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Utilization Review Nurse

Mountain Pacific
Helena, MT Full Time
POSTED ON 1/24/2025
AVAILABLE BEFORE 2/13/2025

 
Mountain Pacific was established in Montana, in 1973. Mountain Pacific is a nonprofit organization that partners within our communities to provide solutions for better health. Through federal, state and commercial funding and partnerships, we bring national public health priorities to the local, state or regional level, leveraging our dynamic staff members’ wide range of expertise to advance better health and health care services.

We have an opening for a:
Utilization Review Nurse (Remote)


For the Utilization Review (UR) contract, this position performs a clinical review to evaluate the medical necessity for requested medical/surgical procedures, out of state admissions and reviews for the Severe, Disabling, Mental Illness contract. This position is also responsible for providing back-up review for durable medical equipment (DME) and provides back-up for other clinical review activities under this contract.

Why Work at Mountain Pacific?

  • Innovative Environment: Be part of a team that is at the forefront of health care innovation.
  • Professional Growth: We provide continuous learning and development opportunities to help you advance in your career.
  • Community Impact: Contribute to meaningful projects that improve health outcomes in our communities.
  • Inclusive Culture: Work in an environment where diversity, equity, and inclusion are paramount.
This position is a Full-time Remote position. The successful candidate would have excellent written and verbal communication, organizational skills, and attention to detail. An associate of science or bachelor’s degree in Registered Nursing with a current licensure in the State of Montana with a minimum of 4 years' experience in acute care, nursing home, utilization review, and/or quality review preferred or related experience. The target compensation for this position is $33.00 an hour.  The first review of candidates will be on November 19, 2024, and continually reviewed every 5 days after.

At Mountain Pacific we offer a robust benefits package!
  • 401(k) with an automatic 3% employer contribution
  • Medical, Dental, Vision, Life, Flex Spending Account, Dependent Care Flex, and Health Saving Account
  • Paid Vacation, Sick, Holiday, Short-Term Disability and Long-Term Disability Leave
  • And much more!​​​​​​​​​​​

Mountain Pacific is an equal opportunity employer. We welcome applications from all qualified individuals, regardless of age, race, color, religion, sex, national origin, marital status, disability, veteran status, sexual orientation, gender identity, or any other characteristic protected by law. We are committed to providing a safe, productive, and professional work environment that promotes the dignity and well-being of every employee.

You may apply electronically or by emailing your resume to recruiting@mpqhf.org.   Learn more about the company by visiting our website at www.mpqhf.org

Salary : $33 - $34

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Job openings at Mountain Pacific

Mountain Pacific
Hired Organization Address Helena, MT Full Time
Mountain Pacific was established in Montana, in 1973. Mountain Pacific is a nonprofit organization that partners within ...
Mountain Pacific
Hired Organization Address Helena, MT Full Time
Mountain Pacific was established in Montana, in 1973. Mountain Pacific is a nonprofit organization that partners within ...
Mountain Pacific
Hired Organization Address Helena, MT Full Time
Mountain Pacific was established in Montana, in 1973. Mountain Pacific is a nonprofit organization that partners within ...
Mountain Pacific
Hired Organization Address Helena, MT Full Time
Mountain Pacific was established in Montana, in 1973. Mountain Pacific is a nonprofit organization that partners within ...

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