- Sharecare (St. Paul, MN)
- …support in an appropriate, efficient and cost-effective manner while ensuring high quality care. The Disease Management Nurse works with participating members ... through the lens of their personal health and making high- quality care more accessible and affordable for everyone. To...drive cost effective and appropriate resource utilization and desired clinical outcomes. The Disease Management Nurse is… more
- CVS Health (St. Paul, MN)
- …do it all with heart, each and every day. **Position Summary** **This is a remote work from home role anywhere in the US with virtual** **training.** American Health ... Management. AHH delivers flexible medical management services that support cost-effective quality care for members. **Key Responsibilities** + This position consists… more
- Insight Global (Minnetonka, MN)
- …York, Oregon 1 or more years of experience in HEDIS/Star programs, preferably in a clinical quality consultant role 2 or more years of Call Center or Telephonic ... Job Description The Clinical Performance Quality (CPQ) Clinical...Registered Nurses, Pharmacy Technicians, and Care Coordinators. The Registered Nurse will report into the Director of Clinical… more
- Sharecare (St. Paul, MN)
- …supporting each individual through the lens of their personal health and making high- quality care more accessible and affordable for everyone. To learn more, visit ... program in an appropriate and efficient manner by providing high- quality telephonic Case or Care Management with CareFirst members....+ Actively participate in team huddles and contribute to clinical learning. + Remain current on clinical … more
- Highmark Health (St. Paul, MN)
- …over a specified panel of members that range in health status/severity and clinical needs; and assesses health management needs of the assigned member panel and ... utilizing data/analytics in conjunction with professional clinical judgement to identify the right clinical ...personal health goals. Will work with providers to insure quality and appropriate care is being delivered in a… more
- Veterans Affairs, Veterans Health Administration (Minneapolis, MN)
- Summary VISN 23 CLINICAL CONTACT CENTER is recruiting for an Advanced Practice Nurse (APN) Nurse Practitioner assigned to the virtual clinic care provider ... team to provide virtual clinical care to Veterans. This position is on-site in...Minneapolis, MN. This position is currently not eligible for remote work. Relocation expenses are not authorized. VISN 23… more
- Adecco US, Inc. (Minneapolis, MN)
- …HEDIS and HEDIS-like measures. + Conduct data entry and data mining of market-specific clinical quality data. + Request and track medical records from provider ... Navigate multiple EHRs/documentation systems to obtain required information. + Respond to clinical quality inquiries (phone, fax, email, etc.). + Attend required… more
- CVS Health (St. Paul, MN)
- … healthcare for members. We are seeking a dedicated Utilization Management (UM) Nurse Consultant to join our remote team. **Key Responsibilities** + Apply ... experience in a managed care organization (MCO). + Experience in a high-volume clinical call center or prior remote work environment. **Education** + Associate's… more
- Humana (St. Paul, MN)
- **Become a part of our caring community and help us put health first** The Appeals Nurse 2 resolves clinical complaints and appeals. The Appeals Nurse 2 work ... and independent determination of the appropriate courses of action. The Appeals Nurse 2 reviews documentation and interprets data obtained from clinical … more
- Humana (St. Paul, MN)
- …self- care, to cost-effectively achieve desired clinical outcomes and to enhance quality of medical care. The **Telephonic Nurse Case Manager** will collect ... community and help us put health first** The Telephonic Nurse Case Manager will be a member of the...of hire. + Three (3) or more years of clinical acute care experience. + Strong communication skills both… more
- St Croix Hospice (Oakdale, MN)
- RN-Travel Nurse Job Details Job Location Administration - OAKDALE, MN Remote Type Fully Remote Position Type Full Time Job Posting Date(s) Start Date ... IL, KS, NE, IN or MI). The Hospice Travel Nurse is a great opportunity for a licensed RN...+ Acts as RN Case Manager when assigned by Clinical Supervisor and assumes responsibility to coordinate patient care… more
- Fairview Health Services (St. Paul, MN)
- **Job Overview** **Fairview** is seeking an experienced **Hospitalist** ** Nurse Practitioner** to perform triage work in the System Operations Center (SOC) at ... of onsite (will be required through onboarding) and optional remote work for some shifts + Serve as the... work for some shifts + Serve as the clinical coordinator for triaging interfacility transfers and direct admissions… more
- CenterWell (St. Paul, MN)
- …a part of our caring community and help us put health first** The Nurse Practitioner (VSP) applies advanced education and clinical competencies to achieve ... patient/customer service** **Preferred** **Qualifications:** **Knowledge of HEDIS measures and quality indicators** **Experience managing Medicare Advantage panel of patients… more
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …or designated representative on a plan of care that produces positive clinical results and promotes high- quality effective outcomes. * Identifies relevant ... characteristic. Blue Cross and Blue Shield of Minnesota Position Title: Case Manager- Remote Location: Remote Career Area: Health Services About Blue Cross and… more
- Fujifilm (St. Paul, MN)
- …where appropriate. + Participates in professional organizations. + Provides telephone and remote clinical support for customers, sales, and field service via ... **Position Overview** The Clinical Consultant, MI - I shall be responsible...the project, report configuration (CV), workflow analysis, end-to-end testing, remote or onsite training as well as go-live support… more
- Humana (St. Paul, MN)
- …our caring community and help us put health first** The Care Manager, Telephonic Nurse 2 employs a variety of strategies, approaches and techniques to manage a ... home office space. Work at home care managers are responsible for meeting quality and productivity measures daily and maintaining working home internet at all time… more
- Fujifilm (St. Paul, MN)
- **Position Overview** The Senior Technical Clinical Consultant, Cardiology shall be responsible for all aspects of the reporting design and build, configuration, ... and or post go-live support cases in compliance with the company's quality procedures. **Company Overview** At FUJIFILM Healthcare Americas Corporation, we're on a… more
- Sharecare (St. Paul, MN)
- …available 3rd parties for care management and second opinion. + Referring members to Clinical Advocates ( Nurse ) for conditions that require clinical care and ... through the lens of their personal health and making high- quality care more accessible and affordable for everyone. To...the Family Health Advocate is an exciting and innovative remote role newly created to provide meaningful support to… more
- Minnesota Visiting Nurse Agency (Minneapolis, MN)
- *_SUMMARY:_* We are currently seeking a * Clinical Informatics Associate *to join our team. This full time role will work days (on-site). *Purpose of this ... position:*The Clinical Informatics Associate collaborates with operations and Information Systems...modified information system solutions that ensure the delivery of high- quality patient care * Catalyst for developing and revising… more
- Sedgwick (St. Paul, MN)
- …a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance RN Clinical Consultation **We are looking for one full time RN who can work this ... are driven to deliver great work. + Apply your medical/ clinical or rehabilitation knowledge and experience to assist in...on the health and lives of others, and a remote work environment. + Enjoy flexibility in your career… more