- Fairview Health Services (St. Paul, MN)
- **Overview** **Fairview Health Services is hiring a casual** ** Utilization Management Spec RN ** **to join our Revenue Cycle Management team. This is a ... remote position.** This position, under Revenue Cycle Management , is responsible for the completion of admission and...**Job Expectations:** + Perform and document timely and accurate utilization management review to ensure compliance with… more
- Highmark Health (St. Paul, MN)
- …Sunday required in addition to 3 weekdays** This job implements effective utilization management strategies including: review of appropriateness of health care ... depending on where clinical care is being provided. **Preferred** + Certification in utilization management or a related field **SKILLS** + Working knowledge of… more
- Guardian Life (St. Paul, MN)
- …services. Act as a liaison between all parties required in case management to facilitate collaboration toward RTW goals. Utilization of independent ... **Position Summary** The RN Clinical Consultant serves as a clinical resource...plan and length of disability. Plan for ongoing case management through proactive partnering with treating providers to move… more
- Humana (St. Paul, MN)
- …your skills to make an impact** **Required Qualifications** + Associate degree + Active Registered Nurse , ( RN ), License in your state of residence without ... project management and/or process improvement experience + Minimum 3 years utilization management experience with exposure to grievance and appeals +… more