• Utilization Management Nurse

    Adecco US, Inc. (Minneapolis, MN)
    …**Pay** : $40.00 - $43.25 per hour based on experience **Responsibilities of the Utilization Management Nurse ** : . Responsible for reviewing proposed ... Nurses** ! This role is work from home and remote but we are requiring Nurses to live in...Generally work is self-directed and not prescribed. . The Utilization Management Nurse works under… more
    Adecco US, Inc. (07/15/25)
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  • Utilization Management Nurse

    CVS Health (St. Paul, MN)
    …clinical skills to coordinate, document and communicate all aspects of the utilization /benefit management program. Applies critical thinking and knowledge in ... and every day. **Position Summary** This is a fully remote role open to candidates with an active RN...to coordinate, document and communicate all aspects of the utilization /benefit management program. + Applies critical thinking… more
    CVS Health (07/23/25)
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  • Disease Management Nurse

    Sharecare (St. Paul, MN)
    …appropriate resource utilization and desired clinical outcomes. The Disease Management Nurse is also responsible during their interactions with participants ... for everyone. To learn more, visit www.sharecare.com . **Job Summary:** The Disease Management Nurse has the responsibility for supporting the goals and… more
    Sharecare (07/12/25)
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  • RN - Senior Clinical Documentation Specialist…

    Sanford Health (Bemidji, MN)
    …minimum of five years of clinical practice. Knowledge and experience in case management , utilization management and/or Coding highly preferred. Currently ... Full time **Weekly Hours:** 40.00 **Salary Range:** $31 - $49.50 **Department Details** Remote Work Flexibility: Enjoy the option to work remotely, offering a better… more
    Sanford Health (07/22/25)
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  • Infusion Referral Nurse - REMOTE

    Prime Therapeutics (St. Paul, MN)
    …and drives every decision we make. **Job Posting Title** Infusion Referral Nurse - REMOTE **Job Description** Under supervision, is responsible for performing ... Nursing + Bachelors - Nursing + RN - Registered Nurse , State and/or Compact State Licensure - Care Mgmt...experience. + Experience in managed care, specialty drugs, care management and utilization review. + Meets Credentialing… more
    Prime Therapeutics (07/24/25)
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  • Case Manager Registered Nurse - Specialty…

    CVS Health (St. Paul, MN)
    …Founded in 1993, AHH is URAC accredited in Case Management , Disease Management and Utilization Management . AHH delivers flexible medical management ... each and every day. **Position Summary** **This is a remote work from home role anywhere in the US...Pharmacy or Oncology.** **Preferred Qualifications** + 1+ years' Case Management experience or discharge planning, nurse navigator… more
    CVS Health (07/25/25)
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  • Dementia Case Manager, RN or LSW

    Bluestone Physician Services (Minneapolis, MN)
    …with primary care teams to ensure high quality team-based care + Use utilization management tools to facilitate appropriate transitional care management ... position allows for great work-life balance, with approximately 20% remote and 80% of the time allowing you to...Nurse + 3-5 years of experience in case/care management or care coordination + Experience working directly with… more
    Bluestone Physician Services (07/11/25)
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  • Care Coordinator, RN

    Bluestone Physician Services (Virginia, MN)
    …medical care teams to ensure health care quality measures are met and use utilization management tools to meet value-based goals + Supporting members during ... ~70% travel throughout St. Louis Coutny, Virginia, Chisholm, Biwabik areas, ~30% remote work from home. Salary Range: $65,000 - $75,000 Responsibilities : As… more
    Bluestone Physician Services (07/25/25)
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