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Utilization Review Specialist

  2025-09-17     Providence Health & Services     Missoula,MT  
Description:

The Quality Management Reviewer assesses all hospital scheduled procedures and applies guidelines as established by the hospital and outside payer agencies to facilitate payment and appropriate use of hospital resources. The position is responsible for patient pre-certification according to departmental and interdepartmental policies and procedures while adhering to the patient focused admission process. The Quality Management Reviewer demonstrates job related skills in a safe, appropriate, effective and timely manner. Promotes a safe environment of care, to reduce risks and maintain safety in the work area by observing, reporting and responding to safety issues. Providence caregivers are not simply valued theyre invaluable. Join our team at Providence St. Patrick Hospital and thrive in our culture of patient-focused, whole-person care built on understanding, commitment, and mutual respect. Your voice matters here, because we know that to inspire and retain the best people, we must ...Specialist, Healthcare, Management, Hospital


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