• Utilization Management

    Humana (St. Paul, MN)
    …us put health first** The UM Administration Coordinator contributes to administration of utilization management . The UM Administration ... Job Description **Achieve your best at Humana. Join Us!** The UM Administration Coordinator provides non-clinical support for the policies and procedures… more
    Humana (10/10/25)
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  • UM Coordinator 2

    Humana (St. Paul, MN)
    …a part of our caring community and help us put health first** The UM ( Utilization Management ) Administration Coordinator 2 contributes to ... administration of utilization management . We focus on living out our values daily...electronic medical record and documentation programs + Experience with Utilization Review and/or Prior Authorization, preferably within a managed… more
    Humana (11/01/25)
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  • Quality Assurance and Improvement…

    State of Minnesota (St. Paul, MN)
    …and behavioral health systems within the Medicaid program. It focuses on utilization management , provider certification, managed care collaboration, and the ... **Working Title: Quality Assurance and Improvement Coordinator ** **Job Class: Human Services Program Representative 2**...but not limited to:** + Design, implement, and improve utilization management systems to ensure compliance and… more
    State of Minnesota (10/28/25)
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  • Case Manager, Registered Nurse - Fully Remote

    CVS Health (St. Paul, MN)
    …Founded in 1993, AHH is URAC accredited in Case Management , Disease Management and Utilization Management . AHH delivers flexible medical management ... home role anywhere in the US with virtual training.** American Health Holding, Inc (AHH) is a medical management company that is a division within Aetna/CVS Health.… more
    CVS Health (11/07/25)
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