Job Description
Job Title: RN Case Manager w/ Utilization Review
Location: Bozeman, MT 59715
Shift: Day 5×8-Hours; 730am -430pm, Weekend Rotations
Job Type: Contract
Duration: 13 Weeks
Start Date: 06/02/2025
Company Overview: At MedCadre, we connect exceptional healthcare professionals with world-class career opportunities while upholding the highest standards of ethics, fairness, and integrity. As a Joint Commission – accredited leader in healthcare staffing, we ensure trust and peace of mind for both our clinicians and partner facilities.
Position Summary: The Registered Nurse Non-Certified Case Manager works with physicians and multidisciplinary team members to develop a plan of care for assigned patients. Ensures patient is progressing towards desired outcomes by monitoring care through assessments and/or patient records. Identifies and resolves barriers that hinder effective patient care. Actively involved in discharge planning process.
Key Responsibilities:
- Completes comprehensive assessments of members per regulated timelines and determines who may qualify for case management based on clinical judgment, changes in member’s health or psychosocial wellness, and triggers identified in the assessment.
- Develops and implements a case management plan in collaboration with the member, caregiver, physician and/or other appropriate healthcare professionals and member’s support network to address the member needs and goals.
- Performs ongoing monitoring of the care plan to evaluate effectiveness, document interventions and goal achievement, and suggest changes accordingly.
- Maintains ongoing member case load for regular outreach and management.
- Promotes integration of services for members including behavioral health care and long term services and supports/home and community to enhance the continuity of care for members.
Required Qualifications:
- 2 years of RN experience
- Must have Utilization Review experience
- BLS Certification
- Compact or MT State RN License
Application Process:
Please apply to this job following the steps in the portal or reach out directly to [Anshul Asthana & (678) 528-0442]