Utilization Management Nurse RN - Eden Prairie, MN

We are not a staffing firm or agency but we partner with DirectEmployers to promote this job for UnitedHealth Group. · The Utilization Management Nurse RN will review clinical information from patient electronic medical records requested by our clients, · coordinate key clinical ...

We remove friction and drive alignment between care providers and payers, ultimately consumers. Ready to help us deliver results that improve lives?The Utilization Management Nurse RN is responsible for reviewing clinical information from patient electronic medical records reques ...

Optum Insight is improving the flow of health data and information to create a more connected system. · The First Level Review Nurse will accurately and efficiently review case details from patient records focusing on key elements according to process and follow the agreed upon s ...

Inpatient Care Management Nurse responsible for ensuring proper utilization of health services by assessing and interpreting member needs and identifying solutions to help members live healthier lives. · ...

Job Summary: · The Utilization Management Nurse will accurately and efficiently review and extract pertinent case details from patient medical records; · and craft strongly defensible appeal letters per process instructions and the department’s/company’s guidance. ...

The Utilization Management Nurse will accurately and efficiently review and extract pertinent case details from patient medical records; · and craft strongly defensible appeal letters per process instructions and the department's/company's guidance. · The nurse will complete thei ...

Join our Transitional Care Unit as a Nurse Manager at Aurora on France TCU. · Aurora on France TCU is a fast-paced care facility in Edina and connected to M Health Fairview Southdale Hospital. · ...

The Utilization Management Nurse is responsible for reviewing and documenting prior authorization and concurrent stay requests. · Review and document prior authorization and concurrent stay requests. · Evaluate member case history in compliance with policies and procedures. · ...

The Nurse Manager for Martin Luther Care Center is an RN whom will be responsible for continuity of nursing care in the Ebenezer managed Skilled Nursing Facility by delegating advising and supervising nursing care delivered for our adult short stay patients. · ...

Join our Transitional Care Unit as a Nurse Manager at Aurora on France TCU, an Ebenezer community. As a reputable provider of exceptional care and services for adults and seniors, we are seeking a dedicated professional to join our team. · Leads nursing functions. · Supervises st ...

We are looking for a Nurse Manager to join our Emergency Center team. · Directing, planning, coordinating and supervising activities associated with patient care on assigned patient care department(s) · ...

This role requires utilization management experience with a payor/third-party managed care organization. · ...

As a Utilization Management Nurse for Post Acute care, you will be responsible for reviewing and documenting prior authorization and concurrent stay requests. · Review and document prior authorization and concurrent stay requests. · Manage and evaluate member case history in line ...

This role requires reviewing and documenting prior authorization and concurrent stay requests, as well as member case histories in compliance with policies, procedures clinical criteria MCG. · ...

Join our Emergency Center team as a Partner for Good and help make an impact on the care and experience that our patients and their families receive every day. · ...

Presbyterian Homes & Services of Bloomington is seeking a Nurse Manager / Clinical Coordinator to join our Assisted Living team. · ...

We're looking for a Nurse Manager to join our Emergency Center team. You'll direct, plan, and supervise patient care activities on assigned departments. This includes establishing standards of care and staff development. · Direct patient care activities on assigned departments. · ...

We're looking for a Nurse Manager to join our Emergency Center team at Methodist Hospital. As a Partner for Good, you'll help make an impact on patient care and experience every day. · Directing planning coordinating supervising activities associated with patient care on assigned ...

We are seeking a dedicated and experienced Unit Manager (RN) to provide clinical and operational leadership within our skilled nursing and rehabilitation facility. · Supervise and coordinate nursing care on the assigned unit. · Clinical review of referrals and admissions to ensur ...

The Nurse Manager for Martin Luther Care Center will be responsible for continuity of nursing care in the Ebenezer managed Skilled Nursing Facility by delegating advising and supervising nursing care delivered for adult short stay patients. · ...