• Staff Nurse - Utilization

    Minnesota Visiting Nurse Agency (Minneapolis, MN)
    Nurse issued by the State of Minnesota. **Title:** * Staff Nurse - Utilization Review (ED)* **Location:** *MN-Minneapolis-Downtown Campus* ... *_SUMMARY:_* We are currently seeking a* Staff Nurse *to join our Utilization...may require up to*Every Other Weekend*coverage/. *_SPECIFIC RESPONSIBILITIES:_* The Utilization Review (UR) Registered Nurse more
    Minnesota Visiting Nurse Agency (10/02/25)
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  • Manager - Utilization Review

    Minnesota Visiting Nurse Agency (Minneapolis, MN)
    review functions. Oversees daily operations, which include supervising staff performing utilization management activities. The goal is to achieve ... *_SUMMARY:_* We are currently seeking a* Utilization Review Manager* to join ourTransitional...utilization and denial management. Liaises with provider office staff and facilitates meetings with payers, as appropriate *… more
    Minnesota Visiting Nurse Agency (09/30/25)
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  • Clinical Reviewer, Nurse (Medical Oncology)…

    Evolent (St. Paul, MN)
    …quality and cost effective care delivery. **What You'll Be Doing:** + Performs utilization review of outpatient procedures and ancillary services. + Fulfills on ... for the mission. Stay for the culture. **What You'll Be Doing:** The Nurse Reviewer is responsible for performing precertification and prior approvals. Tasks are… more
    Evolent (10/21/25)
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  • Dialysis Clinical Manager Registered Nurse

    Fresenius Medical Center (Shakopee, MN)
    …auditing activities. + Accountable for completion of the Annual Standing Order Review and Internal Classification of Disease (ICD) coding. + Manages clinic ... financials including efficient utilization of supplies or equipment and regular profits and...of supplies or equipment and regular profits and loss review . + Responsible for all required network reporting and… more
    Fresenius Medical Center (08/28/25)
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  • Care Management Associate

    CVS Health (St. Paul, MN)
    …supporting the implementation of care plans to promote effective utilization of healthcare services. Promotes/supports quality effectiveness of Healthcare Services. ... Responsible for initial review and triage of Care Team tasks. Identifies principle...needed medical services, make appropriate referrals to medical services staff and coordinate the required services in accordance with… more
    CVS Health (11/01/25)
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