- St. Peters Health (Helena, MT)
- The Clinical Care Manager - Per Diem is responsible for the use of advanced nursing processes to identify high risk, acutely ill and patients with chronic ... health care resources throughout the continuum of care . The Clinical Care Manager - Per Diem facilitates the coordinated utilization of resources for… more
- Highmark Health (Helena, MT)
- …implements and evaluates nursing care for individuals or families for whom the nurse is responsible. The Registered Nurse is fully responsible for all ... Allegheny Health Network **Job Description :** **GENERAL OVERVIEW:** The Registered Nurse assesses human responses and plans,...committee meetings as required. + Cooperates with other health care team members and the Operations Manager … more
- St. Peters Health (Helena, MT)
- …as applicable. Delegates appropriate tasks as needed. Works with the Director and/or clinical coordinator/or manager to assure patient visits are being provided ... as needed. Diffuses patient/family complaints prior to involving the Director or clinical coordinator/or manager . Attends education when offered related to… more
- St. Peters Health (Helena, MT)
- …remain competent in Behavioral Health Unit, Clinical Decision Unit and either Intensive Care Unit as the second RN or Women's and Children's (Couplet Care ... implementation of the plan and evaluation. Provides direct patient care in the clinical setting under the...setting under the direction of the Unit Director and Manager , and the Charge Nurse . Performs detailed… more
- Highmark Health (Helena, MT)
- …in a clinical setting **Preferred** + Experience in UM/CM/QA/Managed Care **LICENSES AND CERTIFICATIONS** **Required** + Current RN state licensure ... established industry and corporate standards and are within the care manager 's professional discipline. + Function in...specific state licensure(s) may be required depending on where clinical care is being provided. **Preferred** +… more
- Highmark Health (Helena, MT)
- …over a specified panel of members that range in health status/severity and clinical needs. The incumbent assesses health management needs of the assigned member ... panel and utilizing data/analytics in conjunction with professional clinical judgement to identify the right clinical intervention for each member. The incumbent… more
- CVS Health (Helena, MT)
- …and external partners. Ability to travel for business needs. **Preferred Qualifications:** Registered Nurse ( RN ) Previous leadership experience. AAPC Coding ... purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our...and affordable. The Special Investigations Unit is seeking a Manager to lead our team of Certified Professional Coders… more
- St. Peters Health (Helena, MT)
- …Provides emotional support when dealing with death and dying. Communicates with physician/ nurse manager /co-workers as appropriate about changes in a patient's ... care , implementation of the plan and evaluation. The RN will provide direct and indirect patient care in the Oncology Unit setting. Provides excellent care… more
- Highmark Health (Helena, MT)
- …consistent with established industry and corporate standards and are within the care manager 's professional discipline. Effectively function in accordance with ... + Licensed Marriage and Family Therapist (LMFT) + Licensed Behavior Specialist + Registered Nurse . **Preferred** + None **SKILLS** + Working knowledge of… more
- Sharecare (Helena, MT)
- **Job Description:** **Job Summary:** The Care Manager supports the implementation of the Value Based Care Management program in an appropriate and efficient ... telephonic Case or Care Management with CareFirst members. The Care Manager partners with members, caregivers, providers, and the interdisciplinary… more
- Highmark Health (Helena, MT)
- …degree in Nursing **LICENSES or CERTIFICATIONS** **Required** + Registered Nurse **Preferred** + Certified Case Manager (CCM) **Language (Other than ... :** **JOB SUMMARY** This job is responsible for analyzing clinical data to assess potential stop loss and managed... data to assess potential stop loss and managed care claim liability, utilizing Case Management oversight techniques to… more
- Intermountain Health (Helena, MT)
- …exists within team around chart reviews and accountabilities for improvement in care site-specific trends. 7. Provides clinical subject matter expertise in ... by documentation. Conducts chart reviews based on DRGs and care site-specific trends to identify gaps in documentation and...Documentation Integrity, or Coding. OR + Degree in a clinical field (eg RN , RRT, PT, OT,… more
- St. Peters Health (Helena, MT)
- …The CHHA follows an individualized plan of care that is developed by the RN case manager . The CHHA will demonstrate an understanding of the plan of ... technique. The CHHA is under supervision of the Hospice clinical coordinator/supervisor and/or director. Ability to communicate with the...facilitate coordination of care with the Hospice RN case manager and CHHA scheduler. Attends… more