idaho or Arkansas or Vermont or Georgia or Texas or Minnesota or New Mexico or Iowa or Michigan or Maine or New York or Kansas or New Jersey or Nebraska or Connecticut or Louisiana or Tennessee or Kentucky or Ohio or Oklahoma or Maryland or Alabama or Utah or Arizona or Illinois or South Dakota or North Carolina or Florida or Pennsylvania or Wyoming or Delaware
$60k-$133k/yr RemoteFull Time
CVS Health
CVS HealthNYSE: CVS: Provides retail pharmacy, health insurance, and pharmacy benefit management services.
5+ YOE5+ years in Medicaid managed care and 5+ years in market research/competitive intelligence; strong PowerPoint and analytic skills; proficiency with Microsoft Word, Excel, SharePoint; willingness to travel up to 25%.
Microsoft Word, Microsoft Excel, Microsoft SharePoint, Microsoft PowerPoint
1mo
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Clinical Director of Virtual Care Programs
Georgetown or Louisville or Honolulu or Washington or Fairbanks or Seattle or Merrillville or Indianapolis or Everett or Tacoma or Lexington or Anchorage or Boise or Alaska or Hawaii or Meridian or Kentucky or Idaho
$118k-$257k/yr RemoteFull Time
Planned Parenthood Great Northwest, Hawai'i, Alaska, Indiana, Kentucky
Planned Parenthood Great Northwest, Hawai'i, Alaska, Indiana, Kentucky: Provides reproductive healthcare and sexual education services.
10+ YOE5+ MgmtAdvanced practice clinician (NP, CNM, or PA) with active unrestricted U.S. license, 10+ years clinical APC experience (5+ years supervisory), competency with EHRs and EPIC, telehealth and multisite licensure coordination.
EHRs, EPIC
1mo
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Provider Relations Advocate - Remote in Idaho
Idaho, United States
$60k-$107k/yr RemoteFull Time
UnitedHealth Group
UnitedHealth GroupNYSE: UNH: Provides health insurance and technology-enabled health care services.
3+ YOEBachelor's or 3+ years experience; 3+ years provider relations and managed care experience (HCBS preferred); intermediate Medicare/Medicaid knowledge; MS Word/Excel proficiency; willing to travel ~25%; Idaho resident required.
Microsoft Word, Microsoft Excel, UnitedHealthcare Link Self Help
2w
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Senior Lifecycle Marketing Manager
Salt Lake City or Alabama or Arizona or California or Colorado or Connecticut or District of Columbia or Florida or Georgia or Idaho or Indiana or Maine or Maryland or Massachusetts or Nevada or New Jersey or New York or North Carolina or Ohio or Oregon or Tennessee or Texas or Utah or Washington
RemoteFull Time
Tava Health
Tava Health: Virtual mental health platform connecting employees with licensed therapists.
6+ YOEBachelor's degree,6+ years lifecycle/CRM/email marketing experience,expertise with marketing automation platforms,event tracking and data infrastructure,HTML/CSS and templating,analytical and copywriting skills,care for HIPAA compliance.
Iterable, HubSpot, Braze, Customer.io, Handlebars, Liquid, BigQuery, Mixpanel, Microsoft Excel, HTML, CSS
1mo
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Provider Performance Specialist
Arizona or Arkansas or Connecticut or Florida or Georgia or Idaho or Indiana or Iowa or Kansas or Kentucky or Louisiana or Maryland or Michigan or Mississippi or Missouri or Montana or Nebraska or Nevada or New Hampshire or New Mexico or North Carolina or Oklahoma or South Carolina or South Dakota or Tennessee or Texas or Utah or Virginia or West Virginia or Wisconsin
RemoteFull Time
Samaritan Health Services
Samaritan Health Services: Operates a regional network of non-profit hospitals and clinics.
3+ YOEBachelor's in related field or equivalent experience and 3 years healthcare payer/provider/managed care experience; knowledge of HEDIS/Stars, Medicaid/Medicare Advantage, quality improvement, and provider workflows.
Microsoft Excel
4d
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Clinical Appeals Coordinator
Oregon or Kansas or Wisconsin or Arizona or South Dakota or North Dakota or Washington or Nevada or Montana or Idaho or New Mexico or Utah or Iowa or Wyoming or Colorado or Missouri or Texas or Minnesota
$34-$61/hr RemoteFull Time
Centene
CenteneNYSE: CNC: Provides government-sponsored and commercial healthcare insurance programs and services.
4+ YOERN with 4+ years of clinical nursing or case management experience, or LPN/LVN with 5+ years; applicable state license required. Managed care or utilization review experience preferred.
NCQA
2mo
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Director, Health Plan Provider Contracts
Boise or Long Beach or Idaho or United States
$88k-$190k/yr RemoteFull Time
Molina Healthcare
Molina HealthcareNYSE: MOH: Provides managed health insurance through government-sponsored benefit programs.
8+ YOE3+ Mgmt8+ years network contracting experience (5+ years negotiating provider contracts in managed care), 3+ years management experience, experience with VBP/APMs/capitation, strong negotiation, analytical skills, and Microsoft Office proficiency.
Microsoft Office
3w
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Analyst, Contract Operations
United States or Alaska or Connecticut or Delaware or Hawaii or Idaho or Kansas or Kentucky or Maine or Massachusetts or Mississippi or Montana or New Hampshire or New Mexico or North Dakota or Rhode Island or South Carolina or South Dakota or Vermont or District of Columbia or West Virginia or Wyoming
$60k-$73k/yr RemoteFull Time
Navitus Health Solutions
Navitus Health Solutions: Transparent pharmacy benefit management and specialty pharmacy provider.
3+ YOEBachelor’s degree, 3+ years managed care/pharmacy benefits or pharmaceutical experience, pharmacy technician license preferred, ability to analyze claims and contracts, RFP and audit support experience.
2mo
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Nurse Specialist II, Clinical Denials
Alabama or Arkansas or Arizona or Florida or Georgia or Idaho or Indiana or Kansas or Maine or Michigan or Missouri or Mississippi or North Carolina or New Mexico or Oklahoma or Pennsylvania or South Carolina or Tennessee or Texas or Virginia or Wisconsin or West Virginia
RemoteFull Time
Knowtion Health
Knowtion Health: Revenue cycle management and medical claims recovery services.
2+ YOELicensed RN with ≥2 years acute care experience; utilization review/case management preferred; experience with InterQual/Milliman and CMS LCD/NCD preferred; strong computer and typing skills.
InterQual, Milliman, CMS LCD, CMS NCD
1mo
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Physician, OB/GYN – Telemedicine Opportunity – DrHouse
Boise or Meridian
$100-$200/hr RemotePart Time
DrHouse
DrHouse: Online platform providing on-demand virtual doctor visits and prescriptions.
Board-certified OB/GYN (MD or DO) licensed in Idaho, comfortable delivering telemedicine visits, using EHR, and managing primary, urgent, women\u0002s health and chronic conditions via virtual care.
EHR