Title: Medical Reviewer, RN
Category: Healthcare
Plan: MT-Blue Cross and Blue Shield of Montana
City: Helena State: Montana
Type: Full Time
Description:
Montanans live healthier lives with a rewarding career as a Medical Reviewer, RN in our Helena office. Blue Cross and Blue Shield of Montana has a full-time opportunity for an individual who is self-motivated with the ability to focus on detail, interpret medical information and enjoys research.

As a Medical Reviewer, RN you will be responsible for review of medical claims based on contract language and Medical Policy. Supported by a team environment, the individual will provide superior service to all internal and external customers.

In return you will receive an excellent starting salary, an exceptional benefits package including medical, dental, vision, and prescription coverage, 401k with company match, retirement plan, vacation and personal time, tuition reimbursement, wellness program, and paid time off for community service activities.

If you would like to be a part of Blue Cross and Blue Shield of Montana and its commitment to Montana, please complete your application at www.bluecrossmontana.com or contact your local job service for immediate consideration. Applications will be accepted through October 6, 2008.

AN EQUAL OPPORTUNITY EMPLOYER

A Medical Reviewer, RN at Blue Cross and Blue Shield of Montana will have the following attributes and abilities:

•Having an exceptional customer focus
•Building, promoting, and maintaining internal and external partnerships
•Having outstanding verbal and written communication skills
•Having strong attention to detail, planning, and organizational skills
•Having the ability to self direct and manage work loads
•Ability to analyze medical records and interpret regulations and processes

Our ideal candidate will possess:

•Must be a licensed registered nurse with a current Montana license. Please include a copy of current nursing license
•Three years' experience in acute care nursing in the areas of medical, surgical, psychiatric, or emergency services, and/or certification review experience or comparable outpatient experience
•Must have a good working knowledge of medical procedures and practices.