Impactful Care Management Clinician

PacificSource Health Plans; Boise (ID); On-site; USD 71,000 - 106,000; Full time

Job summary

PacificSource Health Plans in Boise, Idaho is seeking a registered nurse with clinical case management experience to help members access quality, affordable care.

You will assess, plan, coordinate, and monitor services, advocating for patients while collaborating with providers and payers. The role requires HIPAA compliance, strong communication, and the ability to work independently with limited supervision. Travel about 5%.

Qualifications

• Active RN license and relevant clinical case management background.
• Knowledge of health insurance benefits and case management practice.
• Ability to work independently with minimal supervision and maintain confidentiality.

Responsibilities

• Facilitate client wellness and autonomy through advocacy, assessment, planning, communication, and resource management.
• Develop a comprehensive care management plan based on client history and needs.
• Coordinate with providers, payers, and other service professionals to ensure safe, effective, patient-centered care.
• Maintain privacy, confidentiality, and compliance with HIPAA and regulatory standards.
• Interact with PacificSource staff to address questions about healthcare resources and procedures.

Skills

Accountability

Collaboration

Communication

Flexibility

Listening

Organizational skills

Problem Solving

Teamwork

Education

RN license

LPC

LMFT

LCSW

CCM certification

Job description

PacificSource Health Plans in Boise, Idaho is seeking a registered nurse with clinical case management experience to help members access quality, affordable care.

You will assess, plan, coordinate, and monitor services, advocating for patients while collaborating with providers and payers. The role requires HIPAA compliance, strong communication, and the ability to work independently with limited supervision. Travel about 5%.