- Minnesota Visiting Nurse Agency (Minneapolis, MN)
- …Some positions may require specialized certifications(s). **Title:** * Staff Nurse - Utilization Review (Float)* **Location:** *MN-Minneapolis-Downtown ... *_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 (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
- Fairview Health Services (St. Paul, MN)
- …to Fairview Hospitalist APPs **Fairview** is seeking an experienced **Hospitalist** ** Nurse Practitioner** to perform triage work in the System Operations Center ... tertiary hospitals, and community hospitals. This role ensures optimal utilization of system resources by coordinating with patient placement...Daytime (8 AM-6 PM) as we expand and fully staff the service + Serve as the clinical coordinator… more
- Evolent (St. Paul, MN)
- …focusing on appeals and post-determination requests. We maintain the principles of utilization management by adhering to Evolent and Client policies and procedures ... work with a group of nurses, providing appeal intake review for one dedicated client. They interact with coordinators...Be Doing:** + Practices and maintains the principles of utilization management and appeals management by adhering to company… more
- 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
- Highmark Health (St. Paul, MN)
- …timeframes and notification requirements are met. + Communicate effectively with Utilization Management Staff , providers, other internal and external customers ... requirements. Documents, processes and routes requests for services to the nurse reviewer and other departments based on documentation procedures, including … more
- Minnesota Visiting Nurse Agency (Minneapolis, MN)
- …long-range, strategic, and operational plans to ensure that patient care, programs, staff development and operational objectives of Hennepin Health System (HHS) are ... the services provided including clinical and quality outcomes, patient and staff satisfaction, and monitors performance against these indicators * Assumes director… more