- R1 RCM (Boise, ID)
- …to ensure internal and external compliance deadlines are met. **Required Skills:** + Active Registered Nurse license + An active CCS, RHIA, RHIT, CCA, CPC-A, ... encompassing sophisticated analytics, AI, intelligent automation, and workflow orchestration. As our ** Clinical Coding Appeals Nurse ** , you will help review and… more
- Magellan Health Services (Boise, ID)
- …and Family Therapist - Care Mgmt, PSY - Psychologist - Care Mgmt, RN - Registered Nurse , State and/or Compact State Licensure - Care Mgmt License and ... management skills and demonstrated experience. General Job Information Title Quality Clinical Reviewer ( Remote - Must live in Idaho) Grade 25 Work Experience -… more
- Veterans Affairs, Veterans Health Administration (Boise, ID)
- Summary The Nurse Manager (NM) functions as a clinical...level degree in Nursing may have opportunity to become registered as a nurse with a state ... McCall. Functions or Scope of Assigned Duties of a Nurse Manager (NM) include but are not limited to...with the ANA Standards of Nursing Practice. Applies advanced clinical knowledge/judgment to lead staff involvement in planning, decision-making,… more
- Lincoln Financial Group (Boise, ID)
- …as indicated **What we're looking for** * 4 Year/Bachelor's Degree in Nursing * Registered Nurse License - Current, unrestricted license in the state where the ... Carolina); Omaha, NE (Nebraska); Work from Home **Work Arrangement:** Remote : Work at home employee residing outside of...We are excited to bring on a highly motivated Nurse Disability Consultant to our clinical organization.… more
- Magellan Health Services (Boise, ID)
- …Counselor - Care Mgmt, LSW - Licensed Social Worker - Care Mgmt, RN - Registered Nurse , State and/or Compact State Licensure - Care Mgmt License and ... supervision, and in collaboration with other members of the clinical team, authorizes and reviews utilization of mental health...care. General Job Information Title Care Manager (UM/UR) - Remote , Idaho Licensed Grade 24 Work Experience - Required… more
- Molina Healthcare (Boise, ID)
- …Excel (edit/save spreadsheets, sort/filter) **Required License, Certification, Association** Licensed registered nurse (RN), Licensed practical nurse ... benefits, and medical records to document relevant findings of a post pay clinical review. This position manages documents and prioritizes case load to ensure timely… more
- Sharecare (Boise, ID)
- …within a matrix organizational design. **Qualifications:** + Current multi-state compact Registered Nurse licensure in state of residence is required, ... + Actively participate in team huddles and contribute to clinical learning. + Remain current on clinical ...to clinical learning. + Remain current on clinical knowledge via self-directed learning. **Specific Skills/ Attributes:** +… more
- Veterans Affairs, Veterans Health Administration (Boise, ID)
- …a hospital, long term care or outpatient setting under the direction of a Registered Nurse and/or /Licensed Practical Nurse . Contributes to the ... in a hospital, long-term care or outpatient setting under the direction of a Registered Nurse and/or Licensed Vocational Nurse /Licensed Practical Nurse .… more
- Highmark Health (Boise, ID)
- …+ Bachelor's degree in Nursing **LICENSES or CERTIFICATIONS** **Required** + Registered Nurse **Preferred** + Certified Case Manager (CCM) **Language ... Group **Job Description :** **JOB SUMMARY** This job is responsible for analyzing clinical data to assess potential stop loss and managed care claim liability,… more
- WelbeHealth (Boise, ID)
- …compliance with regulatory standards **Job Requirements:** + Bachelor's degree required + Registered Nurse (RN), master's degree, or other relevant advanced ... 100% REMOTE OPPORTUNITY At WelbeHealth, each participant of our...is guided by our interdisciplinary team (IDT), composed of clinical and non- clinical members who work cohesively… more
- Molina Healthcare (Meridian, ID)
- **JOB DESCRIPTION** _For this position we are seeking a (RN) Registered Nurse who must have a current active unrestricted RN license in the state of CA._ _Case ... Manager RN will work in remote setting supporting our Medicare/Medicaid population who have recently...and advance directives. + Uses motivational interviewing and Molina clinical guideposts to educate, support and motivate change during… more