Job Description

Job Description

Job Description

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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 Nurse Reviewer (Remote)

This position is responsible for the management of the day-to-day activities of the Deloitte Total Quality Management Contractor (TQMC) utilization review (UR) and quality assurance. This position also performs clinical review to evaluate the medical necessity for requested items under the contract. This position works closely with, the Chief Medical Officer, peer reviewers, provider agencies, the UR supervisor, and Mountain Pacific Leadership to ensure services are delivered per contract requirements and our customers are delighted. 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. A bachelors or associate degree in Registered Nursing with current licensure in the State of Montana with a minimum of 3 years' experience in acute care, nursing home, utilization review, and/or quality review preferred. Targeted compensation for this position is $62,400 - $74,880 a year. The first review of candidates will be on November 4, 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 

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Job Tags

Holiday work, Full time, Contract work, Temporary work, For contractors, Local area,

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