• Utilization Review Author

    R1 RCM (Boise, ID)
    …encompassing sophisticated analytics, AI, intelligent automation, and workflow orchestration. As our ** Utilization Review Nurse ** , you will help our ... have experience in a clinical inpatient environment and hospital-based utilization or case management experience. Proficiency in...position. **Here's what you will experience working as a Utilization Review Nurse :** + Perform… more
    R1 RCM (08/24/24)
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  • Consultant, Nurse Disability

    Lincoln Financial Group (Boise, ID)
    …Experience and/or proficiency with Disability Management (STD/LTD) knowledge, Workers Compensation, Utilization Review and/or nurse case management ... Role at a Glance** We are excited to bring on a highly motivated Nurse Disability Consultant to our clinical organization. This position will be responsible for… more
    Lincoln Financial Group (08/24/24)
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  • Compliance Professional 2

    Humana (Boise, ID)
    …and ad hoc reports in Access and/or SQL + Graduate degree + Utilization Management Review Experience + Registered Nurse (RN) Credentials + Home Health, ... Durable Medical Equipment, and/or Skilled Nursing Facility Experience **Additional Information** **Scheduled Weekly Hours** 40 **Pay Range** The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week)… more
    Humana (08/13/24)
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  • Care Manager Behavioral Health (Remote)

    Highmark Health (Boise, ID)
    …Inc. **Job Description :** **JOB SUMMARY** This job implements the effective utilization management strategies including: review of appropriateness of ... and offers interventions and/or alternatives. **ESSENTIAL RESPONSIBILITIES:** + Implement care management review processes that are consistent with established… more
    Highmark Health (09/10/24)
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  • PRN Wound Care RN

    HCA Healthcare (Idaho Falls, ID)
    …knowledge and expertise! **Job Summary and Qualifications** As a Wound Care Registered Nurse (RN) you will have the opportunity to use your nursing care experience ... pre or post operatively or ongoing. + You will ensure appropriate resource management and develop a safe and appropriate discharge plan in collaboration with the… more
    HCA Healthcare (07/15/24)
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