- Molina Healthcare (ID)
- … and/or coding experience, or equivalent combination of relevant education and experience. + Registered Nurse ( RN ). License must be active and unrestricted ... 6 PM (Team will work on set schedule) Looking for a RN with experience with appeals, claims review , and medical coding. **Job Summary** Provides support for … more
- Idaho Division of Human Resources (Meridian, ID)
- Registered Nurse RN Manager - Idaho State Police ISP Posting Begin Date: 2025/11/07 Posting End Date: 2025/11/21 Category: Nursing Sub Category: Management ... This recruitment is being used to fill a second registered nurse manager position with Idaho State...to health care professionals related to sexual assault forensic medical examinations. The individual selected will also coordinate statewide… more
- Cognizant (Boise, ID)
- …expectations. **What you need to have to be considered** . Educational background - Registered Nurse ( RN ) . 2-3 years combined clinical and/or utilization ... Eastern Time **Location:** Remote **About the role** As a Registered Nurse you will make an impact...the medical necessity determinations to the Health Plan/ Medical Director based on the review of… more
- Intermountain Health (Burley, ID)
- **Job Description:** The Registered Nurse ( RN ) is a professional caregiver who assumes responsibility and accountability for assessing, planning, ... implementing and evaluating care of patients. The staff RN utilizes the nursing process by use of technology,...will be joining two surgeons, a PA, and a medical assistant in caring for wound patients. Duties include… more
- Surgery Care Affiliates (Boise, ID)
- …If you join our team, they will. Responsibilities We are actively hiring for an Registered Nurse ( RN ) Inpatient. + Promote the mission, vision, and values ... your health, well-being, and financial future. Our offerings include medical , dental, and vision coverage, 401k plan with company...to care. + Delegate tasks according to the state Nurse Practice Act (if applicable), state board of nursing… more
- HCA Healthcare (Idaho Falls, ID)
- …learning, clinical application, and socialization, shepherding you through the transition from student nurse to registered nurse . **Benefits** We offer a ... vary by location._** **Job Summary and Qualifications** The HCA Nurse Residency Program at Eastern Idaho Regional Medical...employment + Associate or Bachelor's degree in Nursing + Registered Nurse License or Graduate Nurse… more
- Molina Healthcare (ID)
- …health, pharmacy, etc.), or equivalent combination of relevant education and experience. * Registered Nurse ( RN ). License must be active and unrestricted ... **JOB DESCRIPTION** **Job Summary** The Clinical Appeals Nurse ( RN ) provides support for internal...specific programs supported by the plan such as utilization review , medical claims review , long-term… more
- BioLife Plasma Services (Boise, ID)
- …requirements Currently licensed or certified in the state where responsibilities will be assigned: Registered Nurse ( RN ), Nurse Practitioner (NP) or ... the Plasma Center Manager and will perform as a Medical Support Specialist (Plasma Center Nurse ) to...eligibility to donate plasma, management of donor adverse events, review of laboratory test results, and donor notification of… more
- Humana (Boise, ID)
- …concerns.** **Use your skills to make an impact** **Required Qualifications** + **Active Registered Nurse ( RN ) Multi-state/Compact State license with no ... needs at the discretion of department leadership. The Telephonic Nurse provides medical guidance, assists with access...degree in nursing (BSN) + Previous case management, utilization review , or triage experience + Previous experience in a… more
- Molina Healthcare (Idaho Falls, ID)
- For this position we are seeking a ( RN ) Registered Nurse who must hold a compact license. This is a Remote position, home office with internet connectivity ... a RN with experience with appeals, claims review , and medical coding. JOB DESCRIPTION Job...or equivalent combination of relevant education and experience. * Registered Nurse ( RN ). License must… more
- Molina Healthcare (Nampa, ID)
- For this position we are seeking a ( RN ) Registered Nurse who must be licensed for the state they reside This role will be doing Utilization review for ... authorization, managed care, or equivalent combination of relevant education and experience. * Registered Nurse ( RN ). License must be active and unrestricted… more
- Molina Healthcare (Caldwell, ID)
- …authorization, managed care, or equivalent combination of relevant education and experience. * Registered Nurse ( RN ). License must be active and unrestricted ... JOB DESCRIPTION **Job Summary** The RN Care Review Clinician provides support...care unit, or in a telemetry type setting. UM medical review experience highly preferred. Work Hours:… more
- Molina Healthcare (Caldwell, ID)
- …authorization, managed care, or equivalent combination of relevant education and experience. * Registered Nurse ( RN ). License must be active and unrestricted ... JOB DESCRIPTION **Job Summary** The Care Review Clinician ( RN ) provides support for...requests within required timelines. * Refers appropriate cases to medical directors (MDs) and presents them in a consistent… more
- Molina Healthcare (Nampa, ID)
- …for internal meetings. **JOB QUALIFICATIONS** **Required Education** Completion of an accredited Registered Nurse ( RN ). **Required Experience** 1-3 years of ... clinic experience. **Required License, Certification, Association** Active, unrestricted State Registered Nursing ( RN ) license in good standing. **Preferred… more
- Molina Healthcare (ID)
- …for internal meetings. **JOB QUALIFICATIONS** **Required Education** Completion of an accredited Registered Nurse ( RN ). **Required Experience** 1-3 years of ... clinic experience. **Required License, Certification, Association** Active, unrestricted State Registered Nursing ( RN ) license in good standing. **Preferred… more
- Molina Healthcare (Caldwell, ID)
- …authorization, managed care, or equivalent combination of relevant education and experience. * Registered Nurse ( RN ). License must be active and unrestricted ... JOB DESCRIPTION Job Summary Provides support for clinical member services review assessment processes. Responsible for verifying that services are medically… more
- Molina Healthcare (Nampa, ID)
- …authorization, managed care, or equivalent combination of relevant education and experience. * Registered Nurse ( RN ). License must be active and unrestricted ... JOB DESCRIPTION Job Summary Provides support for clinical member services review assessment processes. Responsible for verifying that services are medically… more
- Humana (Boise, ID)
- …Typical work hours are Monday-Friday, 8 hours/day, 5 days/week. **Required Qualifications** + Registered Nurse ( RN ), holding an active and unrestricted ... resources, schedules and goals. The Manager, Fraud and Waste Investigator: Nurse Audit/ Review validates and interprets medical documentation to ensure… more
- HCA Healthcare (Idaho Falls, ID)
- …Nonviolent Crisis Intervention must be obtained within 60 days of employment start date + ( RN ) Registered Nurse + (DL) Driver License + Associate Degree, or ... your knowledge and expertise! **Job Summary and Qualifications** The Registered Nurse coordinates and delivers high quality,...growth, we encourage you to apply for our Psychiatric RN PRN opening. We review all applications.… more
- HCA Healthcare (Idaho Falls, ID)
- …Cardiac Life Support must be obtained within 30 days of employment start date + ( RN ) Registered Nurse + Associate Degree, or Bachelors Degree Eastern Idaho ... to learn! **Job Summary and Qualifications** As a PACU Registered Nurse , you will play a critical...you, we encourage you to apply for our PACU RN opening. Our team will promptly review … more