- St. Peters Health (Helena, MT)
- The Utilization Management Nurse reports directly to Utilization Review RN Coordinator. The UR Nurse supports the UR RN Coordinator in ... for the organization and is responsible for ensuring complaint utilization and cost-effective care delivery. The UR Nurse...serves as a collaborative and supportive liaison and educator to providers and staff around utilization management … more
- Logan Health (Kalispell, MT)
- …Summary: Logan Health Medical Center Case Management has an opening for a Registered Nurse to join their team! This position assesses and identifies patient ... assigned area(s). What will you be doing as an RN in the Case Management department? Facilitating...seamless coordination of services for optimal patient outcomes. Inpatient Utilization Management + Manage and review… more
- Fresenius Medical Center (Butte, MT)
- …auditing activities. + Accountable for completion of the Annual Standing Order Review and Internal Classification of Disease (ICD) coding. + Manages clinic ... financials including efficient utilization of supplies or equipment and regular profits and...of supplies or equipment and regular profits and loss review . + Responsible for all required network reporting and… more
- 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 to ... Management . Serves as a resource for quality management review on policies and procedures. Responsible...level degree in Nursing may have opportunity to become registered as a nurse with a state… more
- Highmark Health (Helena, MT)
- …and Sunday required in addition to 3 weekdays** This job implements effective utilization management strategies including: review of appropriateness of ... and offers interventions and/or alternatives. **ESSENTIAL RESPONSIBILITIES** + Implement care management review processes that are consistent with established… more
- St. Peters Health (Helena, MT)
- In collaboration with the patient/family, physicians, and the interdisciplinary team, the Case Management / Utilization Review RN facilitates the patient's ... care in an efficient and cost-effective manner. The CM/UR RN is responsible for assuring and monitoring the level...community and system resources + Strong organizational and time management skills + Ability to work independently + Word,… more
- Cabinet Peaks Medical Center (Libby, MT)
- …Services, Imaging Services, Laboratory Services, Nutrition and Diabetes Education, Quality Risk Management , Utilization Review and Risk Management , ... Cabinet Peaks Medical Center is looking for a Nurse House Manager to join our Nursing Administration...utilization of personnel. Experience 5+ years' experience in management and supervisory nursing role required. Experience in Obstetrics,… more
- Billings Clinic (Columbus, MT)
- …areas for varying periods of time. * Practices within the scope of Registered Nurse licensure * Proactively participates in survey readiness, accreditation, and ... * Healthcare Provider CPR Certification required * Current Montana state license as a registered nurse required Experience * Minimum of two (2) years 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...issues, when possible, to enhance the customer experience. **Activity** Review and assess claimant subjective reports and objective medical… more
- Bozeman Health (Bozeman, MT)
- …agencies, DNV and the hospital administrative team. Provides oversight of case management , discharge planning and utilization review . Provides leadership, ... Position Summary: The System Manager of Case Management is responsible for assisting with planning, directing,...Bachelor of Science in Nursing + Current Montana Licensure ( Registered Nurse ) + Three (3) years leadership… more
- Bozeman Health (Bozeman, MT)
- …in Nursing; equivalent combination of education and experience considered + Current Montana Registered Nurse ( RN ) licensure + American Heart Association ... and transfer of patients, appropriately guiding physician understanding of admission Utilization Review InterQual criteria + Facilitate and communicate the… more
- Billings Clinic (Billings, MT)
- …and reporting information as required by department and other programs. * Provides utilization review functions as required by the department. * Identifies ... patient care plan through participation in interdisciplinary team collaboration may include RN care management , physicians, nurses and other members of the… more