- Idaho Division of Human Resources (Twin Falls, ID)
- Nurse Reviewer - MED Posting Begin Date: 2025/06/09 Posting End Date: 2025/07/07 Category: Nursing Work Type: Full Time Remote: Flexible Hybrid Location: ... Registered Nurse ? The Idaho Department of Health and Welfare is recruiting for a Nurse Reviewer (Registered Nurse , Senior RN) position in our Bureau of… more
- Evolent (Boise, ID)
- …for the mission. Stay for the culture. **What You'll Be Doing:** As a Clinical Reviewer , Nurse , you will be a key member of the utilization management team. ... learning while providing better health outcomes. **Collaboration Opportunities:** As a Clinical Reviewer , Nurse , you will routinely interact with leadership and… more
- Elevance Health (Meridian, ID)
- ** Nurse Reviewer I** This role enables...reviews that are routine having limited or no previous medical review experience requiring guidance by more ... and ensures essential face-to-face onboarding and skill development. The ** Nurse Reviewer I** is responsible for conducting...meets medical necessity criteria or requires additional medical necessity review . + Conducts initial … more
- HCA Healthcare (Idaho Falls, ID)
- …that provides satisfaction and personal growth, we encourage you to apply for our Med -Surg RN PRN opening. We review all applications. Qualified candidates will ... Do you have the PRN career opportunities as a(an) Med -Surg RN PRN you want with your current employer?...exciting opportunity for you to join Eastern Idaho Regional Medical Center which is part of the nation's leading… more
- Veterans Affairs, Veterans Health Administration (Coeur D'Alene, ID)
- …provider (LIP), a RN Nurse Care Manager (NCM), a licensed practical nurse (LPN) clinical associate (CA), and a medical support assistant (MSA). In ... assigned to Outpatient Nursing Service at the Mann-Grandstaff VA Medical Center and is located at Coeur d' Alene...patient information. Completed work should need only a general review by a registered nurse (RN) or… more
- Fresenius Medical Center (Twin Falls, ID)
- **About this role:** As a Clinical Manager with Fresenius Medical Care, you will ensure that quality patient care is delivered while maintaining clinical operations. ... a tremendous asset that sets us apart. At Fresenius Medical Care, you will truly make a difference in...+ Accountable for completion of the Annual Standing Order Review and Internal Classification of Disease (ICD) coding. +… more
- Veterans Affairs, Veterans Health Administration (Lewiston, ID)
- …and record relevant patient information. Completed work should need only a general review by a registered nurse (RN) or physician (MD/DO) for appropriateness ... Summary The primary purpose of the Licensed Practical/License Vocational Nurse (LPN/LVN) 6 is to perform assigned duties in a manner that promotes quality health… more
- Matrix Providers (Twin Falls, ID)
- …compensation exam experience is a plus but not required. Job Summary: + Review pertinent medical history documentation and provide veterans with one-time, ... Nurse Practitioner NP / Physician Assistant PA Location:...provide health care services to our Veterans at the Medical Disability Examinations (MDE) facility in Twin Falls, ID.… more
- BioLife Plasma Services (Boise, ID)
- …You will report to the Plasma Center Manager and will perform as a Medical Support Specialist (Plasma Center Nurse ) to support plasma center operations. BioLife ... of laboratory test results, and donor notification of unsuitable test results. The Medical Support Specialist (Plasma Center Nurse ) works under the guidance of… more
- BioLife Plasma Services (Nampa, ID)
- …You will report to the Plasma Center Manager and will perform as a Medical Support Specialist (Plasma Center Nurse ) to support plasma center operations. _BioLife ... of laboratory test results, and donor notification of unsuitable test results. The Medical Support Specialist (Plasma Center Nurse ) works under the guidance of… more
- R1 RCM (Boise, ID)
- …experience working as a Clinical Appeals Nurse :** + Conduct a detailed review of patient medical records and payer denial information submitted by clients ... justified for that hospital stay or service using evidence-based guidelines. + Review governmental regulations, payer protocols, and/or medical policy to… more
- Kaniksu Community Health (Sandpoint, ID)
- …Kaniksu Community Health. Under the direction of the KCH Director of Nursing, KCH Charge Nurse and Medical Staff Providers and as a member of the Kaniksu ... of their health needs. From prevention and wellness to medical , dental, and behavioral health. From pediatric to geriatrics,...KCH Kid's Club A Kaniksu Community Health, a Triage Nurse is not just responsible for providing excellent customer… more
- Chenega Corporation (Boise, ID)
- **Summary** **CHENEGA TRI-SERVICES, LLC.** Boise, ID The ** Nurse Practitioner** shall perform medical histories, physical examinations, and reviews of required ... histories on applicants for the Armed Forces + Review of required medical tests and documents...from a program accredited by the American Academy of Nurse Practitioners Certificate Program (ANPCP) or the American Nurses… more
- CVS Health (Boise, ID)
- …within time zone of residence.** American Health Holding, Inc (AHH) is a medical management company that is a division within Aetna/CVS Health. Founded in 1993, ... Management, Disease Management and Utilization Management. AHH delivers flexible medical management services that support cost-effective quality care for members.… more
- CVS Health (Boise, ID)
- …5pm within time zone of residence.** American Health Holding, Inc (AHH) is a medical management company that is a division within Aetna/CVS Health. Founded in 1993, ... Management, Disease Management and Utilization Management. AHH delivers flexible medical management services that support cost-effective quality care for members.… more
- Idaho Division of Human Resources (Salmon, ID)
- Licensed Practical Nurse , Public Health Posting Begin Date: 2025/03/26 Category: Nursing Sub Category: Public Health Work Type: Part Time Not Benefit Eligible ... Idaho Public Health is seeking a part-time Licensed Practical Nurse to work out of the Salmon, Idaho office....client forms and maintain accurate records in the Electronic Medical Record (EMR) system. + Ensure the workplace is… more
- Veterans Affairs, Veterans Health Administration (Pocatello, ID)
- Summary The Licensed Practical/Vocational Nurse (LPN/LVN) assigned to the George E. Whalen Primary Care Clinics functions as a team member under the supervision of ... the Clinic Nurse Manager. The LPN/LVN is responsible for observing, recording,...education about lab tests. Demonstrates knowledge of standard precautions, medical asepsis, and sterile technique with the ability to… more
- Trinity Health (Boise, ID)
- …shift operations, quality of care, staffing, program development and evaluations and medical staff relations. + Collaborates with Manager and QA representative to ... work of staff. + Participates in supervisory duties including hiring, salary review , competency assessments, staff development, and counseling of employees. + In… more
- Sevita (Pocatello, ID)
- …medical treatment and personal care services under the direction of a registered nurse or physician to address the medical or psychiatric needs of individuals ... day. Join us today, and experience a career well lived. **Licensed Practical Nurse ** **Pocatello, ID** **Full time** **Salary: $26/hr** Do you enjoy providing great… more
- Molina Healthcare (Caldwell, ID)
- …outcomes within compliance standards. **KNOWLEDGE/SKILLS/ABILITIES** + The Clinical Appeals Nurse (RN) performs clinical/ medical reviews of previously denied ... Experience in the specific programs supported by the plan such as Utilization Review , Medical Claims Review , Long Term Service and Support, or other specific… more