- Minnesota Visiting Nurse Agency (Minneapolis, MN)
- …Some positions may require specialized certifications(s). **Title:** * Staff Nurse - Utilization Review (Float)* **Location:** *MN-Minneapolis-Downtown ... *_SUMMARY:_* We are currently seeking a* Staff Nurse *to join our Utilization...may require up to*Every Other Weekend*coverage/. *_SPECIFIC RESPONSIBILITIES:_* The Utilization Review (UR) Registered Nurse … more
- Minnesota Visiting Nurse Agency (Minneapolis, MN)
- … review functions. Oversees daily operations, which include supervising staff performing utilization management activities. The goal is to achieve ... *_SUMMARY:_* We are currently seeking a* Utilization Review Manager* to join ourTransitional...utilization and denial management. Liaises with provider office staff and facilitates meetings with payers, as appropriate *… more
- Minnesota Visiting Nurse Agency (Minneapolis, MN)
- …or related field * Minimum 3 years of experience in clinical care, utilization review , case management, or clinical denials/appeals -OR- * An approved ... *_SUMMARY:_* We are currently seeking a Utilization Management Analyst to join our Denials Analysis....supporting a denials prevention program * Collaborate with UM staff to review for medical necessity and… more
- Fresenius Medical Center (Coon Rapids, MN)
- …Dialysis treatments in contracted hospitals/facilities and ensure efficient patient scheduling and staff utilization in accordance with the TAP scheduling tool. ... day (Excel skills needed). **PURPOSE AND SCOPE:** The Inpatient Services Charge Nurse is an additional "responsibility" assigned to the Inpatient Services RN, for… more
- Fairview Health Services (St. Paul, MN)
- …to Fairview Hospitalist APPs **Fairview** is seeking an experienced **Hospitalist** ** Nurse Practitioner** to perform triage work in the System Operations Center ... tertiary hospitals, and community hospitals. This role ensures optimal utilization of system resources by coordinating with patient placement...Daytime (8 AM-6 PM) as we expand and fully staff the service + Serve as the clinical coordinator… more
- Evolent (St. Paul, MN)
- …focusing on appeals and post-determination requests. We maintain the principles of utilization management by adhering to Evolent and Client policies and procedures ... work with a group of nurses, providing appeal intake review for one dedicated client. They interact with coordinators...Be Doing:** + Practices and maintains the principles of utilization management and appeals management by adhering to company… more
- Fresenius Medical Center (Shakopee, MN)
- …auditing activities. + Accountable for completion of the Annual Standing Order Review and Internal Classification of Disease (ICD) coding. + Manages clinic ... financials including efficient utilization of supplies or equipment and regular profits and...of supplies or equipment and regular profits and loss review . + Responsible for all required network reporting and… more