- State of Minnesota (St. Paul, MN)
- **Working Title: State Medical Review Team County Liaison** **Job Class: Human Services Program Specialist 2** **Agency: Human Services Dept** + **Job ... This position exists to fully evaluate, screen, and develop referrals made to the State Medical Review Team (SMRT) in accordance with program policies… more
- State of Minnesota (St. Paul, MN)
- …eligible for telework._** **Flexible work hours may be permitted with supervisor approval.** The State Medical Review Team (SMRT) Disability Program ... Training & Technical Advisor serves as a technical expert and leader within the State Medical Review Team (SMRT). This role advances staff competency,… more
- Minnesota Visiting Nurse Agency (Minneapolis, MN)
- …issued by the State of Minnesota. **Title:** *Staff Nurse - Utilization Review (ED)* **Location:** *MN-Minneapolis-Downtown Campus* **Requisition ID:** *251532* ... may require up to*Every Other Weekend*coverage/. *_SPECIFIC RESPONSIBILITIES:_* The Utilization Review (UR) Registered Nurse is responsible for evaluating the … more
- Humana (St. Paul, MN)
- …claim decision based on strong knowledge of claims procedures, contract provisions, and state and federal legislation. The Supervisor, Claims Review works within ... in selection of methods, techniques, and analytical approach. The Supervisor, Claims Review partners with professional staff on pre-screening review by applying… more
- DC Group (Minneapolis, MN)
- …that sets us apart, fuels our growth, and makes us an exciting team to grow with! Requirements: + In-office position at Minneapolis, MN headquarters, candidate ... priorities within defined deadlines. + Direct experience with contract review is not required, but job experience in roles...of contact to relay contract information to internal sales team members or others as requested. + clarifying client… more
- DC Group (Minneapolis, MN)
- …that sets us apart, fuels our growth, and makes us an exciting team to grow with! Requirements: + In-office position at Minneapolis, MN headquarters, candidate ... Microsoft Word Track Changes. + Experience coordinating and collaborating on contract review aspects that require input between various departments such as the legal… more
- Minnesota State (Austin, MN)
- …Closing Date (if designated).** **Working Title:** UFT Diagnostic Medical Sonography **Institution:** Riverland Community College **Classification Title:** Tech ... College Faculty **Bargaining Unit / Union:** 210: Minnesota State College Faculty **City:** Austin **FLSA:** Job Exempt **Full Time / Part Time:** Full time… more
- Humana (St. Paul, MN)
- …to operationalize this knowledge in their daily work specifically for DSNP. The Medical Director's work includes computer-based review of moderately complex to ... performed with minimal direction, but with support from other team members. The Medical Director enjoys working...other healthcare providers. + Utilization management experience in a medical management review organization, such as Medicare… more
- Humana (St. Paul, MN)
- …and will understand how to operationalize this knowledge in their daily work. The Medical Director's work includes computer based review of moderately complex to ... clinical group practice management. + Utilization management experience in a medical management review organization, such as Medicare Advantage, managed… more
- Humana (St. Paul, MN)
- …high degree of integrity, professionalism, resourcefulness, and enjoy working in a team -based environment. Medical Directors support Humana value throughout all ... insurance, or other healthcare providers. + Utilization management experience in a medical management review organization, such as Medicare Advantage, Managed… more
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