- Highmark Health (St. Paul, MN)
- …consistent with established industry and corporate standards and are within the care manager 's professional discipline. + Function in accordance with applicable ... + Experience in a clinical setting **Preferred** + Experience in UM/CM/QA/Managed Care **LICENSES AND CERTIFICATIONS** **Required** + Current RN state licensure… more
- Sharecare (St. Paul, MN)
- …September 8th, 2025** **Salary:** **$85,000 annually, plus comprehensive benefits package** The Care Manager supports the implementation of the Value Based ... telephonic Case or Care Management with CareFirst members. The Care Manager partners with members, caregivers, providers, and the interdisciplinary… more
- CVS Health (St. Paul, MN)
- …. + Perform medical necessity reviews. **Required Qualifications** + 5+ years' experience as a Registered Nurse ( RN ) with at least 1 year of experience in ... position consists of working intensely as a telephonic case manager with patients and their care team...a hospital setting. + A Registered Nurse that holds an active, unrestricted… more
- Highmark Health (St. Paul, MN)
- …in case management including but is not limited to: developing a care plan, encouraging behavior changes, identifying and addressing barriers, helping members to ... coordinate care , and identifying various resources to assist members in...in addressing targeted populations **LICENSES AND CERTIFICATIONS** **Required** + RN license in PA or WV or DE or… more
- Baylor Scott & White Health (St. Paul, MN)
- …experience is required. + You must hold a valid Registered Nurse License ( RN ). As a health care system committed to improving the health of those we ... type and/or level **Job Summary** As the Utilization Review RN you will review patient cases for medical necessity...the healthcare team on resource use to ensure timely care plan follow-through. Your job includes staying in contact… more
- Bluestone Physician Services (St. Paul, MN)
- …with providers to identify high risk patients Qualifications : Education/Certification/Experience + Registered Nurse or Licensed Social Worker + 3-5 years of ... Bluestone Physician Services delivers great outcomes by bringing exceptional care to patients living with complex, chronic conditions and disabilities. Our unique,… more
- Public Consulting Group (St. Paul, MN)
- …independently and on a team. + Proven working experience in case management, including as a nurse , medical, mental health care manager or a related job + ... financial, regulatory, and operational challenges of today's changing health care landscape, so they can provide the best ...plans. + Current license, certification or registration as a Registered Nurse or Social Worker **Working Conditions**… more
- Sharecare (St. Paul, MN)
- …to enable individuals with disabilities to perform the essential functions. + Current Registered Nurse multi-state compact license in the state in which they ... support in an appropriate, efficient and cost-effective manner while ensuring high quality care . The Disease Management Nurse works with participating members to… more
- Minnesota State (St. Cloud, MN)
- …within the last five years. Professional Requirement * Current unencumbered licensure as a registered nurse ( RN ) with current registration in Minnesota. * ... There is no option for this position to be remote . Primary Responsibilities: + Teach a wide range of...equivalent) of verified related paid work experience as a registered nurse at the professional level. *… more
- Fairview Health Services (St. Paul, MN)
- **Job Overview** **Fairview is looking for a Manager - Revenue Integrity to join our team.** The Manager Revenue Integrity is responsible for the leadership, ... workflows within the EHR, including its various application and software's. The manager of Revenue Integrity completes metrics reporting as required and collaborates… more