- Idaho Home Health & Hospice (Meridian, ID)
- …to State and federal regulations. Also provides required supervisory visits. 2. Documentation and Care Delivery Provides high quality clinical services within the ... nursing evaluation visit, ensures patients meet home health eligibility and medical necessity guidelines as defined by payer source, accurately determines primary… more
- 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
- Intermountain Health (Boise, ID)
- … necessity. In addition, Physician shall work closely with the Medical Director (Executive/Community/Rural), Nursing Administrator, Case Management Director ... shall engage, educate, and coach physicians and other clinicians in appropriate documentation of medical necessity for hospital admissions and other diagnostic… 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
- 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
- Marriott (Boise, ID)
- …information assurance (IA) program of an information system. + Develop technical documentation , including standards and standard operating procedures + Report on key ... to other organizational units' policies and procedures, and efficient control and utilization of resources. **Leading Team** + Creates a team environment that… more
- Evolent Health (Boise, ID)
- …per inter-rater reliability process. + May assist the Senior Medical Director in research activities/questions related to the Utilization Management process, ... National Committee for Quality Assurance (NCQA) guidelines. + Ensures documentation of all communications with medical office...support. + On a requested basis, may function as Medical Director for selecting health plans or… more
- Prime Therapeutics (Boise, ID)
- …utilization management decisions. + On a requested basis, may function as Medical Director for select health plans or regions, assuming overall accountability ... GI- REMOTE **Job Description Summary** Key member of the utilization management team, and provides timely medical ...as well as URAC and NCQA guidelines. + Ensures documentation of all communications with medical office… more
- Evolent Health (Boise, ID)
- …timely and accurate manner. + May assist the Senior Medical Director in research activities/questions related to the Utilization Management process, ... Reviewer you will be a key member of the utilization management team. We can offer you a meaningful...as a resource to Initial Clinical Reviewers. + Ensures documentation of all communications with medical office… 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
- American Express Global Business Travel (Boise, ID)
- …savings and spend expectations. + Provide supplier with all appropriate documentation at sale notification including itinerary, supplier contracts, etc. + Create ... records in the designated meeting management system, and complete all internal documentation for the program prior to turnover. + Conduct additional negotiations… more
- Marriott (Boise, ID)
- …Y **Relocation?** N **Position Type** Management **POSITION SUMMARY** Reporting to Director FBP Loyalty, the Manager will contribute to the financial support ... other respective accounts on the program's balance sheet with the supporting documentation , properly present in adherence to the company policy. Managing Work,… more
