• Utilization Management

    CVS Health (St. Paul, MN)
    …clinical skills to coordinate, document and communicate all aspects of the utilization /benefit management program. Applies critical thinking and is knowledgeable ... and external constituents in the coordination and administration of the utilization /benefit management function. **Required Qualifications** + 3+ years post… more
    CVS Health (10/21/25)
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  • Behavioral Health Care Advisor - Substance…

    Blue Cross and Blue Shield of Minnesota (Eagan, MN)
    …or Hispanic/ Latino. * 1+ years of managed care experience, eg case management /health coach, utilization management and/or auditing experience. Compensation ... role is a critical component of the BCBSMN Care Management team. Behavioral Health Care Advisors will...the state of Minnesota with psychiatric experience, or a Behavioral Health Professional who is a clinician more
    Blue Cross and Blue Shield of Minnesota (09/10/25)
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  • Behavioral Health Case Manager - Medicare…

    Blue Cross and Blue Shield of Minnesota (Eagan, MN)
    …Skills and Experience * 1+ years of managed care experience; eg case management /health coach, utilization management and/or auditing experience. * 1+ ... Case Manager is a critical component of BCBSMN Care Management team as the primary clinician providing...and Experience * Registered Nurse with Psychiatric experience or Behavioral Health Professional that is Clinician licensed… more
    Blue Cross and Blue Shield of Minnesota (09/30/25)
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  • Manager - Care Management

    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 ... Required Skills and Experience * Registered nurse or licensed behavioral health clinician (ie, LICSW, LPCC, LMFT,...within insurance or health care setting in case/disease or utilization management * Bachelor's or Master's degree… more
    Blue Cross and Blue Shield of Minnesota (10/16/25)
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