RN - Utilization Review (091026.11) PART TIME

Bitterroot Health; Hamilton (AK); On-site; USD 33,000 - 44,000; Part time

Job summary

Bitterroot Health in Hamilton, Montana is seeking a Utilization Review Coordinator RN to ensure patients receive appropriate treatment using hospital resources. You will coordinate UR activities for inpatients and observations, act as a resource to clinicians and case managers, and assist with discharge planning while attending MR/UR committee meetings.

The role requires RN licensure in MT or related UR/coding credentials and prior experience in case management or billing.

Qualifications

• RN Case Management or Coding experience preferred
• RN Licensure in MT or CCS/CCS-P/CPC/CPC-H/RHIT/RHIA credentials preferred
• Prior experience in the medical field related to Case Management, coding and/or billing preferred
• UR experience preferred

Responsibilities

• Schedule: Part-time, 16 hours/week
• Coordinate day-to-day utilization review activities for inpatients and observation patients
• Serve as a resource to clinicians for patient placement and discharge planning

Skills

UR experience

Case management

Coding knowledge

Education

RN Licensure MT

CCS/CPC/RHIT/RHIA

Job description

Are you ready to work where breathtaking mountain views meet exceptional care? At Bitterroot Health, we combine the beauty of Montana's Bitterroot Valley with our commitment to high-quality, personalized healthcare. As the largest employer in Ravalli County, Bitterroot Health is deeply woven into the fabric of the Bitterroot Valley, offering accessible care and building lasting relationships with our neighbors. Located in Montana’s scenic Bitterroot Valley between the Bitterroot and Sapphire Mountains, we offer rewarding careers paired with an exceptional outdoor lifestyle. Enjoy top-rated schools, a safe, family-friendly community, and year-round recreation including hiking, fishing, skiing, biking, and access to nearby rivers, trails, and lakes in one of Montana's most stunning regions. Our Employee Connections & Wellness Team is dedicated to supporting our staff by providing resources and activities that promote occupational, physical, emotional, social, and inclusionary well-being. We believe that your happiness is key to success, which is why we also host regular employee gatherings to foster community and connection. Grow with us! From tailored pathway training in nursing, laboratory, and surgical departments to scholarships and tuition reimbursement, we are invested in your success. Join a team recognized for excellence! See for yourself HERE! Named a 2025 top 20 in the nation Critical Access Hospital by the National Rural Health Association. Voted 'Bitterroot’s Best Employer' in 2022 and 2023, we were also honored as the #1 Employer of Choice for large companies in Montana in 2023. If you're passionate about making a difference in healthcare while enjoying the unmatched beauty of Montana, Bitterroot Health is the place for you.

Utilization Review Coordinator RN opportunity in beautiful Hamilton, Montana!!

Bitterroot Health is seeking candidates to fill a Utilization Review Coordinator RN position. The UR Coordinator ensures the patients get the right treatment from the resources that are available in the hospital. The UR Coordinator is responsible for organizing and facilitating day to day UR activities for all inpatients and observation patients. The Duties include initial contact with payers and ongoing coordination to update the clinical situation of the patient. The UR Coordinator will serve as a resource to clinicians on placement of the patient in the proper medical service. The UR Coordinator will serve as a resource to the Case Managers and Social Workers to assist with the discharge plan of the patient. They will also be available as needed to serve as a patient advocate and answer questions the patients may have. The UR Coordinator will issue ABN and code 44 forms when necessary. The UR Coordinator will be expected to attend quarterly MR/UR Committee meetings and provide ongoing recommendations and feedback for appropriate patient status as well as look for opportunities to continually educate the clinical staff.

Minimum Qualifications

• Education: RN Case Management or Coding experience preferred.
• Licensures, Certifications, Registrations: RN Licensure in the State of MT or
• Licensures, Certifications, Registrations: CCS, CCS-P, CPC, or CPC-H, RHIT, or RHIA
• Job Knowledge/Skills/Abilities: Prior experience in the medical field related to Case Management, coding and/or billing preferred
• Experience: UR experience preferred

Schedule: Part-time, 16 hours/week

For benefits overview, click here.

Bitterroot Health is a non-profit organization and is proud to be an Equal Opportunity Employer