- Humana (Helena, MT)
- **Become a part of our caring community and help us put health first** The Utilization Management Nurse 2 utilizes clinical nursing skills to support the ... documentation and communication of medical services and/or benefit administration determinations. The Utilization Management Nurse 2 work assignments are… more
- Veterans Affairs, Veterans Health Administration (Fort Harrison, MT)
- Summary The Tele-Emergency Care Registered Nurse is a strategic VISN network program designed to provide on-demand emergency and urgent care services to veterans ... the Fort Harrison VA Health Care System. Responsibilities The Emergency Department Registered Nurse is responsible for providing competent, evidence-based care… more
- Sharecare (Helena, MT)
- …appropriate total healthcare management and ensure cost effective, appropriate resource utilization and quality outcomes. The RN is also responsible for ... and their Primary Care Provider according to the disease management program intervention guidelines. An RN is...the disease management program intervention guidelines. An RN is supervised by an Operations Manager (OM). All… more
- Veterans Affairs, Veterans Health Administration (Fort Harrison, MT)
- Summary The Community Care Coordinator Registered Nurse ( RN ) is responsible and accountable for all elements of the nursing process when providing and/or ... the provision of care. Provide clinical coordination and case management for Veterans authorized for care in the community...level degree in Nursing may have opportunity to become registered as a nurse with a state… more
- Highmark Health (Helena, MT)
- …Sunday required in addition to 3 weekdays** This job implements effective utilization management strategies including: review of appropriateness of health care ... depending on where clinical care is being provided. **Preferred** + Certification in utilization management or a related field **SKILLS** + Working knowledge of… more
- Guardian Life (Helena, MT)
- …services. Act as a liaison between all parties required in case management to facilitate collaboration toward RTW goals. Utilization of independent ... **Position Summary** The RN Clinical Consultant serves as a clinical resource...plan and length of disability. Plan for ongoing case management through proactive partnering with treating providers to move… more
- Highmark Health (Helena, MT)
- … - Part Time - Weekends Required.** This job implements the effective utilization management strategies including: review of appropriateness of health care ... Experience in a clinical setting **Preferred** + Certification in utilization management or a related field +...and Family Therapist (LMFT) + Licensed Behavior Specialist + Registered Nurse . **Preferred** + None **SKILLS** +… more