• UM Case Manager

    Healthfirst (MN)
    … management, identifying alternative care options, and discharge planning** + **Certified Case Manager ** + **Interqual and//or Milliman knowledge** + **Knowledge ... This position is 100% Remote** **Duties//Responsibilities:** + **Provides case management services for assigned member caseloads which includes:** +… more
    Healthfirst (10/07/25)
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  • Care Manager PreService & Retrospective

    Blue Cross and Blue Shield of Minnesota (Eagan, MN)
    …characteristic. Blue Cross and Blue Shield of Minnesota Position Title: Care Manager PreService & Retrospective Location: Remote Career Area: Health Services About ... ensure appropriate resource utilization, identification of referrals to a Health Coach/ case management, and identification and resolution of quality issues. Monitors… more
    Blue Cross and Blue Shield of Minnesota (10/08/25)
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  • Transplant Care Nurse - Remote

    Highmark Health (St. Paul, MN)
    …industry, corporate, state, and federal law standards and are within the care manager 's professional discipline. + For assigned case load, create care plans ... :** **JOB SUMMARY** This job implements effective complimentary utilization and case management strategies for an assigned member panel. Provides oversight over… more
    Highmark Health (10/10/25)
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