- Sharecare (St. Paul, MN)
- …and affordable for everyone. To learn more, visit www.sharecare.com . **Job Summary:** The Disease Management Nurse has the responsibility for supporting the ... efficient and cost-effective manner while ensuring high quality care. The Disease Management Nurse works with participating members to become empowered… more
- CVS Health (St. Paul, MN)
- …division within Aetna/CVS Health. Founded in 1993, AHH is URAC accredited in Case Management , Disease Management and Utilization Management . AHH delivers ... each and every day. **Position Summary** **This is a remote work from home role anywhere in the US...Maternity/ Obstetrics experience. **Preferred Qualifications** + 1+ years' Case Management experience or discharge planning, nurse navigator… more
- Highmark Health (St. Paul, MN)
- …**EXPERIENCE** **Required** + 7 years in any combination of clinical, case/utilization management and/or disease /condition management experience, or provider ... :** **JOB SUMMARY** This job implements effective complimentary utilization and case management strategies for an assigned member panel. Provides oversight over a… more
- Insight Global (Minnetonka, MN)
- …Compact RN license in state of residence Chronic Condition/Special Needs experience (diabetes, chronic heart failure/ disease etc) Case management experience ... membership. This position supports the Regulatory and delegated programs for management of complex members, including comprehensive assessment and care planning.… more
- Veterans Affairs, Veterans Health Administration (Minneapolis, MN)
- …and implements an individualized plan to achieve optimal population health and disease management . Demonstrates leadership and works collaboratively with the ... CLINICAL CONTACT CENTER is recruiting for an Advanced Practice Nurse (APN) Nurse Practitioner assigned to the...Minneapolis, MN. This position is currently not eligible for remote work. Relocation expenses are not authorized. VISN 23… more
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …needs across the continuum of care by leveraging member partnership, case and disease management processes, skill sets and tools. Your Responsibilities * ... and Blue Shield of Minnesota Position Title: Case Manager- Remote Location: Remote Career Area: Health Services...Case Manager is a critical component of BCBSMN Care Management team as the primary clinician providing condition and… more
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …and analysis to obtain operational quality within Medical Management for case management , disease management and utilization management . This ... Cross and Blue Shield of Minnesota Position Title: Medical Management Auditor - RN Location: Remote Career...standards, state regulations and CMS guidelines. Audits capture case management , disease management , utilization … more
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …, and business case consultant for leadership as they relate to case/ disease /utilization management . * Coordinates the development, revision and implementation ... and cost control. Required Skills and Experience * Registered nurse or licensed behavioral health clinician (ie, LICSW, LPCC,...years' experience within insurance or health care setting in case/ disease or utilization management * Bachelor's or… more
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …care by leveraging member partnership, pre-service clinical utilization review, case and disease management processes, skill sets and tools. Care Advocacy Health ... Care Advocacy Case Manager RN - Bilingual Spanish Location: Remote Career Area: Health Services About Blue Cross and...This position is a critical component of BCBSMN Medical Management team as the primary clinician providing condition and… more
- CVS Health (St. Paul, MN)
- …basis applies clinical knowledge to review medications and resolve different disease management scenarios beyond dispensing role; identifies medication related ... Pharmacy Program Manager role includes: -Collaborate with an interdisciplinary care management team ( nurse case managers, medical directors, dietitians, social… more
- Merck (St. Paul, MN)
- …including cardiologists and other approved specialty physicians, physician assistants, nurse practitioners, nurses, pharmacists, and office managers. You will ... customer needs with company products according to product labeling. + Provide management with regular updates on customer needs, marketplace dynamics, and progress… more
- Minnesota Visiting Nurse Agency (Minneapolis, MN)
- …our Clinical Documentation Improvement team. This full-time role will primarily work remote (Day, M- F). *Purpose of this position:*Under the direction of Coding ... information including the AHA's Coding Clinic publication, pharmacology, laboratory, disease processes, and new/emerging technologies to ensure accuracy of code… more