- Fairview Health Services (Brooklyn Park, MN)
- …notes, etc) are received on time and available to the provider/care team. . Prior authorization is completed, if needed. . Appointments, labs, imaging are ... prioritized and sequenced appropriately. . Effectively communicates with customers (patients, caregivers, providers, care team members, outside health systems) in a professional and respectful manner. . Deliver a consistently high level of service and goes… more
- Cardinal Health (St. Paul, MN)
- …cycle management specialists simplify and optimize the practice's revenue cycle, from prior authorization through billing and collections. The **Revenue Cycle ... Management (RCM) Integrations Manager** plays a critical role in ensuring the smooth onboarding and operational integration of new oncology clinical practices into the MSO's centralized revenue cycle framework. This role is responsible for managing all phases… more
- Fairview Health Services (Maplewood, MN)
- …etc) are received on time and available to the provider/care team. + Prior authorization is completed, if needed. + Effectively communicates with customers ... in a professional and supportive manner. + Provides patients with accurate information about their scheduled appointments, procedures, or tests, and in response to any associated questions they might have. + Partners with customers to resolve questions, and… more
- Evolent (Workman, MN)
- …Managers to ensure successful adoption and engagement of Evolent's solutions (ie, prior authorization , clinical pathways) to ensure timely patient access to ... care and drive high provider satisfaction, measured by CSAT and NPS scores + Support the development and execution of innovative engagement opportunities such as regional clinical symposiums and local provider experience advisory panels + Own market level… more
- Prime Therapeutics (St. Paul, MN)
- …functions, DUR committees and responsibilities. + Supports elevated customer service and prior authorization inquiries specific to assigned accounts. + Manages ... financial aspects of account(s). + Ensures revenue goals are met, cost of care and administrative expenses managed, and EBIDTA targets achieved for the assigned account(s). + Ensures contract performance through risk management activities including such items… more
- Adecco US, Inc. (Minneapolis, MN)
- …or 5+ years nursing experience . Relevant experience in UM process activities such as prior authorization or medical claims review . Resides in Texas **Why work ... for Adecco?** * Weekly Pay * 401(k) Plan * Skills Training * Excellent medical, dental, and vision benefits **IMPORTANT:** This **Utilization Management Nurse** job is being recruited for by Adecco's Healthcare & Life Sciences division, not your local Adecco… more
- Minnesota Visiting Nurse Agency (Minneapolis, MN)
- …based on the prescription order * Triages insurance rejections and initiates prior authorization claims as needed * Uses appropriate pharmaceutical-medical ... terms, abbreviations, and symbols * Maintains a working knowledge of general chemical and physical properties of drugs * Compounding medications as per Minnesota Board of Pharmacy rules and regulations * Is responsible for safe and careful handling of… more
- Minnesota Visiting Nurse Agency (Minneapolis, MN)
- …etc. in test administration office and other appropriate locations in clinic * Complete prior authorization forms for testing and therapy * Other duties as ... assigned * Assist in maintaining standards for clinic/hospital accreditation by health management organizations, internship program accreditation by the American Psychological Association (APA), and state licensure *_QUALIFICATIONS_* /*Minimum… more
- Air National Guard Units (Duluth, MN)
- …Allowance Source Codes (ASC), and completing actions as required for Equipment Authorization Inventory Data (EAID) accounting. Utilizes AFEMS to determine and verify ... data as it relates to weapons systems and base authorization for equipment to identify valid requirements, and prepare...military membership, please contact a Air National Guard recruiter prior to applying for this position. Applicants who are… more
- Emerson (Shakopee, MN)
- …and cross-functional collaboration skills + Willing to travel up to 25% + Legal authorization to work in the US Preferred Qualifications That Set You Apart: + PMP ... CRA). + Familiarity with industrial automation or process instrumentation. + Prior experience leading programs within Emerson or similar global organizations. **Our… more