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You’ll want to join Billings Clinic for our outstanding quality of care, exciting environment, interesting cases from a vast geography, advanced technology and educational opportunities. We are in the top 1% of hospitals internationally for receiving Magnet® Recognition consecutively since 2006.
And you’ll want to stay at Billings Clinic for the amazing teamwork, caring atmosphere, and a culture that values kindness, safety and courage. This is an incredible place to learn and grow. Billings, Montana, is a friendly, college community in the Rocky Mountains with great schools and abundant family activities. Amazing outdoor recreation is just minutes from home. Four seasons of sunshine!
You can make a difference here.
About Us
Billings Clinic is a community-owned, not-for-profit, Physician-led health system based in Billings with more than 4,700 employees, including over 550 physicians and non-physician providers. Our integrated organization consists of a multi-specialty group practice and a 304-bed hospital. Learn more about Billings Clinic (our organization, history, mission, leadership and regional locations) and how we are recognized nationally for our exceptional quality.
Your Benefits
We provide a comprehensive and competitive benefits package to all permanent full-time employees (minimum of 24 hours/week), including Medical, Dental, Vision, 403(b) Retirement Plan with employer matching, Defined Contribution Pension Plan, Paid Time Off, employee wellness program, and much more.
Magnet: Commitment to Nursing Excellence
Billings Clinic is proud to be recognized for nursing excellence as a Magnet®-designated organization, joining only 97 other organizations worldwide that have achieved this honor four times. The re-designation process happens every four years.
Pre-Employment Requirements
All new employees must complete several pre-employment requirements prior to starting.
Utilization Review RN
CARE MANAGEMENT (Billings Clinic Main Campus)
req7327
Shift: Day, Evening, Weekends
Employment Status: Full-Time (.75 or greater)
Hours per Pay Period: 1.00 = 80 hours (Non-Exempt)
Starting Wage DOE: $29.72 - 34.93
May be eligible for $3,000 sign on incentive
May be eligible for relocation assistance
May be eligible for tuition loan reimbursement
Under the direction of department leadership, the Utilization Review/ Management RN. This position is to conduct initial, concurrent, retrospective chart review for clinical financial resource utilization. Coordinates with healthcare team for optimal/efficient patient outcomes, while decreasing length of stay (LOS) and avoid delays and denied days. They are accountable for a designated patient caseload and provides intervention, and coordination to decrease avoidable denial of reimbursement. Specific functions within this role include: Screens pre-admission, admission process using established criteria for all points of entry. Facilitates communication between payers, review agencies, healthcare team. Identify delays in treatment or inappropriate utilization and serves as a resource. Coordinates communication with physicians. Identify opportunities for expedited appeals and collaborates resolve payer issues. Ensures/Maintains effective communication with Revenue Cycle Departments.
Essential Job Functions
Minimum Qualifications
Education
Experience
Certifications and Licenses
Billings Clinic is Montana’s largest health system serving Montana, Wyoming and the western Dakotas. A not-for-profit organization led by a physician CEO, the health system is governed by a board of community members, nurses and physicians. Billings Clinic includes an integrated multi-specialty group practice, tertiary care hospital and trauma center, based in Billings, Montana. Learn more at www.billingsclinic.com/aboutus
Billings Clinic is committed to the principles of Equal Employment Opportunity. All policies and processes are designed toward achieving fair and equitable treatment of all employees and job applicants. Employees are encouraged to discuss any concerns they have in this regard with their immediate supervisor and/or the Vice President People Resources. All employees and job applicants will be provided the same treatment in all aspects of the employment relationship, regardless of race, color, creed, religion, national origin, gender, gender identity, sexual orientation, age, marital status, genetic information or disability.
Full Time
Ambulatory Healthcare Services
$73k-93k (estimate)
03/15/2024
07/10/2024
billingsclinic.com
BILLINGS, MT
3,000 - 7,500
1911
Private
NICHOLAS WOLTER MD
$500M - $1B
Ambulatory Healthcare Services
Billings Clinic is a non-profit health care organization that provides immunology, allergy, audiology, and asthma-related treatments.
The job skills required for Utilization Review RN include Managed Care, Billing, Utilization Management, Health Care, Leadership, Coordination, etc. Having related job skills and expertise will give you an advantage when applying to be an Utilization Review RN. That makes you unique and can impact how much salary you can get paid. Below are job openings related to skills required by Utilization Review RN. Select any job title you are interested in and start to search job requirements.
The following is the career advancement route for Utilization Review RN positions, which can be used as a reference in future career path planning. As an Utilization Review RN, it can be promoted into senior positions as a Clinical Outcomes Manager that are expected to handle more key tasks, people in this role will get a higher salary paid than an ordinary Utilization Review RN. You can explore the career advancement for an Utilization Review RN below and select your interested title to get hiring information.