• Medical Claim Review

    Molina Healthcare (Caldwell, ID)
    …Minimum 3 years clinical nursing experience. + Minimum one year Utilization Review and/or Medical Claims Review . + Minimum two years of experience in ... more
    Molina Healthcare (01/25/25)
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  • Consultant, Nurse Disability

    Lincoln Financial Group (Boise, ID)
    …organization. This position will be responsible for reviewing, analyzing, and interpreting medical information available for disability claims . In this role you ... more
    Lincoln Financial Group (01/03/25)
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  • Clinical Coding Appeals Nurse

    R1 RCM (Boise, ID)
    …working as a Clinical Coding Appeals Nurse :** + Review and interpret medical records to appeal denied and underpaid claims . + Apply clinical judgment and ... more
    R1 RCM (12/13/24)
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  • Urgent Care Physician Assistant / Nurse

    Valor Health (Emmett, ID)
    URGENT CARE PHYSICIAN ASSISTANT / NURSE PRACTITIONER - PRN Emmett, ID (http://maps.google.com/maps?q=1202+E+Locust+St+Emmett+ID+USA+83617) Apply Description Position ... more
    Valor Health (01/29/25)
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  • Investigator, Coding SIU (Remote)

    Molina Healthcare (Nampa, ID)
    claims with corresponding medical records to determine accuracy of claims payments. + Review of applicable policies, CPT guidelines, and provider ... more
    Molina Healthcare (01/21/25)
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  • Special Investigation Unit Manager Clinical…

    CVS Health (Boise, ID)
    …Direct and oversee complex reviews. Ensure timely and accurate reporting of review findings and coordinate with investigative to take appropriate action. Conducts ... more
    CVS Health (12/25/24)
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