- Trinity Health (Boise, ID)
- **Employment Type:** Full time **Shift:** Day Shift **Description:** ** CHIEF NURSING OFFICER ** **BOISE REGIONAL MEDICAL CENTER** **Boise** is an outdoor ... accordance with the Mission, Vision and Guiding Behaviors, the Chief Nursing Officer works collaboratively...practice and all regulatory standards as they apply to nursing practice. Responsible as the qualified Nurse … more
- Molina Healthcare (ID)
- …* Reviews medically appropriate clinical guidelines and other appropriate criteria with chief medical officer on denial decisions. * Resolves escalated ... **JOB DESCRIPTION** **Job Summary** The Clinical Appeals Nurse (RN) provides support for internal appeals clinical...* Prepares and presents cases in conjunction with the chief medical officer for administrative law judge… more
- Evolent (Boise, ID)
- …and quality improvement functions under the auspices of the office of the Chief Medical Officer . **ESSENTIAL DUTIES AND RESPONSIBILITIES** : include the ... to providers, clients, and patients as directed by the office of the Chief Medical Officer . Responsible for clinical conversations with providers and their… more
- Molina Healthcare (ID)
- …Pharmacy and Therapeutics (P&T) and other committees as directed by the chief medical officer . * Evaluates authorization requests in timely support ... of nurse reviewers, reviews cases requiring concurrent review and manages...appropriate care and services through continuum among hospitals, skilled nursing facilities and home care to ensure quality, cost-efficiency,… more
- Molina Healthcare (Caldwell, ID)
- …committees as required such as Credentialing, P&T and others as directed by the Chief Medical Officer . + Evaluates authorization requests in timely support of ... nurse reviewers; reviews cases requiring concurrent review, and manages...appropriate care and services through continuum among hospitals, skilled nursing facilities and home care to ensure quality, cost-efficiency,… more
- Molina Healthcare (Caldwell, ID)
- …Communicates with the Molina Plan Senior Leadership Team, including the Plan President, Chief Medical Officer , national Risk Adjustment teams and strategic teams ... LICENSE, CERTIFICATION, ASSOCIATION:** * Certified Professional in Health Quality (CPHQ) * Nursing License (RN may be preferred for specific roles) * Certified Risk… more
- HCA Healthcare (Caldwell, ID)
- …." Sammie Mosier, DHA, MA, BSN, NE-BC Senior Vice President and Chief Nursing Executive, HCA Healthcare West Valley Medical Center ... and units of distinction. We learn from our multi-generational nursing family. We partner with our Nurses at West...coordinate and partner with the facility Safety and Security Officer to ensure the safety and well-being of all… more
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