- St. Peters Health (Helena, MT)
- …with the patient/family, physicians, and the interdisciplinary team, the Case Management/ Utilization Review RN facilitates the patient's progress ... care in an efficient and cost-effective manner. The CM/UR RN is responsible for assuring and monitoring the level...transition plan within 24 hours of admission. The CM/UR RN serves as an advocate for the patient and… more
- Bozeman Health (Bozeman, MT)
- …in Nursing; equivalent combination of education and experience considered + Current Montana Registered Nurse ( RN ) licensure + American Heart Association ... transfer of patients, appropriately guiding physician understanding of admission Utilization Review InterQual criteria + Facilitate and...(32% - 4% of the time), Rarely (3% - 1 % of the time), Never (0%). The above statements… 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
- Billings Clinic (Billings, MT)
- …and coordinates care with the RN Care Manager, Social Services Care Manager, Utilization Review RN , Physician Advisor and Care Management Assistant. * ... high risk for readmission. * Interfaces effectively with the Utilization Review department to stay current on...years of professional nursing experience Certifications and Licenses *Current Registered Nurse license in the state of… more
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