- Sanford Health (MN)
- …- $28.00 **Department Details** Opportunity to work remote **Job Summary** Monitors the utilization of resources, risk management and quality of care for ... multiple administrative duties including accurate record keeping and electronic data management when needed. Ability to work with growth and development needs… more
- Evolent (Workman, MN)
- …Join Evolent for the mission. Stay for the culture. **What You'll Be Doing:** The ** Coordinator , Intake Utilization Management ** at Evolent will serve as a ... regulatory requirements, and client contractual agreements. **Collaboration Opportunities** : The Coordinator , Intake Utilization Management reports directly… more
- Elevance Health (Mendota Heights, MN)
- …providers and vendors which include negotiating reimbursement rates, service offerings, utilization management , and quality metrics. + Develop and maintain ... **Director Network Contract Coordinator ** **Location:** This role requires associates to be...is responsible for managing and negotiating contracts with large home health (HH), durable medical equipment (DME), large vendors… more
- Bluestone Physician Services (St. Cloud, MN)
- …medical care teams to ensure health care quality measures are met and use utilization management tools to meet value-based goals + Supporting members during ... Position Overview : Join our team as a Care Coordinator where you will work with the senior population...of experience working with the geriatric population in case management /care coordination, Home Care, Nursing Home… more
- Mille Lacs Health System (Onamia, MN)
- …times and discharge status.* + Assists with gathering necessary documents for Utilization Review Process.* + Returns old charts to Health Information. + Consistently ... appropriate destinations; medication order sheets to patient's pharmacy, discharge orders to home health, nursing home , assisted living, etc. + Places… more
- Gentiva (White Bear Lake, MN)
- …Plans + Wellness Program and Resources including: + A dedicated Accolade Care Coordinator for personalized care management support of all your healthcare needs ... care, partnering with them and other specialists to offer advanced illness management , a specialized form of high-touch palliative care designed to provide relief… more
- Fairview Health Services (Edina, MN)
- **Job Overview** The Care Management Specialist is responsible for establishing and maintaining relationships with providers, patients, families and vendors of ... health plans for all community enrolled members. The Care Management Specialist directly supports Fairview Partners Care Coordinators. **Responsibilities:** Serve… more
- CVS Health (St. Paul, MN)
- …Founded in 1993, AHH is URAC accredited in Case Management , Disease Management and Utilization Management . AHH delivers flexible medical management ... day. **Position Summary** **This is a remote work from home role anywhere in the US with virtual training.**...residence.** American Health Holding, Inc (AHH) is a medical management company that is a division within Aetna/CVS Health.… more
- CVS Health (St. Paul, MN)
- …Founded in 1993, AHH is URAC accredited in Case Management , Disease Management and Utilization Management . AHH delivers flexible medical management ... day. **Position Summary** **This is a remote work from home role anywhere in the US with virtual training.**...residence.** American Health Holding, Inc (AHH) is a medical management company that is a division within Aetna/CVS Health.… more
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