• Staff Nurse - Utilization

    Minnesota Visiting Nurse Agency (Minneapolis, MN)
    Nurse issued by the State of Minnesota. **Title:** * Staff Nurse - Utilization Review (ED)* **Location:** *MN-Minneapolis-Downtown Campus* ... *_SUMMARY:_* We are currently seeking a* Staff Nurse *to join our Utilization...may require up to*Every Other Weekend*coverage/. *_SPECIFIC RESPONSIBILITIES:_* The Utilization Review (UR) Registered Nurse more
    Minnesota Visiting Nurse Agency (10/02/25)
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  • Manager - Utilization Review

    Minnesota Visiting Nurse Agency (Minneapolis, MN)
    review functions. Oversees daily operations, which include supervising staff performing utilization management activities. The goal is to achieve ... *_SUMMARY:_* We are currently seeking a* Utilization Review Manager* to join ourTransitional...utilization and denial management. Liaises with provider office staff and facilitates meetings with payers, as appropriate *… more
    Minnesota Visiting Nurse Agency (09/30/25)
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  • Registered Nurse - Community Living Center

    Veterans Affairs, Veterans Health Administration (St. Cloud, MN)
    …internal providers, and community partners to promote seamless, coordinated care. Apply utilization review criteria and evidence-based standards to ensure safe, ... you're administering treatments, developing individualized care plans, mentoring support staff , or guiding patients and families through safe transitions, your… more
    Veterans Affairs, Veterans Health Administration (11/05/25)
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  • Registered Nurse -Clinic (72 hours per pay…

    Mille Lacs Health System (Onamia, MN)
    …with clinic patients and their family/caregiver(s), clinic/hospital/specialty providers and staff , and community resources. The Clinic RN collaboratively assists ... at the end of the bullet point. + Perform Nurse visits* Facilitate process and work flows to augment...(meaningful use, PCRS, MN community measures)* + Assist clinic staff and providers to enable efficient flow of patient… more
    Mille Lacs Health System (11/22/25)
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  • Registered Nurse - Case Manager…

    Mayo Clinic (Rochester, MN)
    …and multi-disciplinary teams. Major Functions of the RN Case Manager include: Utilization Review , including concurrent admission status and continued stay ... to work well within a creative and challenging work environment. Experience in utilization review , ability to navigate medical records, value based purchasing… more
    Mayo Clinic (10/02/25)
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  • Clinical Reviewer, Nurse

    Evolent (St. Paul, MN)
    …mission. Stay for the culture. **What You'll Be Doing:** The Nurse Practitioner/Physician Assistant (ARNP/NP/PA) Cardiology is responsible for support and assistance ... for all cardiology administrative and clinical utilization management and quality improvement functions under the auspices of the office of the Chief Medical… more
    Evolent (11/20/25)
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  • Dialysis Clinical Manager Registered Nurse

    Fresenius Medical Center (Hastings, MN)
    …auditing activities. + Accountable for completion of the Annual Standing Order Review and Internal Classification of Disease (ICD) coding. + Manages clinic ... financials including efficient utilization of supplies or equipment and regular profits and...of supplies or equipment and regular profits and loss review . + Responsible for all required network reporting and… more
    Fresenius Medical Center (10/24/25)
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  • Registered Nurse Clinical Account Manager,…

    Blue KC (Workman, MN)
    …and regularly attends client meetings (with benefits managers and executives) to review health outcomes and cost information. + Actively monitors care management ... special consideration (eg, benefits) should be made. + Participate in existing client utilization and renewal meetings or tell our clinical value story as requested.… more
    Blue KC (11/08/25)
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  • Denials Prevention Specialist, Clinician PRN

    Datavant (St. Paul, MN)
    …healthcare. The purpose of the Denial Prevention Specialist is to effectively defend utilization of available health services, review of admissions for medical ... expertise successfully. Ideal candidate should be a Licensed Practical Nurse or Registered Nurse well versed in...letter Identification of referrals to the medical director for review + Select appropriate preferred and contracted providers +… more
    Datavant (11/12/25)
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  • Pharmacist Intern - Community Pharmacy

    Minnesota Visiting Nurse Agency (Minneapolis, MN)
    …needs of a patient population, making real time interventions with the medical staff and nursing staff to facilitate optimal drug therapy and facilitate ... a Pre-Pharmacy Student * Compounds non-sterile products based on assessment of drug utilization Second - Fourth Year Pharmacy Students (Interns): * Performs all the… more
    Minnesota Visiting Nurse Agency (11/21/25)
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