Average salary: $85,059 /yearly
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...Reviewing Medical Director at Conviva in Boise, Idaho, United States Job Description Become a part of our caring community and help us put health first The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve...
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...Reviewing Dentist at Guardian Life in Boise, Idaho, United States Job Description Guardian has an opportunity reporting to the Reviewing... ...our colleagues. Health Care + Choice of [high deductible/copay] medical plans with prescription drugs, including coverage for fertility...
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...Clinical Coding Reviewer at R1 RCM in Boise, Idaho, United States Job Description As our Clinical (Coding) Reviewer, you will review and interpret medical records to draft appeals of denied and underpaid claims to ensure appropriate coding of removed or revised diagnosis...
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...Clinical Pharmacist Reviewer- REMOTE at Prime Therapeutics in Boise, Idaho, United States Job Description Our work matters. We help people... ...Description Summary Facilitates efforts in the development of medical pharmacy solutions programs. Supports drug utilization review (...
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...On Site Utilization Reviewer RN at St. Luke's Health System in Boise, Idaho, United States Job Description Overview St. Luke's Health... ...team. The Utilization Reviewer - RN is responsible for evaluating medical necessity for patient hospitalization and acting as an internal...
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At St. Lukes, our dedicated team of Utilization Reviewer RN's are critical in providing exceptional, patient-centered care... ...our team feels supported in their benefits beyond the typical medical, dental, and vision offerings. We care about you and have fantastic...
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...Initial Review Pharmacy Technician at Prime Therapeutics in Boise, Idaho, United States Job Description Our work matters. We help people... ...Program Integrity Audits including outreach and review of medical records to audit authenticity of provider response during Prior...
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...Clinical Review Pharmacist at Prime Therapeutics in Boise, Idaho, United States Job Description Our work matters. We help people get the medicine they need to feel better and live well. We do not lose sight of that. It fuels our passion and drives every decision we make...
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...Utilization Review RN - Remote at Guidehouse in Boise, Idaho, United States Job Description Job Family : Clinical Appeals Nurse Travel... ...; and assisting with efficiency and quality assurance of medical necessity reviews in alignment with federal, state, plan, and accreditation...
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...Physician Clinical Reviewer-Pulmonology at Evolent Health in Boise, Idaho, United States Job Description Your Future Evolves Here Evolent... ...in Imaging cases, that do not initially meet the applicable medical necessity guidelines, as well as other imaging requests when providers...
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...IP Coding Quality Reviewer at R1 RCM in Boise, Idaho, United States Job Description Overview As our Inpatient Coding Quality Reviewer, you will be responsible for reviewing inpatient-coded cases for coding completeness and accuracy. Identify potential coding and DRG errors...
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...RN - Initial Clinical Reviewer II at Evolent Health in Boise, Idaho, United States Job Description Your Future Evolves Here Evolent partners... ...network and for other clinical staff. + Converses with medical office staff to obtain additional pertinent clinical history/information...
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...Radiation Oncology-Physician Clinical Reviewer at Evolent Health in Boise, Idaho, United States Job Description Your Future Evolves Here... ...in Imaging cases, that do not initially meet the applicable medical necessity guidelines, as well as other imaging requests when providers...
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...Physician Clinical Reviewer- (Oncology Preferred) at Evolent Health in Boise, Idaho, United States Job Description Your Future Evolves... ...Evolenteers make a difference wherever they are, whether it is at a medical center, in the office, or while working from home across 48...
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...Inpatient Coding Quality Reviewer- Hospital at Guidehouse in Boise, Idaho, United States Job Description Job Family : General Coding Travel... ...and will be responsible for accessing and reviewing the medical record documentation, coding and abstracting accuracy as defined...
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...Primary Function
An employee in this position is a Certified Building Inspector/Plans Reviewer who assists the Building Official by inspecting residential plans and structures for code compliance and performing clerical support. The work is performed under the supervision...
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...Physician Clinical Reviewer- Allergy/Immunology -REMOTE at Prime Therapeutics in Boise, Idaho, United States Job Description Our work... ...member of the utilization management team, and provides timely medical review of service requests that do not initially meet the applicable...
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...Description & Requirements
Maximus is hiring a Clinical Reviewer to support our North Dakota QRTP program. The Clinical Reviewer reviews... ...programs highly desired.
- Knowledge and understanding of medical and/or behavioral health diagnoses and prescribed medications...
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...Care Manager Behavioral Health - Utilization Review (Remote) at Highmark Health in Boise, Idaho, United States Job Description Company... ...established criteria, as well as other approved guidelines and medical policies. Promote quality and efficiency in the delivery of...
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...choose vacation times!
Your employer paid benefits include:
~ Medical, Dental, Prescription, and Vision for employee and all legal... ..., family history, social history, confidential information, review of systems, update diabetic and/or Coumadin flowsheet, and/or any...
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