- St. Luke's Health System (Boise, ID)
- …provider enrollment, focused professional practice evaluation, ongoing professional practice evaluation and the medical staff peer review program. + ... clear and documented standard operating procedures for organized medical staff operations (eg, credentialing/privileging, peer review , provider… more
- Trinity Health (Boise, ID)
- …+ Physician Relationships + Healthcare Management and Operations + Medical Staff Organization, including Peer Review processes **Decision Making:** + ... Ontario, and Baker City + Research Institute and Grants + Medical Staff Services + Peer Review and Clinical Excellence + Quality and Patient Safety +… more
- Trinity Health (Boise, ID)
- …service and the highest quality of care. Saint Alphonsus is looking to hire a ** Peer Review Coordinator** . This position will be full time and benefit eligible. ... have 3 years of experience working with physicians and other clinical staff . + Inpatient clinical experience preferred. + Project management experience preferred. +… more
- Intermountain Health (Boise, ID)
- …discharge, and to identify and resolve delays and issues. Credentialing through medical staff office and peer review requirements may apply if working in ... Transplant/Oncology Outpatient Clinic. **Job Essentials** + Assesses the patient's medical history, mental health history, and current presentation to understand… more
- Intermountain Health (Boise, ID)
- …discharge, and to identify and resolve delays and issues. Credentialing through medical staff office and peer review requirements may apply if working in ... + FTE: Full time + Shift: Monday-Friday. 8am - 4:30pm + Location: Medical Detox unit + To learn about additional Intermountain benefits: Click here… more
- Veterans Affairs, Veterans Health Administration (Boise, ID)
- …development and implementation of competencies, providing opportunities for continuing education, peer review , career development and professional enrichment for ... years of verified practice in the United States), which the local Medical Staff Executive Committee deems to have provided the applicant with appropriate… more
- Evolent (Boise, ID)
- …when available, within the regulatory timeframe of the request. + Utilizes medical /clinical review guidelines and parameters to assure consistency in the ... for Quality Assurance (NCQA) guidelines. + Ensures documentation of all communications with medical office staff and/or MD provider is recorded in a timely… more
- Trinity Health (Boise, ID)
- …programs are compliant with legal and regulatory requirements. B. Participates in peer review activities as requested. C. Identifies human resource, compliance ... and maintain positive rapport with dyad partner, SAHS leadership, peers, physicians and staff . 5. Ability to work with Trinity Health experts in managing and… more
- Evolent (Boise, ID)
- …when available, within the regulatory timeframe of the request. + Utilizes medical /clinical review guidelines and parameters to assure consistency in the ... rationale for standard and expedited appeals. + Discusses determinations ( peer to peer phone calls) with requesting...(NCQA) guidelines. + Ensures documentation of all communications with medical office staff and/or MD provider is… more
- Evolent (Boise, ID)
- …and provides clinical rationale for standard and expedited appeals. + Utilizes medical /clinical review guidelines and parameters to assure consistency in the ... completed by the subject matter expert. + Discusses determinations ( peer to peer phone calls) with requesting...Clinical Reviewers. + Ensures documentation of all communications with medical office staff and/or MD provider is… more
- St. Luke's Health System (Boise, ID)
- …with less stress. Join us in this bold ambitious journey! A key member of our Medical Affairs department, the Medical Director will work closely with the Chief ... **Key Responsibilities:** **Clinical Leadership and Oversight** : Support the Medical Director in leading clinical initiatives and strategies, ensuring that… more
- Molina Healthcare (Boise, ID)
- …Administration, Public Health, Healthcare Administration, etc. **PREFERRED EXPERIENCE:** + Peer Review , medical policy/procedure development, provider ... Summary** Responsible for serving as the primary liaison between administration and medical staff . Assures the ongoing development and implementation of policies… more
- Highmark Health (Boise, ID)
- …accurately complete and track assigned work. Receives guidance, technical oversight from other staff members. + Review and complete Rating and Analysis work with ... guidance and technical oversight from other staff . + Calculate rates, employs different financial arrangements, interprets pricing policy and adapts to unusual… more
- Idaho Division of Human Resources (Boise, ID)
- …agencies, tribal staff and other consulting parties as needed. + Review , recommend, author, implement procedures, policy and guidance. + Review , interpret ... in environmental resource areas. + As an independent peer reviewer, provide project document quality control, review...staff , and other consulting parties as needed. + Review , recommend, author, implement procedures, policy, and guidance. +… more
- CenterWell (Boise, ID)
- …the Primary Care Organization's providers, nurses, social workers and other staff members through training education spanning onboarding to continuing education. ... supporting complex social issues, as well as train our staff in normalizing having conversations with patients on end-of-life...the respect and confidence of their peers as a peer educator. **Main responsibilities** + Develop, plan, organize, and… more
- ASM Research, An Accenture Federal Services Company (Boise, ID)
- …secure real-time text/video chat, email, or postal mail and include non- medical counseling; financial counseling; tax assistance; spouse education and career ... support; skill building services for parenting; spouse relocation and transition; peer -to- peer support; and support for everyday issues (eg, locating… more
- Idaho Division of Human Resources (Boise, ID)
- …government staff in environmental resource areas. . As an independent peer reviewer, provide project document quality control, review for sufficiency, ... effects on environmental resources. . Coordinate with federal and state agencies, tribal staff , and consultant firms as needed. . Review , recommend, author, and… more
- Trinity Health (Boise, ID)
- …non-concordant cases; maintain accuracy and productivity rates + Perform analysis and peer review of abstracts. + Supervise abstracting duties performed by ... non-certified colleagues within the department. + Review pathology, cytology reports, diagnostic index reports and neoplasm...to Cancer Committee. + Communicate and interact with the medical and administrative staff and supports the… more
- Cardinal Health (Boise, ID)
- …them-faster.** **_Responsibilities_** The Clinical Operations Supervisor leads program staff performing actions including customer service, patient and healthcare ... Oversight and management of direct reports including but not limited to nursing staff + Oversight of daily clinical operations for patient access support contact… more
- Ada County (Boise, ID)
- …next level. We offer a competitive benefits package which includes excellent medical , dental and vision insurance; generous vacation and sick leave accrual beginning ... for Treatment Court programs; + Meets regularly with treatment providers to review programs, strategies and progress and to ensure standards are met during… more