- Humana (Boise, ID)
- …of our caring community and help us put health first** The RN , Compliance Nurse 2, Quality Assurance Auditor reviews utilization management activities ... to prevent and detect fraud, waste, and abuse. The RN , Compliance Nurse 2, Quality Assurance Auditor ensures mandatory reporting is completed. Conducts… more
- Molina Healthcare (ID)
- **_JOB TITLE: Sr. Specialist, Quality Improvement RN ( REGISTERED NURSE )_** **_For this position we prefer someone with 5 - 7 years hospital clinical ... QI compliance activities. **KNOWLEDGE/SKILLS/ABILITIES** The Senior Specialist, Quality Improvement ( Registered Nurse ) contributes to one or more of these… more
- Molina Healthcare (ID)
- …( RN may be preferred for specific roles) * Certified HEDIS Compliance Auditor (CHCA) **PHYSICAL DEMANDS:** Working environment is generally favorable and ... lighting and temperature are adequate. Work is generally performed in an office environment in which there is only minimal exposure to unpleasant and/or hazardous working conditions. Must have the ability to sit for long periods. Reasonable accommodations may… more
- R1 RCM (Boise, ID)
- …and external compliance deadlines are met. **Required Skills:** + Active Registered Nurse license + **Active AHIMA or AAPC Coding Certification** including ... AI, intelligent automation, and workflow orchestration. As our **Clinical Coding Appeals Nurse ** , you will help review and interpret medical records to draft… more