- Mayo Clinic (Rochester, MN)
- …workers, physicians and multi-disciplinary teams. Major Functions of the RN Case Manager include: Utilization Review, including concurrent admission status and ... and provides the resources you need to succeed. **Responsibilities** The RN CASE MANAGER provides ongoing support to Mayo Clinic Rochester and Mayo Clinic Health… more
- CenterWell (Brooklyn Park, MN)
- …an accredited School of Nursing . + Current state license as a Registered Nurse . + Proof of current CPR. + Valid driver's license, auto insurance and reliable ... community and help us put health first** The **Clinical Manager ** coordinates and oversees all direct care patient services...transportation. + Two years as a Registered Nurse with at least one-year of management … more
- Sanford Health (Bemidji, MN)
- …nursing required. Minimum of three years' experience in population health, case management , utilization review, health plan, ambulatory care, or quality ... their home, community, hospital or emergency department. The Community RN Care Manager provides complex medical care coordination for patients while assessing social… more
- Fairview Health Services (Minneapolis, MN)
- …years working as a care coordinator/case manager Active MN Registered Nurse license **Preferred** Case Management Certification BSN Basic Life Support (BLS) ... with the leader on any unusual situations. Internal customers include all levels of nursing management and staff, medical staff, and all other members of the… more
- Fairview Health Services (Minneapolis, MN)
- …years working as a care coordinator/case manager Active MN Registered Nurse license **Preferred** Case Management Certification BSN Basic Life Support (BLS) ... **Overview** Are you an experienced nurse ? We at M Health Fairview are looking...**:** Have an understanding of hospital, community resources and resource/ utilization management . Have solid understanding of use… more
- CenterWell (St. Paul, MN)
- …Coordinate quality improvement activities to address high risk, high-utilizers/high-cost patient management through the utilization of the 5M's framework as ... management and care coordination. * Experience with case management , social work, skilled nursing facilities, rehab...readmissions, total cost of care, and reducing acute care utilization ). * Familiarity in integrated care management … more
- Fresenius Medical Center (Coon Rapids, MN)
- …to ensure quality service while maintaining a high level of efficiency management . **PRINCIPAL DUTIES AND RESPONSIBILITIES:** + Manage the tactical execution of ... contracted facilities. Ensure efficient staff/ patient scheduling and efficient staffing utilization following company policy while maintaining a safe environment. +… more
- Wolters Kluwer (St. Paul, MN)
- The **Customer Success Manager , Lippincott Solutions** is responsible for driving the implementation of all Nursing Solutions products into existing and new ... with training and rollout, working with reps to drive utilization and customer satisfaction and ensure maximum renewal and...analysis, and creating and presenting a monthly report to management on key metrics. * Support sales growth from… more
- Essentia Health (Virginia, MN)
- …timely and accurate information to payers. The role integrates and coordinates utilization management , care facilitation and discharge planning functions. This ... meet patient needs, manage length of stay, and promote efficient utilization of resources for a designated caseload. Education Qualifications: Educational… more
- Fairview Health Services (St. Paul, MN)
- …staff hour schedules according to pre-established parameters. **Responsible for effective fiscal management of assigned area(s) to ensure proper utilization of ... evaluates patient care activities of assigned area including resource management , quality, regulatory compliance, educational opportunities, and financial … more
- Mille Lacs Health System (Onamia, MN)
- …competency with statistical data collection and reporting + Experience in Utilization Management /Discharge Planning preferred. + Professional written and verbal ... Summary The position works under the direction of the Quality Manager to ensure compliance with regulatory standards and other patient related agencies, such as… more
- J&J Family of Companies (St. Paul, MN)
- …care. The CAR-T Cell Therapy Experience Lead is a member of this account management team, reporting to the Senior Manager , CAR-T Cell Therapy Experience Lead. ... raising the bar on customer experience in the pharmaceutical industry. Our account management teams support the certified sites who care for cancer patients. We are… more
- CenterWell (St. Paul, MN)
- …payer contracts + Monitor the following key functions: + Program evaluation + Risk Management + Utilization Review + Patient Care Evaluation + Policies and ... course of action. + Delegation Oversight of Home infusion Nursing Vendors and local providers + Supervise through qualified...criteria for admission to service, case assignments, and case management . + Represent the pharmacy in a professional and… more
- Sharecare, Inc. (St. Paul, MN)
- …/ new hire plan selection, claims issues, ID card issues, grievances/appeals, utilization management (UM) status, including but not limited to medical, ... + Claims adjustments + Grievances and appeals submissions + Utilization management intake or status + Complex...Patient Care Technician (PCT) + Physical Therapy Assistant + Nursing Assistant + Medical Secretary/Clinic Manager +… more
- Sharecare, Inc. (St. Paul, MN)
- …other members of the health care team to support appropriate total healthcare management and ensure cost effective, appropriate resource utilization and quality ... with the participants and their Primary Care Provider according to the disease management program intervention guidelines. An RN is supervised by an Operations … more