- State of Minnesota (St. Paul, MN)
- **Working Title: Case Mix Reviewer ** **Job Class: Nursing ... review (CMR) audit process. Working as a Case Mix Reviewer you will: + ... of Health (MDH) + **Division/Unit** : Health Regulation / Case Mix Review + **Work...and development opportunities. Elevate your career and use your nursing knowledge and expertise to be part of a… more
- CVS Health (MN)
- …in Pediatrics, **Oncology** or Specialty Pharmacy. **Preferred Qualifications** + 1+ years' Case Management experience or discharge planning, nurse navigator or ... Health. Founded in 1993, AHH is URAC accredited in Case Management, Disease Management and Utilization Management. AHH delivers...**Required Qualifications** + 5+ years' experience as a Registered Nurse with at least 1 year of experience in… more
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …You Will Have This job implements effective utilization management strategies including: review of appropriateness of pre and post service health care services, ... ensure appropriate resource utilization, identification of referrals to a Health Coach/ case management, and identification and resolution of quality issues. Monitors… more