Top 21 Utilization management Jobs in Butte Mt

MDS Nurse
Continental Care and Rehabilitation —Butte, MT
- Extended hours
- Nursing
- Skilled nursing facility
- RN License
- Dental insurance
- Paid time off
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Occupational Therapist
Reliant Rehabilitation —Butte, MT
- $50 - $60 an hour
- PRN
- Skilled nursing facility
- Computer literacy
- English
- Loan repayment program
- Health insurance
Dialysis Clinical Manager Registered Nurse - RN
Fresenius Medical Care —Butte, MT
- Full-time
- Nursing
- Heavy lifting
- RN License
- Tuition reimbursement
Remote Orthopedic Physician (MD/DO) Outpatient Prior Authorizations (IC to FTE)
Virtix Health —United States
- $125 an hour
- 8 hour shift
- Remote
- Background check
- Medicine
- Doctoral degree
- Work from home
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Program Officer
State of Montana —Helena, MT
A degree in human services, business, education, or a related field may supplement relevant professional experience but is not a substitute for demonstrated…
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Associate's degree in Animal Science, Zoology, or a related biology field with 3 years of applicable experience; or an equivalent combination of education and…
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Utilization Management Specialist
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Associate's Degree required; Bachelor's Degree preferred in Healthcare Administration, Business Administration, Social Work, Public Health, or related field.
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utilization management jobs near butte mt

MDS Nurse

Continental Care and Rehabilitation -
Butte, MT

Quick Apply

Job Details

Full-time

Benefits

Dental insurance
Paid time off
Vision insurance
Opportunities for advancement
Retirement plan

Qualifications

Electronic health records (EHR) management
Care documentation
Clinical assessment documentation
Health status assessment
Productivity software
Managing patient records

Full Job Description

MDS Nurse (RN/LPN)

Join Our Team!

Continental Care is seeking a dedicated, detail-oriented MDS Nurse to join our nursing leadership team. This position plays a vital role in ensuring accurate resident assessments, regulatory compliance, quality outcomes, and comprehensive care planning. If you are an experienced Registered Nurse with a passion for long-term care, clinical documentation, and interdisciplinary collaboration, we encourage you to apply.

Position Summary

The MDS/CRC Coordinator is responsible for coordinating and managing the Resident Assessment Instrument (RAI) process in accordance with federal and state regulations. This role oversees the accurate completion of Minimum Data Set (MDS) assessments, develops and evaluates resident care plans, supports reimbursement processes, and serves as the facility's clinical resource for Medicare, Medicaid, and quality reporting requirements.

Qualifications

Required:

Current, active, unencumbered Nurse (RN/LPN) license in the state of Montana
Minimum of three (3) years of nursing experience desired
At least one (1) year of skilled nursing experience desired
Strong clinical assessment and documentation skills
Excellent communication, organizational, and time management abilities
Intermediate computer proficiency, including electronic medical records and Microsoft Office

Preferred:

Previous MDS Coordinator experience
Resident Assessment Coordinator (RAC) Certification
RAC training (or willingness to complete within six months of hire)

Key Responsibilities

Coordinate the facility's Resident Assessment Instrument (RAI) process in compliance with state and federal regulations
Complete accurate and timely MDS assessments and supporting clinical documentation
Develop, implement, and evaluate individualized resident care plans
Schedule and facilitate interdisciplinary care plan meetings
Audit medical records to ensure documentation supports MDS coding and reimbursement
Collaborate with physicians, health plans, and interdisciplinary team members to support insurance approvals and coverage requirements
Serve as the facility resource for Medicare reimbursement, PDPM, quality reporting, and regulatory compliance
Schedule Assessment Reference Dates (ARDs) for OBRA and Medicare assessments
Submit and validate MDS transmissions through the QIES ASAP system
Correct transmission errors promptly to maintain compliance
Participate in Triple Check, utilization review, QAPI, and quality improvement activities
Assist with admissions, discharges, and resident care as needed
Provide education and guidance to clinical staff regarding documentation and regulatory requirements

What We're Looking For

The ideal candidate is:

Organized and highly detail-oriented
Knowledgeable in long-term care regulations and reimbursement systems
An effective communicator and team leader
Comfortable working independently while collaborating across departments
Committed to providing exceptional resident-centered care
Passionate about quality improvement and regulatory compliance

Physical & Work Requirements

This position requires the ability to:

Move throughout the facility during the workday
Occasionally bend, kneel, lift, and assist residents as needed
Participate in emergency response procedures
Work occasional weekends, holidays, or extended hours when necessary
Maintain current health screenings and infection control requirements

Why Join Continental Care?

At Continental Care, you'll be part of a compassionate team dedicated to delivering exceptional care to our residents. We value teamwork, integrity, professional development, and a culture focused on quality outcomes.

Benefits may include:

Competitive salary
Health, dental, and vision insurance
Paid time off
Retirement plan
Continuing education opportunities
Supportive leadership team
Career advancement opportunities

Apply Today!

If you're an experienced Registered Nurse looking to make a meaningful impact in long-term care while leading quality and compliance initiatives, we'd love to hear from you.

Continental Care is an Equal Opportunity Employer. We celebrate diversity and are committed to creating an inclusive workplace for all employees. Qualified applicants will receive consideration for employment regardless of race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, veteran status, or any other protected characteristic. Reasonable accommodations are available throughout the hiring process for qualified individuals with disabilities.

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Refine Your Search

utilization management jobs in butte mt

MDS Nurse

Occupational Therapist

Dialysis Clinical Manager Registered Nurse - RN

Remote Orthopedic Physician (MD/DO) Outpatient Prior Authorizations (IC to FTE)

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I want to receive the latest job alert for utilization management in butte mt

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