- Humana (St. Paul, MN)
- **Become a part of our caring community and help us put health first** The Manager , Utilization Management Nursing utilizes clinical nursing skills ... communication of medical services and/or benefit administration determinations. The Manager , Utilization Management Nursing...to make an impact** **Required Qualifications** + Licensed Registered Nurse (RN) in IL, WI, MN, SD, ND, IA,… more
- Select Medical (Golden Valley, MN)
- …by doing what is right. The Case Manager is responsible for utilization reviews and resource management , discharge planning, treatment plan management ... **Overview** **Critical Illness Recovery Hospital** **Case Manager ** _Requires a current licensure in a clinical...the plan of care. + Demonstrates compliance with facility-wide Utilization Management policies and procedures. + Coordinates… more
- Fresenius Medical Center (Lakeville, MN)
- **About this role:** As a Clinical Manager with Fresenius Medical Care, you will ensure that quality patient care is delivered while maintaining clinical operations. ... leading your business, and advanced leadership. As a Clinical Manager , you may advance your career into an Area...Disease (ICD) coding. + Manages clinic financials including efficient utilization of supplies or equipment and regular profits and… more
- Elevance Health (Mendota Heights, MN)
- …equivalent and a minimum of 3 years acute care clinical experience or case management , utilization management or managed care experience; or any combination ... **Anticipated End Date:** 2024-12-27 **Position Title:** Nurse Medical Management II **Job Description:**...Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance… more
- Fairview Health Services (St. Paul, MN)
- …**Qualifications** **Required Qualifications** + Bachelor's degree in Health Information Management , Nursing , Education or related field or equivalent ... **Overview** Fairview is hiring a Manager Clinical Documentation Integrity to join our Health...combination of Associate degree in Health Information Management , Nursing , Education, or related field and… more
- Fairview Health Services (Minneapolis, MN)
- …years working as a care coordinator/case manager Active MN Registered Nurse license **Preferred** Case Management Certification BSN Basic Life Support (BLS) ... with the leader on any unusual situations. Internal customers include all levels of nursing management and staff, medical staff, and all other members of the… more
- Highmark Health (St. Paul, MN)
- …Inc. **Job Description :** **JOB SUMMARY** This job implements effective utilization management strategies including: review of appropriateness of health ... depending on where clinical care is being provided. **Preferred** + Certification in utilization management or a related field **SKILLS** + Working knowledge of… more
- Fairview Health Services (Minneapolis, MN)
- …years working as a care coordinator/case manager Active MN Registered Nurse license **Preferred** Case Management Certification BSN Basic Life Support (BLS) ... **Overview** Are you an experienced nurse ? We at M Health Fairview are looking...**:** Have an understanding of hospital, community resources and resource/ utilization management . Have solid understanding of use… more
- Fairview Health Services (Minneapolis, MN)
- …all adult patient population. This position is responsible for assisting the Manager /Director with department operations. Partners with nursing leaders to assure ... plans. + Completes/audits payroll reports and timesheets. + Supervises other resource utilization . Collaborates with Nursing and Provider leadership to implement… more
- Elevance Health (Mendota Heights, MN)
- …Level:** Non- Management Exempt **Workshift:** **Job Family:** MED > Licensed Nurse Please be advised that Elevance Health only accepts resumes for compensation ... responsible for identifying, monitoring, and analyzing aberrant patterns of utilization and/or fraudulent activities by health care providers through prepayment… more
- Fairview Health Services (Minneapolis, MN)
- …Maintains a thorough knowledge of facilities, services available **Serves as liaison case manager with internal and external case management teams** Assists with ... to staff including, but not limited to, physicians, care coordinators, nursing , social services, therapists, direct care, and service providers, regarding acute… more
- All Homecaring - Minnesota (Columbia Heights, MN)
- …and plan of care under the direction and supervision of the Director of Nursing . Essential Job Functions + Assists the physician or intermediate care provider in ... care planning. + Performs the duties of agency case manager when client is not concurrently open to skilled... when client is not concurrently open to skilled nursing , including performing start of cares, ongoing recertifications, transfers,… more