- Sharecare (Boise, ID)
- …affordable for everyone. To learn more, visit www.sharecare.com . **Job Summary:** The Clinical Registered Nurse has the responsibility for supporting the ... efficient and cost-effective manner while ensuring high quality care. The Clinical Registered Nurse coordinates with the Primary Care Provider and… 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
- Molina Healthcare (Nampa, ID)
- …our diverse communities! Work hours: Monday - Friday 8:00am - 4:30pm EST Remote with field travel within Norfolk/ Suffolk/ Middlesex counties depending on enrollment ... timelines and determines who may qualify for case management based on clinical judgment, changes in member's health or psychosocial wellness, and triggers identified… more
- Public Consulting Group (Boise, ID)
- …sector. To learn more, visit www.publicconsultinggroup.com . PCG is currently seeking a qualified Registered Nurse to perform as a Case Manager. The Case Manager ... of case management plans. + Current license, certification or registration as a Registered Nurse or Social Worker **Working Conditions** + Office Setting… more
- Public Consulting Group (Boise, ID)
- …of case management plans. + Current license, certification or registration as a Registered Nurse or Social Worker **Working Conditions** + Office Setting **The ... patients make informed decisions by acting as their advocate regarding their clinical status and treatment options + Develops effective working relations and… more
- R1 RCM (Boise, ID)
- …appeals.Represent clients at telephonic hearings if needed. **Required Skills:** + Active Registered Nurse license For this US-based position, the base pay ... encompassing sophisticated analytics, AI, intelligent automation, and workflow orchestration. As our ** Clinical Appeals Nurse ** , you will help our hospital… 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
- CVS Health (Boise, ID)
- …**There are no holiday coverage hours.** **There is no travel.** **This is a 100% remote work from home position and candidates from any state with a compact RN ... some of the following roles (not all inclusive): -Through the use of clinical tools and information/data review, conducts an evaluation of member's needs and benefit… more
- Sedgwick (Boise, ID)
- …college or university preferred. Current Certified Rehabilitation Counselor (CRC) or Registered Nurse (RN) license required. Current license, registration and/or ... Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Remote Accommodations Clinical Specialist- Bilingual French, Hindi, Bengali or more… more
- R1 RCM (Boise, ID)
- …schedule of four ten-hour shifts Friday to Monday. **Required Skills:** + Active Registered Nurse (RN) license in your state of residence, with eligibility ... **Location:** Remote , US **Shift:** Weekend Evening schedule **Fri/Sat/Sun/Mon 2...intelligent automation, and workflow orchestration. As our **Utilization Review Nurse ** , you will help our hospital clients by… more
- Lincoln Financial (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 ... **Alternate Locations:** Work from Home **Work Arrangement:** Remote : Work at home employee **Relocation assistance:**...We are excited to bring on a highly motivated Nurse Disability Consultant to our clinical organization.… 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
- Highmark Health (Boise, ID)
- …degree in Business or Clinical field **LICENSES or CERTIFICATIONS** **Required** + Registered Nurse (RN) or Pharmacist (Pharm D) or Physician Assistant (PA) ... Description :** **JOB SUMMARY** This job serves as the sales team's clinical expert, providing high-level support and insights for strategic clients, aligning… 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
- Lincoln Financial (Boise, ID)
- …* Minimum of 5 years of disability claims experience * Current Registered Nurse license or Licensure in Clinical psychology or Social Work * 4 ... Fort Wayne, IN (Indiana); Omaha, NE (Nebraska) **Work Arrangement:** Remote : Work at home employee **Relocation assistance:** is...a Glance** We are excited to bring on a Clinical Operations Manager to our organization. As a … more
- Zurich NA (Boise, ID)
- …Degree and 7 or more years of experience in the Nursing areaAND + Registered Professional Nurse license in residential area and in operational national/local ... AVP, Utilization Review & Pharmacy. This is a fully remote position, offering the flexibility of a home-based office....Pharmacy nurses who are responsible for the review of clinical services for the determination of medical necessity and… more