- Molina Healthcare (Meridian, 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
- CVS Health (Boise, ID)
- …Perform medical necessity reviews. **Required Qualifications** + 5+ years' experience as a Registered Nurse with at least 1 year of experience in a hospital ... virtual training.** American Health Holding, Inc (AHH) is a medical management company that is a division within Aetna/CVS...setting. + A Registered Nurse that holds an active, unrestricted… 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
- 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
- Molina Healthcare (Meridian, 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 (Meridian, 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 (Meridian, 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 (Meridian, 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...requests within required timelines. * Refers appropriate cases to medical directors (MDs) and presents them in a consistent… more
- Molina Healthcare (Meridian, 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 (Meridian, 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 (Meridian, 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
- Humana (Boise, ID)
- …an impact** **Use your skills to make an impact** **Required Qualifications** + **Licensed Registered Nurse ( RN )** in the (appropriate state) with no ... caring community and help us put health first** The Utilization Management Nurse 2 utilizes clinical nursing skills to support the coordination, documentation and… more
- Evolent (Boise, ID)
- …+ Performs other duties as assigned. **The Experience You'll Need (Required):** + Registered Nurse or Licensed Practical/Vocational Nurse with a current, ... for performing precertification and prior approvals. Tasks are performed within the RN /LVN/LPN scope of practice, under Medical Director direction, using… more
- Trinity Health (Boise, ID)
- …and support. + **Deliver Patient Care** : Actively perform the essential functions of a Registered Nurse within the assigned unit and assist with patient care as ... Forbes as one of **America's Best Large Employers for 2025** , is looking for a ** Nurse Unit Supervisor** to join our team at our Level II Trauma Center in **Boise,… more
- Humana (Boise, ID)
- …alternate time zone virtually. **Use your skills to make an impact** **Required Qualifications** + Registered Nurse ( RN ) with 3 years or more of NICU level ... us put health first** The NICU Care Manager, Telephonic Nurse 2, in a telephonic environment, assesses and evaluates...other health care givers in reviewing actual and proposed medical care and services against established CMS Coverage Guidelines… more
- IQVIA (Boise, ID)
- Our **MedTech Registered Nurse Liaison** experiences a unique opportunity and leverage your clinical expertise in a dynamic role that goes beyond bedside care. ... with healthcare professionals and advocate for the well-being of patients through medical device technology. You will be responsible for assisting the service team… more
- Trinity Health (Boise, ID)
- …department staff on job performance. + Consistently performs the essential functions of a Registered Nurse in the assigned patient care unit and assists the ... KNOWLEDGE, EDUCATION AND EXPERIENCE:** + Colleague must have an RN license, as defined by their primary work state...quality of care, staffing, program development and evaluations and medical staff relations. + Collaborates with Manager and QA… more
- HCA Healthcare (Caldwell, ID)
- …our multi-generational nursing family. We partner with our Nurses at West Valley Medical Center! **Job Summary and Qualifications** The RN Occupational Health is ... Heart Association Basic Life Support + Certified Occupational Health Nurse (COHN) preferred **Benefits** West Valley Medical ...career path, we encourage you to apply for our RN Employee Health opening. We review all… more
- St. Luke's Health System (Boise, ID)
- …is truly a great place to work. **What to Expect:** The Clinical Research Nurse will support the Cardiology Research Department in both the Boise and Meridian ... failure, arrhythmia, ACS/MI/CAD, and dyslipidemia studies. The Clinical Research Nurse is responsible for identifying eligible patients for research, conducting… more