- Humana (Boise, ID)
- … care management. The clinical scenarios predominantly arise from inpatient or post - acute care environments. Has discussions with external physicians by ... is dedicated full time to the Indiana Pathways program to assist the Utilization Management, Care Management, and Quality departments' staff to understand the… more
- Sharecare, Inc. (Boise, ID)
- …goals and objectives of the care enhancement program by providing telephonic care and resource utilization for members in an appropriate, efficient, and ... the lens of their personal health and making high-quality care more accessible and affordable for everyone. To learn...in the orientation and to take the pre and post -test to review competency during orientation. Yearly competency test… more
- Humana (Boise, ID)
- … care management. The clinical scenarios predominantly arise from inpatient or post - acute care environments. Has discussions with external physicians by ... management, case management, discharge planning and/or home health or post acute services such as inpatient rehabilitation....region or line of business. The Medical Director conducts Utilization Management of the care received by… more
- Trinity Health (Nampa, ID)
- …case management/ utilization review and discharge planning collaboratively determining level of care needs beyond acute care , providing decision support ... record review using established medical necessity criteria to determine correct level of care for acute patients. Assists physicians with completing transfer and… more
- Humana (Boise, ID)
- … management, case management, discharge planning and/or home health or post acute services such as inpatient rehabilitation. **Preferred Qualifications:** ... Qualifications:** + MD or DO degree + 5+ years of direct clinical patient care experience post residency or fellowship, which preferably includes some experience… more
- Humana (Boise, ID)
- … management, case management, discharge planning and/or home health or post acute services such as inpatient rehabilitation. **Preferred Qualifications** ... DO degree + 5+ years of direct clinical patient care experience post residency or fellowship, which...region or line of business. The Medical Director conducts Utilization Management of the care received by… more
- Molina Healthcare (Twin Falls, ID)
- …exams for risk adjustment and other regulatory assessments + Address both chronic and acute primary care complaints, and able to ascertain medical urgency + ... program available to Nurse Practitioners* **JOB DESCRIPTION** **Job Summary** The Care Connections Nurse Practitioners focus on screening and preventive primary … more