- Trinity Health (Boise, ID)
- …Saint Alphonsus is seeking a physician leader to become our Medical Director of Documentation and Utilization Excellence. This position will be ... annually by the Saint Alphonsus Chief Clinical Officer. The Medical Director of Documentation and Utilization Excellence (MDDUE) is the lead provider for… more
- Evolent (Boise, ID)
- …non-clinical setting? Join our Utilization Management team as a Field Medical Director , Cardiovascular Specialist and use your expertise in interventional ... per inter-rater reliability process. + May assist the Senior Medical Director in research activities/questions related to the Utilization Management process,… more
- Humana (Boise, ID)
- …to the Lead Medical Director - North Central Medicaid Markets. The Medical Director conducts Utilization Management of the care received by members ... caring community and help us put health first** The Medical Director relies on medical ...insurance, other healthcare providers, clinical group practice management. + Utilization management experience in a medical management… more
- Humana (Boise, ID)
- … Director , depending on size of region or line of business. The Medical Director conducts Utilization Management of the care received by members ... caring community and help us put health first** The Medical Director relies on medical ...insurance, other healthcare providers, clinical group practice management. + Utilization management experience in a medical management… more
- Evolent (Boise, ID)
- …per inter-rater reliability process. + May assist the Senior Medical Director in research activities/questions related to the Utilization Management process, ... culture. **What You'll Be Doing:** As a Cardiology, Field Medical Director you will be a key...National Committee for Quality Assurance (NCQA) guidelines. + Ensures documentation of all communications with medical office… more
- Humana (Boise, ID)
- …community and help us put health first** The Long-term services and supports (LTSS) Medical Director 's primary responsibility is the review of medical ... necessity of a given service, level of care, or medical item/supply. The Medical Director 's...may not be limited to, an overview of clinical documentation , Letter of Agreements, coding practices, Clinical Integration, Long… more
- Evolent (Boise, ID)
- …timely and accurate manner. + May assist the Senior Medical Director in research activities/questions related to the Utilization Management process, ... the culture. **What You'll Be Doing:** As a Field Medical Director you will be a key...as a resource to Initial Clinical Reviewers. + Ensures documentation of all communications with medical office… more
- Veterans Affairs, Veterans Health Administration (Boise, ID)
- …to the Chief of Staff and serves as a key clinical resource for the Medical Center Director and the Chief of Staff. Responsibilities Boise blends urban ... by the service Plans, coordinates, and ensures high quality care through utilization of multiple quality measurement tools Improves patient outcomes through the… more
- R1 RCM (Boise, ID)
- …provider documentation audit activities and providing education to assigned medical providers to include but not limited to surgeons, physicians, advanced ... guidelines and regulations for coding requirements with specific focus in documentation and code assignment on the clinical specialties of Hospitalist Medicine,… more
- Veterans Affairs, Veterans Health Administration (Boise, ID)
- …an administrative member of Patient Care Service executive team at the Boise VA Medical Center in Boise, Idaho and serves a technical advisor for all administrative ... aspects of the Service. The HSS reports directly to the Associate Director , Patient Care Service/Chief Nurse Executive (ADPCS). The HSS performs as ADPCS's Executive… more
- SHI (Boise, ID)
- …services and will manage the "pipeline" of prospective customers to assure full utilization of resources and continual expansion of the customer base. The SC will ... + Report Pipeline on a specified cadence to the Director - ITAM Sales, accurately forecast future sales and...proven ITAM sales experience. + Ability to create high-quality documentation with precision + Willingness to travel as needed… more
- GAF (Boise, ID)
- …and Training pillars. This role will report to the Sr. Director of Operations Maintenance Transformation. **Job Summary** This collaborative role develops ... Performs cost analysis to optimize GAF craft labor efficiencies, as well as utilization of outside contractors.. + Supports development of Asset Bills of Materials… more