- Evolent (St. Paul, MN)
- …Evolent for the mission. Stay for the culture. **What You'll Be Doing:** The Clinical Review Nurse is responsible for performing precertification and prior ... policies, and clinical decision-making criteria sets. The Clinical Review Nurse serves as... medical necessity and appropriateness of services using clinical review criteria. + Accurately documents all… more
- Adecco US, Inc. (Minneapolis, MN)
- …and clinical criteria, rendering approvals when appropriate. . You will summarize medical information for review by the Medical Director as needed, ... inpatient hospital setting . Experience applying benefits and criteria to clinical reviews . Utilization Management, pre-authorization, concurrent review , or… more
- Minnesota Visiting Nurse Agency (Brooklyn Park, MN)
- …role can be filled at the one of these levels: Clinical Associate, Medical Assistant, or Licensed Practical Nurse (4-5 days/week, 8 hour shifts). This ... Practitioner (LIP), Manager/ Clinic Nurse Supervisor, charge nurse , and/or their delegates, the Clinical Associate...-*Under the direction/ delegation of a physician(s) or other clinical care team members, the Medical Assistant… more
- Fresenius Medical Center (Hastings, MN)
- **About this role:** As a Clinical Manager with Fresenius Medical Care, you will ensure that quality patient care is delivered while maintaining clinical ... kidney disease. **Training and advancement:** You will enter our Clinical Leadership Program that creates and supports a culture...a tremendous asset that sets us apart. At Fresenius Medical Care, you will truly make a difference in… more
- Blue KC (Workman, MN)
- …authorization letters, and follows in FACETS UM system in accord with UM concurrent review guidelines. Consults with Medical Director on cases outside medical ... case management and clinical transplant experience + Valid and active Registered nurse (RN) licensure in all 50 states and the District of Columbia initiated… more
- Essentia Health (Duluth, MN)
- **Job Description:** Manages all aspects of conducting clinical trials. As the primary resource for the protocols, the research nurse will act as liaison between ... the investigators, primary care providers, the scientific and institutional review boards, and the sponsor. Along with the investigator, the research nurse will… more
- Minnesota Visiting Nurse Agency (Minneapolis, MN)
- …Weekend*coverage/. *_SPECIFIC RESPONSIBILITIES:_* The Utilization Review (UR) Registered Nurse is responsible for evaluating the medical necessity, ... Nurse issued by the State of Minnesota. **Title:** *Staff Nurse - Utilization Review (ED)* **Location:** *MN-Minneapolis-Downtown Campus* **Requisition ID:**… more
- State of Minnesota (Shakopee, MN)
- **Working Title: LPN/CMA** **Job Class: Licensed Practical Nurse / Medical Assistant, Certified** **Agency: Corrections Dept** + **Job ID** : 90543 + **Location** ... position will be filled in either the Licensed Practical Nurse (LPN) or Medical Assistant, Certified (CMA)...applicants seeking consideration for this position: + Licensed Practical Nurse . + Clinical experience in a hospital,… more
- Humana (St. Paul, MN)
- …guidance where needed. Follows established guidelines/procedures. **KEY ACCOUNTABILITIES** + Review medical documentation, obtain additional information that may ... community and help us put health first** The Appeals Nurse 2 resolves clinical complaints and appeals....TRICARE, all HGB policies and procedures as well as medical necessity review criteria and privacy requirements… more
- Fresenius Medical Center (Duluth, MN)
- …to the Inpatient Program Manager, appropriately credentialed physician, patient hospital primary nurse and others as indicated. + Delivers safe, effective care in a ... May be assigned to in-center patient care on an as needed basis + Review and comply with the Code of Business Conduct and all applicable company policies… more
- Veterans Affairs, Veterans Health Administration (St. Cloud, MN)
- …supports the physical, emotional, and social well-being of Veterans. Serve as the clinical lead of the integrated care team, guiding and coordinating services to ... and community partners to promote seamless, coordinated care. Apply utilization review criteria and evidence-based standards to ensure safe, efficient, and… more
- Veterans Affairs, Veterans Health Administration (St. Cloud, MN)
- …and record relevant patient information. Completed work should need only a general review by a registered nurse (RN) or physician (MD/DO) for appropriateness ... Summary This Licensed Practical Nurse (LPN) is assigned to the Mental Health...Residential Rehabilitation Treatment Program at the Saint Cloud VA Medical Center, where Veterans receive comprehensive treatment and rehabilitation… more
- State of Minnesota (Shakopee, MN)
- …charge nurse /supervisor; maintains a system for accurate and thorough medical record keeping; provides health education; and maintains adequate inventory and ... **Working Title: RN** **Job Class: Registered Nurse ** **Agency: Corrections Dept** + **Job ID** :...security of medical supplies and equipment. **Minimum Qualifications** To be qualified… more
- Humana (St. Paul, MN)
- …and help us put health first** The Nurse Auditor 2 performs clinical audit/validation processes to ensure that medical record documentation and diagnosis ... independent determination of the appropriate courses of action. The Nurse Auditor 2 validates and interprets medical ...coding experience to conduct a clinical validation review of the inpatient medical record to… more
- Mayo Clinic (Rochester, MN)
- …can build a long, successful career with Mayo Clinic. **Benefits Highlights** + Medical : Multiple plan options. + Dental: Delta Dental or reimbursement account for ... Retirement: Competitive retirement package to secure your future. **Responsibilities** The Nurse Practitioner or Physician Assistant - MRI provides expert … more
- State of Minnesota (Red Wing, MN)
- …Registered Nurse (RN) Supervisor provides for coordinated, goal oriented clinical operations of the Nursing/ Medical Clinic at Minnesota Correctional Facility ... **Working Title: RN Supervisor** **Job Class: Registered Nurse Supervisor** **Agency: Corrections Dept** + **Job ID**...(MCF)-Red Wing, including medical , nursing, dental, laboratory and medical records… more
- Cardinal Health (St. Paul, MN)
- …both scheduled outbound calls and inbound call queue. + Meets regularly with Clinical Supervisor and/or Senior Nurse , Individualized Care to discuss feedback ... who need them-faster.** **_What Individualized Care contributes to Cardinal Health_** Clinical Operations is responsible for providing clinical specialties… more
- Actalent (Minnetonka, MN)
- …and clinical judgment will be crucial in determining the medical necessity of post-acute stays, including skilled nursing facilities, acute inpatient ... Utilization Management Nurse Job Description As a Utilization Management ...medical directors, and various internal departments. + Apply clinical judgment to assess the medical necessity… more
- Minnesota Visiting Nurse Agency (Minneapolis, MN)
- …and call prescription refills as directed by providers * Assist with tracking and review of medical records and lab results * Clean equipment and rooms. ... Jail Health Services is under contract with Hennepin County Medical Center and the Hennepin County Sheriff's Office to...Model, under the direction of providers and/or the registered nurse , the Licensed Practical Nurse assists providers… more
- Minnesota Visiting Nurse Agency (Minneapolis, MN)
- …and call prescription refills as directed by providers * Assist with tracking and review of medical records and lab results * Clean equipment and rooms. ... are looking to fill a number of Licensed Practical Nurse (LPN) positions. We have a variety of shifts...of shifts and FTE's available. *_RESPONSIBILITIES_* * Perform assigned clinical tasks under the direction of a provider or… more