- Cognizant (Helena, MT)
- …you need to have to be considered** . Educational background - Registered Nurse (RN) . 2-3 years combined clinical and/or utilization management ... Eastern Time **Location:** Remote **About the role** As a Registered Nurse you will make an impact...care revenue cycle or clinic operations . Experience in utilization management to include Clinical Appeals and… more
- 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 ... independent determination of the appropriate courses of action. The Utilization Management Nurse 2 uses clinical...skills to make an impact** **Required Qualifications** + Licensed Registered Nurse (RN) in the (appropriate state)… more
- 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 ... 7pm EST approximately 3-4 Thursday and Friday's annually. The Utilization Management Nurse 2 uses clinical...Qualifications** + Minimum of an Associate's degree + Licensed Registered Nurse (RN) with no disciplinary action… more
- CVS Health (Helena, MT)
- …good standing Arizona clinical and/or counseling license, specifically RN ( Registered Nurse ), LPC (Licensed Professional Counselor), LAC (Licensed Associate ... skills to coordinate, document, and communicate all aspects of the utilization /benefit management program. + Conduct clinical reviews for adult inpatient… more
- Fresenius Medical Center (Butte, MT)
- **About this role:** As a Clinical Manager with Fresenius Medical Care, you will ensure that quality patient care is delivered while maintaining clinical ... or chronic kidney disease. **Training and advancement:** You will enter our Clinical Leadership Program that creates and supports a culture of continuous learning… more
- CVS Health (Helena, MT)
- …+ Perform medical necessity reviews. **Required Qualifications** + 5+ years' experience as a Registered Nurse with at least 1 year of experience in a hospital ... is URAC accredited in Case Management, Disease Management and Utilization Management. AHH delivers flexible medical management services that...setting. + A Registered Nurse that holds an active, unrestricted… more
- 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 ... independent determination of the appropriate courses of action. The Utilization Management Nurse 2 uses clinical...skills to make an impact** **Required Qualifications** + **Licensed Registered Nurse (RN)** in the (appropriate state)… more
- Sharecare (Helena, MT)
- …to drive cost effective and appropriate resource utilization and desired clinical outcomes. The Disease Management Nurse is also responsible during their ... to enable individuals with disabilities to perform the essential functions. + Current Registered Nurse multi-state compact license in the state in which they… more
- Billings Clinic (Bozeman, MT)
- … Clinical Practice. Certifications and Licenses + Current Montana license as a Registered Nurse at hire + Montana Sonography Licensure, preferred + BLS ... prior to starting. Click here (https://billingsclinic.csod.com/ats/careersite/search.aspx?site=15&c=billingsclinic) to learn more! Nurse Navigator (0.75 FTE) - REI/Fertility - Bozeman REI/FERTILITY… more
- Veterans Affairs, Veterans Health Administration (Billings, MT)
- …patient information. Completed work should need only a general review by a registered nurse or physician for appropriateness and conformity with established ... Summary The primary purpose of the Licensed Practical/License Vocational Nurse (LPN/LVN) is to perform assigned duties in a...advance nursing practice. Completes focused data collection using all clinical reminders as outlined in the clinical … more
- Billings Clinic (Billings, MT)
- …/ Bachelors Degree (BSN) Certifications and Licenses * Current Montana state license as Registered Nurse at hire Or an equivalent combination of education and ... (https://billingsclinic.csod.com/ats/careersite/search.aspx?site=15&c=billingsclinic) to learn more! Cardiovascular & Thoracic Surgery RN Clinical Coordinator CARDIAC SURGERY (BILLINGS CLINIC CLINIC) req10619 Shift:… more
- Intermountain Health (Butte, MT)
- …Service + Patient Education + Communication + Prioritization **Minimum Qualifications** + Current Registered Nurse (RN) license in state of practice. + Bachelor ... word processing and Excel software. **Physical Requirements:** **Minimum Qualifications** + Current Registered Nurse (RN) license in state of practice. +… more
- Billings Clinic (Billings, MT)
- …* 1 Experience working in Billings Clinic, preferred. License and Certification * Current Registered Nurse license in the state of Montana, at hire Billings ... multidisciplinary in facilitating patient care. Strives to enhance the quality of clinical outcomes and patient satisfaction while managing the cost of care.… more
- Datavant (Helena, MT)
- …clinical knowledge and expertise successfully. Ideal candidate should be a Licensed Practical Nurse or Registered Nurse well versed in DRG downgrade ... of the Denial Prevention Specialist is to effectively defend utilization of available health services, review of admissions for...by management Ideal candidate should be a Licensed Practical Nurse or Registered Nurse well… more
- Highmark Health (Helena, MT)
- …years of experience in Managed Care **LICENSES or CERTIFICATIONS** **Required** + Registered Nurse **Preferred** + Certified Medical Coder or related **SKILLS** ... itemized bills, and claims data to assure appropriate level of payment and resource utilization . It is also used to identify issues which can be used for education… more
- Billings Clinic (Billings, MT)
- …and measurements for planning and calculations * Understands the function and utilization of therapy treatment equipment. Is familiar with all equipment in their ... of any complications and relays information to physician or radiation oncology nurse . * Maintains knowledge of billing/patient charges and generates daily charges on… more
- Bozeman Health (Bozeman, MT)
- …Minimum Qualifications: + Bachelor of Science in Nursing + Current Montana Licensure ( Registered Nurse ) + Three (3) years leadership experience in high volume ... team. Provides oversight of case management, discharge planning and utilization review. Provides leadership, direction, supervision, oversight and guidance to… more
- Bozeman Health (Bozeman, MT)
- …Nursing; equivalent combination of education and experience considered + Current Montana Registered Nurse (RN) licensure + American Heart Association Basic Life ... and transfer of patients, appropriately guiding physician understanding of admission Utilization Review InterQual criteria + Facilitate and communicate the need for… more