- Kaniksu Community Health (Sandpoint, ID)
- …at KCH Kid's Club Under the direction of the KCH CEO and the Chief Medical Officer ; the KCH Supervisor provides overall leadership, supervision and coordination ... staff to their job responsibilities. + Works with the Chief Medical Officer as part of the...for keeping current with new developments in the clinical nursing arena; updating skills and knowledge necessary to be… more
- Molina Healthcare (Nampa, ID)
- …experience. + Prepares and presents cases representing Molina, along with the chief medical officer (CMO), for administrative law judge pre-hearings, state ... **Job Description** **Job Summary** The Medical Review Nurse provides support for medical claim and internal...Qualifications** **REQUIRED QUALIFICATIONS:** + At least 2 years clinical nursing experience, including at least 1 year of utilization… 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)
- …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