• Complex Case Manager…

    Highmark Health (St. Paul, MN)
    …the appropriate clinical interventions and referrals, the incumbent will manage an active case load of members in his/her panel that are enrolled in case ... management. The incumbent conducts outreach to members enrolled in case management including but is not limited to: developing...in addressing targeted populations **LICENSES AND CERTIFICATIONS** **Required** + RN license in PA or WV or DE or… more
    Highmark Health (07/15/25)
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  • Case Manager , Registered…

    CVS Health (St. Paul, MN)
    …care. + Perform medical necessity reviews. **Required Qualifications** + 5+ years' experience as a Registered Nurse ( RN ) with at least 1 year of experience ... This position consists of working intensely as a telephonic case manager with patients and their care...in a hospital setting. + A Registered Nurse that holds an active, unrestricted… more
    CVS Health (07/18/25)
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  • Care Manager , Registered…

    Sharecare (St. Paul, MN)
    …of their members to ensure successful completion of member goals, while providing Complex Case Management and/or care management support through the duration of ... within a matrix organizational design. **Qualifications:** + Current multi-state compact Registered Nurse licensure in state of residence is required,… more
    Sharecare (07/08/25)
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  • New York RN Case Manager

    Public Consulting Group (St. Paul, MN)
    …on a team. + Proven working experience in case management, including as a nurse , medical, mental health care manager or a related job + Excellent knowledge ... . PCG Health team helps our clients meet the complex financial, regulatory, and operational challenges of today's changing...plans. + Current license, certification or registration as a Registered Nurse or Social Worker **Working Conditions**… more
    Public Consulting Group (07/18/25)
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  • Dementia Case Manager , RN…

    Bluestone Physician Services (St. Paul, MN)
    …by the overall savings per Medicare beneficiary. Position Overview: As a GUIDE Model Dementia Case Manager , you will assist in delivering the 9 core elements ... with providers to identify high risk patients Qualifications : Education/Certification/Experience + Registered Nurse or Licensed Social Worker + 3-5 years of… more
    Bluestone Physician Services (07/11/25)
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  • Field Case Manager

    Sedgwick (St. Paul, MN)
    …as a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Field Case Manager **We are growing all across the US and are looking for ... experienced Workers Comp Field Case Managers! Required to have a minimum of** **1.5...knowledge and experience to assist in the management of complex medical conditions, treatment planning and recovery from illness… more
    Sedgwick (06/19/25)
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  • Utilization Review RN - Remote

    Baylor Scott & White Health (St. Paul, MN)
    …least (3) three years of professional experience is required. + You must hold a valid Registered Nurse License ( RN ). As a health care system committed to ... type and/or level **Job Summary** As the Utilization Review RN you will review patient cases for medical necessity...+ Case management certifications, such as Certified Case Manager , are beneficial but not necessary… more
    Baylor Scott & White Health (07/23/25)
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