- 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
- Evolent (Helena, MT)
- …**Qualifications Required and Preferred:** + Current, unrestricted state licensure as a Registered Nurse - **Required** + Associate or Bachelors in Nursing (Must ... Nurse , you will routinely interact with leadership and management staff, other CR's (Clinical Reviewers), providers, office staff...be a Registered Nurse ) - **Required** + You must… 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
- Evolent (Helena, MT)
- …+ Participates in continuing education initiatives. + Collaborates with Claims, Quality Management and Provider Relations Departments as requested. + ... Performs other duties as assigned. **Qualifications: Required and Preferred:** + Licensed registered nurse or LVN/LPN (current and unrestricted) + Minimum of… more
- CAI (Helena, MT)
- …standards + Perform other duties as assigned/requested **What You'll Need** Required: + Current Registered Nurse , licensed in the state of Delaware + 2+ years of ... We are looking for a Case Manager, RN to provide community-based care coordination/ management for our client's members in the state of Delaware. This position will… more
- Humana (Helena, MT)
- …+ Master of Science in Nursing with a focus on nursing education. + Licensed Registered Nurse (RN) in the state where you reside with no disciplinary action ... programs may include, but not be limited to, Care Management , Utilization Management , and/or Compliance. RN licensure...need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families,… 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