- Veterans Affairs, Veterans Health Administration (Fort Harrison, MT)
- Summary The Registered Nurse Quality Management (QM) Quality Nurse Specialist (QNS) demonstrates leadership, experience, and creative approaches ... Department in providing program oversight, coordination, and leadership in quality management processes throughout Montana VA Healthcare...level degree in Nursing may have opportunity to become registered as a nurse with a state… more
- Intermountain Health (Helena, MT)
- …addresses barriers, and promotes optimal allocation of resources while balancing clinical quality and cost management . **Position Details:** + Full Time, Monday ... Two years of hospital floor clinical nursing experience and/or Nurse Care Management experience. + Able to...per CMS Condition of Participation (COP) or National Clinical Quality Association (NCQA) standards. Ensures a plan of care… more
- St. Peters Health (Helena, MT)
- …move the patient through life transitions. Understands the principles of case management to ensure effective coordination of care and utilization of community ... families and the community emphasizing a teamwork environment. Ability to implement quality care standards for patients served. Coordinates provision of patient care… more
- Billings Clinic (Townsend, MT)
- …functions. Maintains and displays an appropriate degree of clinical expertise as a Registered Nurse . * Utilizes performance improvement principles to assess and ... You'll want to join Billings Clinic for our outstanding quality of care, exciting environment, interesting cases from a...Graduate of an accredited school of nursing as a Registered Nurse + 4 Year / Bachelors… more
- Sharecare (Helena, MT)
- …within a matrix organizational design. **Qualifications:** + Current multi-state compact Registered Nurse licensure in state of residence is required, ... program in an appropriate and efficient manner by providing high- quality telephonic Case or Care Management with...by providing high- quality telephonic Case or Care Management with CareFirst members. The Care Manager partners with… more
- Sharecare (Helena, MT)
- …of Sharecare with leadership practices. **Qualifications:** + Current licensure as a Registered Nurse is required; Compact state preferred. + Bachelor's degree ... through the lens of their personal health and making high- quality care more accessible and affordable for everyone. To...the objectives and goals of the Value Based Care Management Program. The responsibilities of this role include directly… more
- Highmark Health (Helena, MT)
- …+ Bachelor's degree in Nursing **LICENSES or CERTIFICATIONS** **Required** + Registered Nurse **Preferred** + Certified Case Manager (CCM) **Language ... data to assess potential stop loss and managed care claim liability, utilizing Case Management oversight techniques to ensure front line case management and cost… more
- Humana (Helena, MT)
- …skills to make an impact** **Required Qualifications** + Associate degree + Active Registered Nurse , (RN), License in your state of residence without ... following areas: benchmarking, business process analysis and re-engineering, change management and measurement, and/or process-driven systems requirements. Begins to… more
- Humana (Helena, MT)
- …business areas. **Preferred Qualifications** + Experience in managing a team. + Registered Nurse or Behavioral Health professional. + Managed care, Medicaid ... Responds to requests for proposals related to accreditation requirements. + Conducts quality reviews of all accreditation survey evidence created by direct reports… more
- CVS Health (Helena, MT)
- …external partners. Ability to travel for business needs. **Preferred Qualifications:** Registered Nurse (RN) Previous leadership experience. AAPC Coding ... with regulatory requirements. The Manager develops strategies to manage workload, quality of reviews and process improvements. **Responsibilities:** Lead and mentor… more