- Humana (St. Paul, MN)
- …part of our caring community and help us put health first** The Utilization Management Behavioral Health Nurse uses behavioral health knowledge and ... licensed in a Compact State** The Utilization Management Behavioral Health Nurse completes...Qualifications** + Minimum of Associate Degree in Nursing + Registered Nurse ( RN ) licensure with… more
- Highmark Health (St. Paul, MN)
- …and education or if necessary involve Special Investigation Unit or the Utilization Management area. **ESSENTIAL RESPONSIBILITIES** + Implement the pre-payment ... data to assure appropriate level of payment and resource utilization . It is also used to identify issues which...experience in Managed Care **LICENSES or CERTIFICATIONS** **Required** + Registered Nurse **Preferred** + Certified Medical Coder… more
- Fairview Health Services (Maplewood, MN)
- …for services provided . Completes the requirements of various payers and utilization management reviewers to obtain authorization for treatment. Demonstrates the ... Three years in mental health or related setting License/Certification/Registration Current Registered Nurse license in Minnesota Basic Life Support Certification… more
- Fairview Health Services (Edina, MN)
- …not limited to: assessment, care planning, service coordination and referral, transition management , utilization management and quality assurance. The care ... care industry **License/Certification/Registration** + Minnesota Board of Nursing Public Health Nurse license + Certification in case management , gerontological… more