- Humana (St. Paul, MN)
- **Become a part of our caring community and help us put health first** The Manager , Utilization Management Nursing (LTSS Utilization Management ... and communication of medical services and/or benefit administration determinations. The Manager , Utilization Management Nursing works within specific… more
- Good Samaritan (Inver Grove Heights, MN)
- …schedule with a weekend on-call rotation shared with the other supervisory staff. MN Registered Nurse , RN required. Prior MDS experience preferred. $10,000 ... week MDS Coordinator will be a part of our management team. Primary responsibilities will be MDS duties for...Assistance, Annual Increases, PTO + more! **Job Summary** The RN Case Manager , Long Term Care (LTC)… more
- Fresenius Medical Center (Shakopee, MN)
- **About this role:** As a Clinical Manager with Fresenius Medical Care, you will ensure that quality patient care is delivered while maintaining clinical operations. ... leading your business, and advanced leadership. As a Clinical Manager , you may advance your career into an Area...Disease (ICD) coding. + Manages clinic financials including efficient utilization of supplies or equipment and regular profits and… more
- Fresenius Medical Center (Coon Rapids, MN)
- …of time, and for specific additional duties, as assigned by the Program Manager . The Inpatient Services Charge Nurse ensures appropriate provision of Acute ... next day (Excel skills needed). **PURPOSE AND SCOPE:** The Inpatient Services Charge Nurse is an additional "responsibility" assigned to the Inpatient Services RN… more
- CVS Health (St. Paul, MN)
- …toward desired outcomes through assessment and evaluation. **Required Qualifications** + Active Registered Nurse Compact License + Minimum 3+ years clinical ... CM, discharge planning and/or home health care coordination experience + Previous Utilization Management experience, transitions of care and discharge planning… 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 clinical, ... *_SUMMARY:_* We are currently seeking a* Utilization Review Manager * to join ourTransitional...in confidentiality, integrity, creativity, and initiative */License/Certifications:/* * Current Registered Nurse licensure upon hire * National… more
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …a difference, join us. The Impact You Will Have Utilizing key principles of case management , the RN Case Manager focuses on supporting members living with ... and cost-effective health outcomes. Required Skills and Experiences * Registered nurse with current MN license and...* 2+ years of managed care experience; eg case management /health coach, utilization management and/or… more
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …Blue Cross and Blue Shield of Minnesota Position Title: Care Advocacy Case Manager RN Location: Remote Career Area: Health Services About Blue Cross ... of care between settings. Required Skills and Experience * Registered nurse with current MN license and...* 1+ years of managed care experience; eg case management /health coach, utilization management and/or… more
- Bluestone Physician Services (Blaine, MN)
- …with primary care teams to ensure high quality team-based care + Use utilization management tools to facilitate appropriate transitional care management ... high risk patients Qualifications : Education/Certification/Experience + Licensed Social Worker or Registered Nurse + 3-5 years of experience in case/care … more
- Fairview Health Services (Edina, MN)
- …per pay period, days, 8 hour shifts with one weekend per month.** The Registered Nurse is responsible for the assessment, planning, delivery, and evaluation of ... looking for an exciting career in our busy Care Management Department located at our Edina, Minnesota campus! Fairview...all policy, procedures, professional practice guidelines and the MN Nurse Practice Act. The RN coordinates care… 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 ... relations and cost control. Required Skills and Experience * Registered nurse or licensed behavioral health clinician...within insurance or health care setting in case/disease or utilization management * 3+ years of behavioral… more
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …and transition of care between settings. Required Skills and Experience * Registered Nurse with Psychiatric experience or Behavioral Health Professional that ... Manager is a critical component of BCBSMN Care Management team as the primary clinician providing condition and...* 1+ years of managed care experience; eg case management /health coach, utilization management and/or… more
- Sharecare (St. Paul, MN)
- …appropriate resource utilization and desired clinical outcomes. The Disease Management Nurse is also responsible during their interactions with participants ... program intervention guidelines. A Disease Management Nurse is supervised by an Operations Manager ...with disabilities to perform the essential functions. + Current Registered Nurse multi-state compact license in the… more
- CenterWell (St. Paul, MN)
- **Become a part of our caring community and help us put health first** The Utilization Management Nurse 2 uses clinical knowledge, communication skills, and ... skills to make an impact** **Required Qualifications** + Licensed Registered Compact Nurse license ( RN )...volume and fast paced environment + Previous experience in utilization management + Education: BSN or Bachelor's… more