• Utilization Management Nurse

    CVS Health (St. Paul, MN)
    …that promote high-quality healthcare for members. We are seeking a dedicated Utilization Management (UM) Nurse Consultant to join our remote team. **Key ... listening, and use of a computer. + Flexibility to provide coverage for other Utilization Management (UM) Nurses across various UM specialty teams as needed,… more
    CVS Health (10/21/25)
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  • Consultant , Nurse Disability I

    Lincoln Financial (St. Paul, MN)
    …and/or proficiency with Disability Management (STD/LTD) knowledge, Workers Compensation, Utilization Review and/or nurse case management preferred skills ... We are excited to bring on a highly motivated Nurse Disability Consultant to our clinical organization....will provide coaching and guidance to claims regarding medical management . **What you'll be doing** * Evaluate medical information… more
    Lincoln Financial (10/10/25)
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  • QM Nurse Consultant

    CVS Health (St. Paul, MN)
    …research efforts, contributing to scholarly publications, and/or facilitating research utilization to improve clinical care and outcomes. Required Qualifications: ... Registered Nurse (RN) required. Working knowledge of problem solving and...all colleagues** including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching. + **Benefit… more
    CVS Health (10/21/25)
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  • Consultant , Behavioral Health I

    Lincoln Financial (St. Paul, MN)
    …in a behavioral health setting including 1 year in claims, disability management (STD/LTD), worker's compensation, utilization review, and or behavioral health ... We are excited to bring on a knowledgeable and motivated Behavioral Health Consultant to our Clinical Organization. As a Behavioral Health Consultant , you… more
    Lincoln Financial (10/20/25)
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  • Case Manager Registered Nurse - Field…

    CVS Health (St. Paul, MN)
    …CM, discharge planning and/or home health care coordination experience + Previous Utilization Management experience, transitions of care and discharge planning ... members. Community Care is a member centric, team-delivered, community-based care management model that joins members where they are. With compassionate attention… more
    CVS Health (10/18/25)
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  • Manager - Care Management

    Blue Cross and Blue Shield of Minnesota (Eagan, MN)
    …business case consultant for leadership as they relate to case/disease/ utilization management . * Coordinates the development, revision and implementation of ... and cost control. Required Skills and Experience * Registered nurse or licensed behavioral health clinician (ie, LICSW, LPCC,...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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