• Medical Director--Claims Management

    Humana (Boise, ID)
    …teams focusing on quality management , utilization management , case management , discharge planning and/or home health or post - acute services (such ... Integrated Delivery Systems, health insurance, other healthcare providers, clinical group practice management . + Utilization management experience in a… more
    Humana (07/25/24)
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  • Medical Director - Florida /.8 FTE

    Humana (Boise, ID)
    …teams focusing on quality management , utilization management , case management , discharge planning and/or home health or post acute services such ... Integrated Delivery Systems, health insurance, other healthcare providers, clinical group practice management . + Utilization management experience in a… more
    Humana (07/03/24)
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  • Clinical Resource Manager PRN Days

    Trinity Health (Boise, ID)
    …quality of care. **GENERAL SUMMARY AND PURPOSE:** Provides hospital case management / utilization review and discharge planning collaboratively determining level ... care as appropriate. Coordinates the hospital activities concerned with case management / utilization review and discharge planning. Adheres to departmental goals,… more
    Trinity Health (05/30/24)
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  • Medical Director - Mid West Region

    Humana (Boise, ID)
    …teams focusing on quality management , utilization management , case management , discharge planning and/or home health or post acute services such ... Integrated Delivery Systems, health insurance, other healthcare providers, clinical group practice management . + Utilization management experience in a… more
    Humana (07/25/24)
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  • Behavioral Health Medical Director

    Humana (Boise, ID)
    …teams focusing on quality management , utilization management , case management , discharge planning and/or home health or post - acute services such ... Integrated Delivery Systems, health insurance, other healthcare providers, clinical group practice management + Utilization management experience in a… more
    Humana (07/31/24)
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  • National Medicaid Medial Director - Long Term…

    Humana (Boise, ID)
    …and interpretation skills with 5+ years of experience focusing on quality management , utilization management , discharge planning, rehabilitation services, ... attend Fair Hearings. The clinical scenarios arise from outpatient, post - acute care; acute inpatient; LTC...Integration, Long Term Services & Supports services, and Case Management . The Medical Director, as indicated, could need to… more
    Humana (07/25/24)
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  • Field Family Nurse Practitioner (Boise, ID)

    Molina Healthcare (Boise, ID)
    …exams for gaps in care and preventative assessments + Address both chronic and acute primary care complaints, and able to ascertain medical urgency + Establish and ... + Schedule patient appointments for in-person visits when appropriate + Provide post discharge coordination to reduce hospital readmission rates and emergency room … more
    Molina Healthcare (07/13/24)
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