- Insight Global (Minnetonka, MN)
- …Description The Registered Nurse will report into the Director of Clinical Programs. The Registered Nurse will perform telephonic, patient-centered ... scheduling. The RN will be required to meet or exceed established productivity and quality metrics and work to support the hours of operation of the business. We… more
- Sharecare (St. Paul, MN)
- …support in an appropriate, efficient and cost-effective manner while ensuring high quality care. The Disease Management Nurse works with participating members ... through the lens of their personal health and making high- quality care more accessible and affordable for everyone. To...drive cost effective and appropriate resource utilization and desired clinical outcomes. The Disease Management Nurse is… more
- CVS Health (St. Paul, MN)
- …do it all with heart, each and every day. **Position Summary** **This is a remote work from home role anywhere in the US with virtual training.** American Health ... Management. AHH delivers flexible medical management services that support cost-effective quality care for members. **Key Responsibilities** + This position consists… more
- Sharecare (St. Paul, MN)
- …supporting each individual through the lens of their personal health and making high- quality care more accessible and affordable for everyone. To learn more, visit ... program in an appropriate and efficient manner by providing high- quality telephonic Case or Care Management with CareFirst members....+ Actively participate in team huddles and contribute to clinical learning. + Remain current on clinical … more
- Datavant (St. Paul, MN)
- …to realize our bold vision for healthcare. **What We're Looking For:** As a Clinical Documentation Quality Improvement (CDQI) Specialist, you will play a pivotal ... to enhance documentation clarity, completeness, and overall medical record quality . By ensuring accurate and comprehensive physician documentation, you will… more
- Highmark Health (St. Paul, MN)
- …over a specified panel of members that range in health status/severity and clinical needs; and assesses health management needs of the assigned member panel and ... utilizing data/analytics in conjunction with professional clinical judgement to identify the right clinical ...personal health goals. Will work with providers to insure quality and appropriate care is being delivered in a… more
- Humana (St. Paul, MN)
- …our caring community and help us put health first** The Utilization Management Nurse 2 utilizes clinical nursing skills to support the coordination, ... medical services and/or benefit administration determinations. The Utilization Management Nurse 2 work assignments are varied and frequently require interpretation… more
- IQVIA (Minneapolis, MN)
- …targets and compliance with company and regulatory standards. This is an educational, non- clinical position. Nurse Educators do not provide medical advice but ... **Flex Nurse Educator** **IQVIA - Advancing Patient Support and... Educator. This role supports patient care through both remote and, when required, in-field coverage, ensuring continuity during… more
- Humana (St. Paul, MN)
- …self- care, to cost-effectively achieve desired clinical outcomes and to enhance quality of medical care. The **Telephonic Nurse Case Manager** will collect ... community and help us put health first** The Telephonic Nurse Case Manager will be a member of the...of hire. + Three (3) or more years of clinical acute care experience. + Strong communication skills both… more
- Humana (St. Paul, MN)
- …and help us put health first** The Manager, Fraud and Waste Investigator: Nurse Audit/Review performs clinical audit/validation processes to ensure that medical ... complete, compliant and accurate to support optimal reimbursement. The Manager, Nurse Audit/Review works within specific guidelines and procedures; applies advanced… more
- Humana (St. Paul, MN)
- …our caring community and help us put health first** The Utilization Management Nurse 2 utilizes clinical nursing skills to support the coordination, ... of the appropriate courses of action. The Utilization Management Nurse 2 uses clinical knowledge, communication skills,...to help support business needs + This is a remote / work at home position and candidates can… more
- Humana (St. Paul, MN)
- …our caring community and help us put health first** The Utilization Management Nurse 2 utilizes clinical nursing skills to support the coordination, ... independent determination of the appropriate courses of action. The Utilization Management Nurse 2 uses clinical knowledge, communication skills, and independent… more
- St Croix Hospice (Oakdale, MN)
- RN-Travel Nurse Job Details Job Location Administration - OAKDALE, MN Remote Type Fully Remote Position Type Full Time Job Posting Date(s) Start Date ... IL, KS, NE, IN or MI). The Hospice Travel Nurse is a great opportunity for a licensed RN...+ Acts as RN Case Manager when assigned by Clinical Supervisor and assumes responsibility to coordinate patient care… more
- Humana (St. Paul, MN)
- …of our caring community and help us put health first** The Utilization Management Nurse within the Clinical Access Grievance Team utilizes care management and ... ensure the right benefits are available as needed. The Clinical Access Grievance Team Nurse uses ...on Humana's secure website. Travel: While this is a remote position, occasional travel to Humana's offices for training… more
- Humana (St. Paul, MN)
- …help us put health first** This is an opportunity to use your clinical knowledge and research skills to support the coordination, documentation, and communication of ... an active compact (Multistate) license and at least three (3) years of clinical experience. This is a smaller team handling mostly provider disputes and Medicare… more
- Fairview Health Services (St. Paul, MN)
- **Job Overview** **Fairview** is seeking an experienced **Hospitalist** ** Nurse Practitioner** to perform triage work in the System Operations Center (SOC) at ... of onsite (will be required through onboarding) and optional remote work for some shifts + Serve as the... work for some shifts + Serve as the clinical coordinator for triaging interfacility transfers and direct admissions… more
- AccentCare, Inc. (Burnsville, MN)
- …, Hospice Location: Burnsville, MN (office location) Position: RN / Registered Nurse , Hospice Position Type: Part-Time Remote /Virtual Position: No Coverage Area: ... management, physician collaboration, and interdisciplinary communication to ensure continuity and quality of care + Provides education and support to patients and… more
- Fujifilm (St. Paul, MN)
- …where appropriate. + Participates in professional organizations. + Provides telephone and remote clinical support for customers, sales, and field service via ... **Position Overview** The Clinical Consultant, MI - I shall be responsible...the project, report configuration (CV), workflow analysis, end-to-end testing, remote or onsite training as well as go-live support… more
- Cardinal Health (St. Paul, MN)
- …satisfactory experience for all customers. The Supervisor, Clinical Operations monitors nurse to patient contact quality and provides coaching as needed to ... of all program compliance activities, product training and adverse event/product quality complaint training. + Oversight of clinical training, coach,… more
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …or designated representative on a plan of care that produces positive clinical results and promotes high- quality effective outcomes. * Identifies relevant ... characteristic. Blue Cross and Blue Shield of Minnesota Position Title: Case Manager- Remote Location: Remote Career Area: Health Services About Blue Cross and… more