- Minnesota Visiting Nurse Agency (Minneapolis, MN)
- *_SUMMARY:_* We are currently seeking a* Utilization Review Manager * to join ourTransitional Care Team.This is a full-time role and will be required to work ... Manager ) required or completed within three years of hire **Title:** * Manager - Utilization Review * **Location:** *MN-Minneapolis-Downtown Campus*… more
- CenterWell (St. Paul, MN)
- …actual and proposed medical care and services against established CMS Coverage Guidelines/NCQA review criteria and who is interested in being part of a team that ... RN experience; + Prior clinical experience, managed care experience, **OR** utilization management experience + Demonstrates Emotional Maturity + Ability to work… more
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …difference, join us. The Impact You Will Have This job implements effective utilization management strategies including: review of appropriateness of pre and ... characteristic. Blue Cross and Blue Shield of Minnesota Position Title: Care Manager PreService & Retrospective - Autism Location: Remote Career Area: Health… more
- CenterWell (Brooklyn Park, MN)
- …review of clinical documentation in addition to feedback and recommendations by Utilization Review staff. Upon completion of the assessment, creates and ... delivery, and documentation requirements. + Responsible for the QA/PI activities. Works with Utilization Review staff relative to data tracking for performance … more
- AZCO (Minneapolis, MN)
- **Description** The Construction Project Manager supports the Project Manager or Program Manager to oversee day-to-day operations from pre-construction ... through project completion and warranty periods. The Construction Project Manager is responsible for managing the construction project safety, quality, schedule,… more
- Republic Services (Inver Grove Heights, MN)
- …and monitor all required testing, including sampling of monitoring wells; monitors utilization of cover material; review soil reports and provide information ... **POSITION SUMMARY:** Within a business unit, the Operations Manager - Landfill manages the landfill operations to...with safety, environmental and equipment maintenance policies. The Operations Manager - Landfill works closely with the General … more
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …Cross and Blue Shield of Minnesota Position Title: RN Specialist Complex Case Manager Location: Remote Career Area: Health Services About Blue Cross and Blue Shield ... and their family to avoid unnecessary hospitalizations and emergency department utilization , optimize site of care whenever possible, and ensure evidence-based… more
- Metropolitan Council (St. Paul, MN)
- Manager , Metro Move and Transit Link Print (https://www.governmentjobs.com/careers/metrocouncil/jobs/newprint/5156633) Apply Manager , Metro Move and Transit ... work would contribute to our organization and the Twin Cities region: The Manager , Metro Move and Transit Linkprovides leadership and oversight for the Council's… more
- Datavant (St. Paul, MN)
- …to realize our bold vision for healthcare. **What We're Looking For:** The Manager , Risk Adjustment Operations is responsible for the oversight and management of ... staffing plans and staff performance to ensure optimal talent management and utilization . + Effective team management and utilization to achieve coding… more
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …across the continuum of care by leveraging member partnership, pre-service clinical utilization review , case and disease management processes, skill sets and ... Blue Cross and Blue Shield of Minnesota Position Title: Care Advocacy Case Manager RN - Bilingual Spanish Location: Remote Career Area: Health Services About Blue… more
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