- CVS Health (St. Paul, MN)
- …internal and external constituents in the coordination and administration of the utilization /benefit management function. + Gathers clinical information and ... skills to coordinate, document, and communicate all aspects of the utilization /benefit management program. + Applies critical thinking and knowledge in… more
- CVS Health (St. Paul, MN)
- …internal and external constituents in the coordination and administration of the utilization /benefit management function. + Gathers clinical information and ... time, talking on the telephone, and typing on the computer. The UM Nurse Consultant utilizes clinical skills to coordinate, document and communicate all aspects… more
- Sanford Health (Bemidji, MN)
- …of five years of clinical practice. Knowledge and experience in case management , utilization management and/or Coding highly preferred. Currently holds ... or coordinates education to all internal customers related to compliance, coding, and clinical documentation issues and acts as a consultant to coders when… more
- Prime Therapeutics (St. Paul, MN)
- …passion and drives every decision we make. **Job Posting Title** Pharmacy Network Management Consultant - Remote **Job Description** The Network Management ... Consultant is responsible for development, performance and management of Prime's retail, mail, specialty, and quality-based networks aligning with Prime's Supply… more
- Cardinal Health (St. Paul, MN)
- **_What Specialty Networks contributes to Cardinal Health_** Specialty Networks creates clinical & economic value for independent specialty providers & partners in ... Networks in creating value to the members in their clinical , operational, and economical goals. This individual will be...Member Profiles and overall success of membership network with utilization and optimization of Salesforce keeping up to date… more
- Eliassen Group (St. Paul, MN)
- … to support the implementation of Workfront as an Enterprise Portfolio and Project Management tool. As the Senior Consultant , you will work closely with our ... **Workfront Configuration Consultant ** **Anywhere** **Type:** Contract **Category:** Development **Industry:** Insurance **Workplace Type:** Remote **Reference ID:**… more
- Veterans Affairs, Veterans Health Administration (Minneapolis, MN)
- …data. Self-starter who works independently with minimal supervision, demonstrates expertise in management of tight deadlines, and utilization of resources to ... Summary The Quality RN Consultant is a registered professional nurse who is...and psychological safety within the system and partners with clinical and operational leaders and staff to ensure that… more
- Actalent (Eagan, MN)
- …Description As a Pharmacist, your primary responsibility will be leveraging your clinical skills to complete utilization management (UM) reviews-including ... comfort of your home? Join a dynamic team where your expertise powers critical utilization management decisions that directly affect patient care. This is more… more
- Mayo Clinic (Mankato, MN)
- …retirement package to secure your future. **Responsibilities** The Bed Management Allocation (BAM) Coordinator, coordinates the placement of patient admissions ... information proactively. The Coordinator acts as a problem-solver and consultant when bed availability is an issue or there...an issue or there is a need to optimize utilization of hospital facilities/services. They are knowledgeable of the… more
- Fairview Health Services (Minneapolis, MN)
- …an academic health system with residency and fellowship programs and a rehab-focused clinical quality team, we have a collaborative culture that is centered on ... the Fairview rehab team, you would have opportunities for formal mentorship, clinical specialization and further recognition and compensation through our clinical… more