- 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
- Mayo Clinic (Rochester, MN)
- …workers, physicians and multi-disciplinary teams. Major Functions of the RN Case Manager include: Utilization Review , including concurrent admission status ... to work well within a creative and challenging work environment. Experience in utilization review , ability to navigate medical records, value based purchasing… 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
- 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
- Insight Global (Eden Prairie, MN)
- …Optum, DCH, NorthStar, Prime, and CMO 6. Lead workgroups to modify current Drug Utilization Review Board process, new drug process and other related processes to ... An employer is looking for a highly-skilled Unified Preferred Drug List (PDL) Project Manager to join one of our largest national healthcare clients for a hybrid… 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
- 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
- CBRE (St. Paul, MN)
- Global Procurement Sr Manager Job ID 249034 Posted 24-Nov-2025 Service line GWS Segment Role type Full-time Areas of Interest Purchasing/Procurement Location(s) ... industry. **About the Role:** As a CBRE Procurement Sr. Manager , you'll be responsible for managing a large team...strategy at local, regional, and global levels. + Draft, review , negotiate, and maintain contracts and other business documents… more
- CVS Health (St. Paul, MN)
- …with transferring patients to lower levels of care. + 1+ years' experience in Utilization Review . + CCM and/or other URAC recognized accreditation preferred. + ... AHH is URAC accredited in Case Management, Disease Management and Utilization Management. AHH delivers flexible medical management services that support… more