Haven't used IDEA/scala plugin in a few weeks, but i did have to mess with heap and other config options per:
http://news.ycombinator.com/item?id=1438408
http://www.assembla.com/wiki/show/snapimpact/IDEA_9CE_Tip
http://leshazlewood.com/2007/08/01/intellij-idea-on-mac-os-x...
I've recently started using the IntelliJ EAP X builds for a personal project in Scala and find it usable and useful too.
The maven-scala-plugin is solid and will let you switch between IntelliJ and Eclipse relatively easily. I don't use the maven eclipse plugin but instead "mvn eclipse:eclipse" from the command line whenever the pom changes. Using a pom-based build is useful in a production environment especially if you are using/providing components from/for others. IntelliJ has maven support built-in and seems to work well.
I've only pushed the IDEs to ~40 source files. Things might start breaking as the projects get bigger.
Things are definitely better than they were a year ago and thanks to both the scala-ide and IntelliJ people!