• Fresenius Medical Care (Hastings, MN)
    …training courses and that licensures/certifications are current. Provides support for all clinical staff members at regular intervals and encourages professional ... patient eligibility for treatment. Reports changes in patient status regarding any clinical , insurance, or travel and transportation issues. STAFF : Participates… more
    Joboru (12/04/25)
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  • Yale New Haven Health (Woodbury, MN)
    …As A Charge Nurse. Meets Performance Expectations For Customer Service, Teamwork, Resource Utilization , And Staff And Self Development As Outlined In Performance ... professionals, every day. Works Under The Supervision Of The Nurse Manager/ Clinical Coordinator. The Registered Nurse (Rn) Assesses, Plans, Implements, Evaluates And… more
    job goal (12/03/25)
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  • Staff Utilization Management

    Humana (St. Paul, MN)
    …of our caring community and help us put health first** The Staff Utilization Management Pharmacist is a clinical expert responsible for conducting ... holiday per calendar year** **Job Description:** The Staff Utilization Management Pharmacist is a clinical professional responsible for conducting… more
    Humana (12/04/25)
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  • Staff Nurse - Utilization Review…

    Minnesota Visiting Nurse Agency (Minneapolis, MN)
    **12/2/2025 - REVISED FTE *_SUMMARY:_* We are currently seeking a* Staff Nurse*to join our Utilization Management department for the/Emergency Department / ... utilization and controlling costs./**/ *Assessment:* * Collects, reviews, and documents clinical data relevant to utilization management , including… more
    Minnesota Visiting Nurse Agency (12/03/25)
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  • Manager - Utilization Review

    Minnesota Visiting Nurse Agency (Minneapolis, MN)
    …Oversees daily operations, which include supervising staff performing utilization management activities. The goal is to achieve clinical , financial, and ... nursing, physicians, admissions, fiscal, legal, compliance, coding, and billing staff to answer clinical questions related to...health care team for utilization and denial management . Liaises with provider office staff and… more
    Minnesota Visiting Nurse Agency (09/30/25)
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  • RN Clinical Manager

    CenterWell (Brooklyn Park, MN)
    …for review of the appropriate number of Case Managers and clinical staff documentation to include starts-of-care, resumption-of-cares, and re-certifications, ... documentation in addition to feedback and recommendations by Utilization Review staff . Upon completion of the...systems and process. Competently performs patient care assignments and staff management activities. + Provides direct patient… more
    CenterWell (11/25/25)
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  • Clinical Team Lead - Elk River - 2500 Sign…

    BrightSpring Health Services (Elk River, MN)
    …absence of the Clinical Director + Attend and participate in weekly staff meetings + Utilize Behavior management strategies + Ensures quality assurance ... encourage you to apply today! Responsibilities + Supervise assigned staff + Assist with Clinical over-site of...community integration and choice making + Provides the necessary clinical management for the day-to-day operations of… more
    BrightSpring Health Services (11/26/25)
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  • Clinical Pharmacist - Inpatient

    Veterans Affairs, Veterans Health Administration (Minneapolis, MN)
    …Indirect patient care activities include pharmacy benefits management , staff development, research support, quality assurance, medication utilization review, ... Summary The Inpatient Spinal Cord Injury (SCI) Clinical Pharmacist is a licensed professional with knowledge...practice, who is responsible for all the medication therapy management , admission through discharge, of an assigned panel of… more
    Veterans Affairs, Veterans Health Administration (12/04/25)
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  • Registered Nurse Clinical Account Manager,…

    Blue KC (Workman, MN)
    …or special consideration (eg, benefits) should be made. + Participate in existing client utilization and renewal meetings or tell our clinical value story as ... engagement, and interventions for cost containment. + Regular communications with Blue KC Clinical Operations staff to ensure identified members are addressed as… more
    Blue KC (11/08/25)
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  • Dialysis Clinical Manager Registered Nurse…

    Fresenius Medical Center (Hastings, MN)
    …courses and that licensures/certifications are current. + Provides support for all clinical staff members at regular intervals and encourages professional ... eligibility for treatment. + Reports changes in patient status regarding any clinical , insurance, or travel and transportation issues. STAFF : + Participates… more
    Fresenius Medical Center (10/24/25)
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