• Utilization Management Nurse

    CVS Health (St. Paul, MN)
    …that promote high-quality healthcare for members. We are seeking a dedicated Utilization Management (UM) Nurse Consultant to join our remote team. **Key ... listening, and use of a computer. + Flexibility to provide coverage for other Utilization Management (UM) Nurses across various UM specialty teams as needed,… more
    CVS Health (10/29/25)
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  • Utilization Management Clinical…

    CVS Health (St. Paul, MN)
    …clinical skills to coordinate, document, and communicate all aspects of the utilization /benefit management program. + Applies critical thinking and knowledge in ... and external constituents in the coordination and administration of the utilization /benefit management function. + Gathers clinical information and applies… more
    CVS Health (10/26/25)
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  • Case Manager Registered Nurse - Field…

    CVS Health (St. Paul, MN)
    …CM, discharge planning and/or home health care coordination experience + Previous Utilization Management experience, transitions of care and discharge planning ... members. Community Care is a member centric, team-delivered, community-based care management model that joins members where they are. With compassionate attention… more
    CVS Health (10/18/25)
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  • Manager - Care Management

    Blue Cross and Blue Shield of Minnesota (Eagan, MN)
    …business case consultant for leadership as they relate to case/disease/ utilization management . * Coordinates the development, revision and implementation of ... and cost control. Required Skills and Experience * Registered nurse or licensed behavioral health clinician (ie, LICSW, LPCC,...within insurance or health care setting in case/disease or utilization management * Bachelor's or Master's degree… more
    Blue Cross and Blue Shield of Minnesota (10/16/25)
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