- Minnesota Visiting Nurse Agency (Minneapolis, MN)
- …Nurse issued by the State of Minnesota. **Title:** * Staff Nurse - Utilization Review (ED)* **Location:** *MN-Minneapolis-Downtown Campus* ... **12/2/2025 - REVISED FTE *_SUMMARY:_* We are currently seeking a* Staff Nurse *to join our Utilization ...may require up to*Every Other Weekend*coverage/. *_SPECIFIC RESPONSIBILITIES:_* The Utilization Review (UR) Registered Nurse … more
- Actalent (Minnetonka, MN)
- …to assess the medical necessity of post-acute stays. Essential Skills + Expertise in utilization management and utilization review . + Experience in acute ... Utilization Management Nurse Job Description As...involves interfacing with members, providers, facilities, medical directors, intake staff , case managers, and other internal departments. Your attention… more
- Minnesota Visiting Nurse Agency (Minneapolis, MN)
- … review functions. Oversees daily operations, which include supervising staff performing utilization management activities. The goal is to achieve ... *_SUMMARY:_* We are currently seeking a* Utilization Review Manager* to join ourTransitional...utilization and denial management. Liaises with provider office staff and facilitates meetings with payers, as appropriate *… more
- Evolent (St. Paul, MN)
- …the mission. Stay for the culture. **What You'll Be Doing:** The Clinical Review Nurse is responsible for performing precertification and prior approvals. Tasks ... physician-developed medical policies, and clinical decision-making criteria sets. The Clinical Review Nurse serves as a member advocate, expediting care… more
- Fresenius Medical Center (Hastings, MN)
- …auditing activities. + Accountable for completion of the Annual Standing Order Review and Internal Classification of Disease (ICD) coding. + Manages clinic ... financials including efficient utilization of supplies or equipment and regular profits and...of supplies or equipment and regular profits and loss review . + Responsible for all required network reporting and… more
- CenterWell (Brooklyn Park, MN)
- … review of clinical documentation in addition to feedback and recommendations by Utilization Review staff . Upon completion of the assessment, creates and ... requirements. + Responsible for the QA/PI activities. Works with Utilization Review staff relative to...of Nursing. + Current state license as a Registered Nurse . + Proof of current CPR. + Valid driver's… more
- Humana (St. Paul, MN)
- …to improve the lives of others. **Essential Duties and Responsibilities:** + Review PA requests for home health services, durable medical equipment, outpatient ... Medicaid criteria, iCare guidelines, and PA Department policies and procedures. + Review PA requests for inpatient medical stays, skilled nursing facility stays,… more
- Novo Nordisk (Minneapolis, MN)
- …relationships include key opinion leaders (KOL's), academic institutions, physicians, nurse practitioners, diabetes educators, pharmacists, blood bank staff , ... providers and IHNs; c) develops appropriate use of NNI products and greater utilization of its services d) supports and assists representatives and managers in… more
- Oracle (St. Paul, MN)
- …(ECD) alignments, Critical Care workflow implementation, Multi-Disciplinary Rounding, and various nurse chart review and documentation optimizations. The ideal ... PowerForms, and so on. Collaborate with cross-functional teams, including IT staff and end-users, to ensure seamless adoption of optimizations while minimizing… more
- Minnesota Visiting Nurse Agency (Minneapolis, MN)
- …needs of a patient population, making real time interventions with the medical staff and nursing staff to facilitate optimal drug therapy and facilitate ... a Pre-Pharmacy Student * Compounds non-sterile products based on assessment of drug utilization Second - Fourth Year Pharmacy Students (Interns): * Performs all the… more
- Minnesota Visiting Nurse Agency (Minneapolis, MN)
- …delivery of cost-effective health care and identify the appropriate utilization of resources. Coaches patients and parents/caregivers in developmentally appropriate ... positive parenting style. Works collaboratively with interdisciplinary staff internal and external to the organization. Participates in quality improvement and… more