- Humana (Boise, ID)
- …UM Timeliness Monitoring and Reporting + Working knowledge using Power BI + Registered Nurse or Behavioral Health Licensed Professional. + Managed care, Medicaid ... + Minimum 3 years of experience in NCQA Health Plan Accreditation and/or Utilization Management + Experience compiling NCQA File Review Universes and timeliness… more
- Marriott (Boise, ID)
- …workers' compensation losses. The NCM is responsible for conducting first level Utilization Review and coordinates subsequent levels, if necessary, as required ... that may include multiple states. + Conducts first level utilization review per jurisdictional requirements. + Coordinates...informed **Education or Certification** + Must be a licensed registered nurse + Certification as an occupational… more