Utilization Nurse Reviewer - Remote

Overview

This position is responsible for completing the day-to-day activities of the Deloitte Total Quality Management Contractor (TQMC) utilization review (UR) contract. This position performs quality assurance, standard of care, and clinical reviews to evaluate medical necessity for services under the contract. This position works closely with, the lead reviewer, peer reviewers, the UR supervisor, and our contractor to ensure services are delivered per contract requirements and our customers are delighted.

In Short

• 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.

Requirements

• Excellent written and verbal communication skills.
• Strong organizational skills and attention to detail.
• Bachelor's degree in a related field.
• Current licensure in the State of Montana.
• Minimum of 4 years' experience in acute care, nursing home, and/or utilization review, quality review preferred.

Benefits

• 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!