- Humana (St. Paul, MN)
- **Become a part of our caring community and help us put health first** The Manager , Utilization Management Nursing (LTSS Utilization Management ... and communication of medical services and/or benefit administration determinations. The Manager , Utilization Management Nursing works within specific… more
- Mayo Clinic (Rochester, MN)
- …nursing, social workers, physicians and multi-disciplinary teams. Major Functions of the RN Case Manager include: Utilization Review, including concurrent ... + Retirement: Competitive retirement package to secure your future. **Responsibilities** The RN Case Manager provides ongoing support to Mayo Clinic Rochester… more
- Fresenius Medical Center (Shakopee, MN)
- **About this role:** As a Clinical Manager with Fresenius Medical Care, you will ensure that quality patient care is delivered while maintaining clinical operations. ... leading your business, and advanced leadership. As a Clinical Manager , you may advance your career into an Area...Disease (ICD) coding. + Manages clinic financials including efficient utilization of supplies or equipment and regular profits and… more
- Fresenius Medical Center (Coon Rapids, MN)
- …of time, and for specific additional duties, as assigned by the Program Manager . The Inpatient Services Charge Nurse ensures appropriate provision of Acute ... next day (Excel skills needed). **PURPOSE AND SCOPE:** The Inpatient Services Charge Nurse is an additional "responsibility" assigned to the Inpatient Services RN… more
- CVS Health (St. Paul, MN)
- …toward desired outcomes through assessment and evaluation. **Required Qualifications** + Active Registered Nurse Compact License + Minimum 3+ years clinical ... CM, discharge planning and/or home health care coordination experience + Previous Utilization Management experience, transitions of care and discharge planning… more
- CVS Health (MN)
- …Founded in 1993, AHH is URAC accredited in Case Management , Disease Management and Utilization Management . AHH delivers flexible medical management ... reviews. **Required Qualifications** + 5+ years' experience as a Registered Nurse with at least 1 year...or Specialty Pharmacy. **Preferred Qualifications** + 1+ years' Case Management experience or discharge planning, nurse navigator… more
- Minnesota Visiting Nurse Agency (Minneapolis, MN)
- … review functions. Oversees daily operations, which include supervising staff performing utilization management activities. The goal is to achieve clinical, ... *_SUMMARY:_* We are currently seeking a* Utilization Review Manager * to join ourTransitional...in confidentiality, integrity, creativity, and initiative */License/Certifications:/* * Current Registered Nurse licensure upon hire * National… more
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …a difference, join us. The Impact You Will Have Utilizing key principles of case management , the RN Case Manager focuses on supporting members living with ... and cost-effective health outcomes. Required Skills and Experiences * Registered nurse with current MN license and...* 2+ years of managed care experience; eg case management /health coach, utilization management and/or… more
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …Blue Cross and Blue Shield of Minnesota Position Title: Care Advocacy Case Manager RN Location: Remote Career Area: Health Services About Blue Cross ... of care between settings. Required Skills and Experience * Registered nurse with current MN license and...* 1+ years of managed care experience; eg case management /health coach, utilization management and/or… more
- Bluestone Physician Services (Blaine, MN)
- …with primary care teams to ensure high quality team-based care + Use utilization management tools to facilitate appropriate transitional care management ... high risk patients Qualifications : Education/Certification/Experience + Licensed Social Worker or Registered Nurse + 3-5 years of experience in case/care … more