- Sharecare (Boise, ID)
- …for all Sharecare clinicians. **Essential Job** **Functions:** **Achievement of Clinical Objectives** + Reviews status of participant's preventive health exams ... impact of the health care delivery system on the clinical and financial outcomes of the member population and...+ Minimum of 3 years recent experience in a clinical setting. + Basic knowledge of physiology and chronic… more
- R1 RCM (Boise, ID)
- …to ensure internal and external compliance deadlines are met. **Required Skills:** + Active Registered Nurse license + An active CCS, RHIA, RHIT, CCA, CPC-A, ... encompassing sophisticated analytics, AI, intelligent automation, and workflow orchestration. As our ** Clinical Coding Appeals Nurse ** , you will help review and… more
- Magellan Health Services (Boise, ID)
- …and Family Therapist - Care Mgmt, PSY - Psychologist - Care Mgmt, RN - Registered Nurse , State and/or Compact State Licensure - Care Mgmt License and ... management skills and demonstrated experience. General Job Information Title Quality Clinical Reviewer ( Remote - Must live in Idaho) Grade 25 Work Experience -… more
- Veterans Affairs, Veterans Health Administration (Boise, ID)
- Summary The Community Nursing Home (CNH) Coordinator, Registered Nurse (RN) is responsible and accountable for all elements of the nursing process when providing ... State or territory The Community Nursing Home (CNH) Coordinator Registered Nurse (RN) provides patient management, care...continuity of care to patients. The CNH Coordinator performs clinical nursing review of medical records of patients who… more
- Veterans Affairs, Veterans Health Administration (Boise, ID)
- Summary The Nurse Manager (NM) functions as a clinical...level degree in Nursing may have opportunity to become registered as a nurse with a state ... McCall. Functions or Scope of Assigned Duties of a Nurse Manager (NM) include but are not limited to...with the ANA Standards of Nursing Practice. Applies advanced clinical knowledge/judgment to lead staff involvement in planning, decision-making,… more
- Lincoln Financial Group (Boise, ID)
- …as indicated **What we're looking for** * 4 Year/Bachelor's Degree in Nursing * Registered Nurse License - Current, unrestricted license in the state where the ... Carolina); Omaha, NE (Nebraska); Work from Home **Work Arrangement:** Remote : Work at home employee residing outside of...We are excited to bring on a highly motivated Nurse Disability Consultant to our clinical organization.… more
- Molina Healthcare (Nampa, ID)
- …adequate staffing and production levels are maintained + Performs monthly auditing of registered nurse and other clinical functions in Utilization Management ... our Appeals and Grievances department. We are seeking a Registered Nurse with previous Appeals and Grievances...to ensure member needs are being met. + Assesses registered nurses and other clinical staff regarding… more
- Magellan Health Services (Boise, ID)
- …Counselor - Care Mgmt, LSW - Licensed Social Worker - Care Mgmt, RN - Registered Nurse , State and/or Compact State Licensure - Care Mgmt License and ... supervision, and in collaboration with other members of the clinical team, authorizes and reviews utilization of mental health...care. General Job Information Title Care Manager (UM/UR) - Remote , Idaho Licensed Grade 24 Work Experience - Required… more
- R1 RCM (Boise, ID)
- …identify targeted areas for additional support and engagement. **Required Skills:** + Active Registered Nurse license For this US-based position, the base pay ... sophisticated analytics, AI, intelligent automation, and workflow orchestration. As our ** Clinical Appeals Supervisor** , you will help support clinicians who… more
- Highmark Health (Boise, ID)
- …+ Licensed Marriage and Family Therapist (LMFT) + Licensed Behavior Specialist + Registered Nurse . **Preferred** + None **SKILLS** + Working knowledge of ... **Company :** Highmark Inc. **Job Description :** **JOB SUMMARY** **Fully Remote - Part Time - Weekends Required.** This job implements the effective utilization… more
- Molina Healthcare (Nampa, ID)
- …Excel (edit/save spreadsheets, sort/filter) **Required License, Certification, Association** Licensed registered nurse (RN), Licensed practical nurse ... benefits, and medical records to document relevant findings of a post pay clinical review. This position manages documents and prioritizes case load to ensure timely… more
- Sharecare (Boise, ID)
- …within a matrix organizational design. **Qualifications:** + Current multi-state compact Registered Nurse licensure in state of residence is required, ... + Actively participate in team huddles and contribute to clinical learning. + Remain current on clinical ...to clinical learning. + Remain current on clinical knowledge via self-directed learning. **Specific Skills/ Attributes:** +… more
- Highmark Health (Boise, ID)
- …+ Bachelor's degree in Nursing **LICENSES or CERTIFICATIONS** **Required** + Registered Nurse **Preferred** + Certified Case Manager (CCM) **Language ... Group **Job Description :** **JOB SUMMARY** This job is responsible for analyzing clinical data to assess potential stop loss and managed care claim liability,… more
- Veterans Affairs, Veterans Health Administration (Caldwell, ID)
- …Assistants and 3 Nurse Practitioners. Each provider works with a Registered Nurse , Licensed Practical Nurse /Medical Assistant, and receptionist to ... needed in an 8 hour day. Panel management is supported by a team clinical pharmacist and by integrated behavioral health professionals. The Caldwell CBOC also has… more
- WelbeHealth (Boise, ID)
- …families **Job Requirements:** + Graduate of an Accredited School of Nursing: unencumbered Registered Nurse (RN) License or LVN License with which you practice ... **100% REMOTE OPPORTUNITY** The WelbeHealth PACE program helps seniors...WelbeHealth locations **Benefits of Working at WelbeHealth** Apply your clinical expertise in new ways as we rapidly expand.… more