- Humana (Helena, MT)
- …of the appropriate courses of action. Humana is seeking a Part C Grievance & Appeals (G&A) Nurse who will assist in preparation of cases prior to review ... caring community and help us put health first** The Utilization Management Nurse 2 utilizes clinical nursing skills to support the coordination, documentation and… more
- Evolent (Helena, MT)
- …for the mission. Stay for the culture. **What You'll Be Doing:** The Specialty Appeals Team offers candidates the opportunity to make a meaningful impact as part of ... a highly trained dedicated team focusing on appeals and post-determination requests. We maintain the principles of utilization management by adhering to Evolent and… more
- Prime Therapeutics (Helena, MT)
- …the future of pharmacy with us. **Job Posting Title** Infusion Referral Nurse Sr- REMOTE **Job Description** Under supervision, is responsible for performing ... and spreadsheets. + Supports clinical services such as the appeals program. + Participates in meetings and consults with...Qualifications** + Bachelors - Nursing + RN - Registered Nurse , State and/or Compact State Licensure - Care Mgmt… more
- Intermountain Health (Billings, MT)
- **Job Description:** The Licensed Practical Nurse (LPN) performs a variety of delegated nursing tasks and participates in patient care within their Scope of ... Billings has a one-of-a-kind lifestyle with work balance that appeals to many. Check out these videos to hear...Coordination + Nursing **Minimum Qualifications** + Current Licensed Practical Nurse (LPN) license in state of practice. + Basic… more