- Sedgwick (Great Falls, MT)
- …as a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Physical Therapy Utilization Review Advisor **For client coverage; ... and physicians) as it pertains to the appropriate use, cadence, and duration of physical therapy services; monitors the impact of physical therapy… more
- Highmark Health (Helena, MT)
- …**Job Description :** **JOB SUMMARY** This job implements effective complimentary utilization and case management strategies for an assigned member panel. Provides ... to appropriate resources for additional support. + Implement care management review processes that are consistent with established industry, corporate, state, and… more
- Cardinal Health (Helena, MT)
- …remove barriers to care so that patients can access, afford and remain on the therapy they need for a better quality of life. Our diverse expertise in pharma, payer ... them-faster.** **_Responsibilities_** The Senior Case Manager supports patient access to therapy through patient support services in accordance with the program… more
- Prime Therapeutics (Helena, MT)
- …other utilization management (UM) programs, including quantity limits, step therapy , formulary exception and tier exception; this includes consideration of the ... Staff Pharmacist is responsible for the processing and documenting of Utilization Management requests (ie formulary exceptions, prior authorization, step therapy… more