Registered Nurse for Utilization Review Job at Mountain-Pacific Quality Health
Remote locations within the state of Montana will be considered.
Mountain-Pacific Quality Health, a nonprofit health care improvement organization based in
Helena, Montana, partners within our health care communities in Montana, Wyoming, Alaska,
Hawaii and the U.S. Pacific Territories of Guam, American Samoa and the Commonwealth of
the Northern Mariana Islands to provide solutions for better health.
We have an opening for a
RN Nurse Utilization Reviewer
(REMOTE, but must reside in Montana)
Responsibilities:
- Perform clinical reviews of authorization requests using appropriate criteria
- Communicate with providers to obtain information required for review completion
- Provide accurate and complete documentation with rationale used to approve request
- Participate in departmental meetings when scheduled
Skills and Qualifications:
- Registered nurse (RN) with current Montana licensure or compact state licensure
- Minimum of two (2) years of experience in acute clinical nursing preferred
- Knowledge of utilization management and prior authorization experience preferred
- Advanced verbal, written communication, organization skills, and Microsoft Word
experience
We pride ourselves in creating a healthy work-life balance for our employees, and we are
passionate about our mission to partner within communities to provide solutions for better health.
If you are looking for a flexible environment, to be part of a company recognized for excellence
and have the skills and experience to contribute to our mission, we are committed to making
your unique situation fit into our culture.
Visit our website and APPLY NOW at www.mpqhf.org
or submit your resume to dlambert@mpqhf.org.
Mountain-Pacific Quality Health is an Equal Employment Opportunity Employer.
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