Utilization Management Registered Nurse (Full Time)

Benefis is one of Montana’s largest and premier health systems, and we are committed to providing excellent care for all, healing body, mind, and spirit. At Benefis, we work hard to support our employees in every aspect of their careers by offering outstanding benefits and compensation, state-of-the-art facilities, and multiple growth opportunities. The only thing missing is you!

Serves as a provider consultant in the coordination of care and utilization review process to determine legitimacy of admission, treatment, and length of stay in the hospital in order to comply with governmental and commercial insurance company reimbursement policies and procedures. Leads the unit care rounds and acts as resource and guide for multi-disciplinary team with efficient and appropriate utilization of resources. Refers cases to Physician Advisor, leadership and facility Utilization Review Committee for review and course of action when case fails to meet admission standards.

Demonstrates the ability to deal with pressure to meet deadlines, to be accurate, and to handle constantly changing situations. Demonstrates the ability to deal with a variety of people, deal with stressful situations, and handle conflict.

Will perform all job duties or job tasks as assigned. Will follow and adhere to all requirements, regulations and procedures of any licensing board or agency. Must comply with all Benefis Health System’s organization policies and procedures.

• Graduate of an accredited college or university with a Bachelor’s Degree in Nursing required.
• One to two years of utilization review and/or case management experience preferred.