RN - Case Manager

RN- Case Manager w/ Utilization Review Experience!

City/State: Bozeman, Montana

Shift: Day Shift. 7:30am - 4:30pm, Weekend Rotations, 8 Hour Flex, 7:00am - 3:00pm, 8:00am - 5:00pm

Contract Length: 13 weeks

Start Date: 07/08/2026

Job Description:

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.

Responsibilities:

• Completes comprehensive assessments of members per regulated timelines and determines who may qualify for case management based on clinical judgment, changes in members' 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 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.

Requirements:

• Montana Licensure (Registered Nurse)
• American Heart Association BLS
• Minimum of 2 years of nursing experience
• Must have utilization review experience
• Preferred Bachelor's Degree in Nursing
• 2 years of acute care hospital experience as a case manager