- CentraCare (St. Cloud, MN)
- …Nursing Job Schedule: Full time St. Cloud Hospital is seeking a dynamic and experienced Utilization Management RN to join our team. In this pivotal role, ... the Utilization Management Nurse will play...the Utilization Management Nurse will play an integral part...+ Bachelor's degree or higher in nursing required + Registered Nurse ( RN ) Current licensure… more
- 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 / ... needs and may require up to*Every Other Weekend*coverage/. *_SPECIFIC RESPONSIBILITIES:_* The Utilization Review (UR) Registered Nurse is responsible for… more
- Minnesota Visiting Nurse Agency (Minneapolis, MN)
- … review functions. Oversees daily operations, which include supervising staff performing utilization management activities. The goal is to achieve clinical, ... financial, and utilization goals through effective management , communication, and...in confidentiality, integrity, creativity, and initiative */License/Certifications:/* * Current Registered Nurse licensure upon hire * National… more
- Mayo Clinic (Rochester, MN)
- …expenses. + Retirement: Competitive retirement package to secure your future. **Responsibilities** The Registered Nurse ( RN ) Case Manager works within an ... by ensuring appropriate utilization management , care coordination, resource utilization , and clinical documentation. The RN Case Manager will function… 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 ... + Perform medical necessity reviews. **Required Qualifications** + 5+ years' experience as a Registered Nurse with at least 1 year of experience in a hospital… more
- Aspirus Ironwood Hospital (Duluth, MN)
- …values Every. Single. Day. ASPIRUS ST. LUKE'S HOSPITAL in Duluth, MN is seeking a REGISTERED NURSE - ACUTE CARE COORDINATOR to join our CARE COORDINATION team! ... ensuring implementation and monitoring of compliant documentation strategies and utilization management principles. MINIMUM QUALIFICATIONS + Education: Graduate… more
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …to ensure optimal and cost-effective health outcomes. Required Skills and Experience * Registered nurse with current MN license and with no restrictions * ... Impact You Will Have Utilizing key principles of case management , the RN Specialist will research and...* 2+ years of managed care experience; eg case management /health coach, utilization management and/or… more
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …care coordination, and transition of care between settings. Required Skills and Experience * Registered nurse with current MN license and with no restrictions. * ... Shield of Minnesota Position Title: Care Advocacy Case Manager RN - Bilingual Spanish Location: Remote Career Area: Health...* 1+ years of managed care experience; eg case management /health coach, utilization management and/or… more
- Mayo Clinic (Mankato, MN)
- …two years of nursing practice experience in the acute care setting. Nursing management or charge nurse experience preferred. Master's degree in nursing, business ... staff in interpretation/application of policies and procedures, problem solving, utilization and assignment of nursing resources, response to patient/family… more
- CVS Health (St. Paul, MN)
- …toward desired outcomes through assessment and evaluation. **Required Qualifications** + Active Registered Nurse Compact License + Minimum 3+ years clinical ... CM, discharge planning and/or home health care coordination experience + Previous Utilization Management experience, transitions of care and discharge planning… more