- Evolent (Helena, MT)
- …Evolent for the mission. Stay for the culture. **What You'll Be Doing:** The Clinical Review Nurse is responsible for performing precertification and prior ... policies, and clinical decision-making criteria sets. The Clinical Review Nurse serves as... medical necessity and appropriateness of services using clinical review criteria. + Accurately documents all… 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 ... kidney disease. **Training and advancement:** You will enter our Clinical Leadership Program that creates and supports a culture...a tremendous asset that sets us apart. At Fresenius Medical Care, you will truly make a difference in… more
- Cabinet Peaks Medical Center (Libby, MT)
- Cabinet Peaks Medical Center is looking for a Nurse House Manager to join our Nursing Administration Team! The Nurse House Manager is responsible for the ... overall day-to-day operations of the clinical departments and patient care outcomes. The RN House...concert with hospital leadership to reach departmental goals. The Nurse House Manager will work with other patient care… more
- Intermountain Health (Billings, MT)
- …supplies, and resources. + **Evaluate:** Evaluates patient response to interventions through review of achievement of goals, clinical outcomes, patient, and ... **Job Description:** The Registered Nurse (RN) is a professional caregiver who assumes...resources. + **Evaluate:** Evaluates patient response to interventions through review of achievement of goals, clinical outcomes,… more
- Intermountain Health (Billings, MT)
- …supplies, and resources. + **Evaluate:** Evaluates patient response to interventions through review of achievement of goals, clinical outcomes, patient, and ... **Job Description:** The Registered Nurse (RN) is a professional caregiver who assumes...Qualifications** + Current license to practice as a Registered Nurse in state of practice. Valid compact licenses must… more
- Humana (Helena, MT)
- …and help us put health first** The Nurse Auditor 2 performs clinical audit/validation processes to ensure that medical record documentation and diagnosis ... independent determination of the appropriate courses of action. The Nurse Auditor 2 validates and interprets medical ...coding experience to conduct a clinical validation review of the inpatient medical record to… more
- CVS Health (Helena, MT)
- …benefit overall claim management. + Using a holistic approach, consults with clinical colleagues, supervisors, Medical Directors and/or other programs to ... in the US with virtual training.** American Health Holding, Inc (AHH) is a medical management company that is a division within Aetna/CVS Health. Founded in 1993,… more
- Cardinal Health (Helena, MT)
- …both scheduled outbound calls and inbound call queue. + Meets regularly with Clinical Supervisor and/or Senior Nurse , Individualized Care to discuss feedback ... who need them-faster.** **_What Individualized Care contributes to Cardinal Health_** Clinical Operations is responsible for providing clinical specialties… more
- Bozeman Health (Bozeman, MT)
- …healthcare team to promote continuity and quality of care. Position Summary: The Nurse Navigator collaborates with providers and/or clinical areas to coordinate ... The Nurse Navigator in the Pulmonary Nodule Program coordinates...care + Works with non-licensed staff to gather necessary medical records for review . + Works with… more
- Bozeman Health (Bozeman, MT)
- Position Summary: The Nurse Navigator collaborates with providers and/or clinical areas to coordinate service and ensure quality of care for patients. This ... nurse interdependently assesses, evaluates and implements care delivered to...care + Works with non-licensed staff to gather necessary medical records for review . + Works with… more