Top 938 Registered manager Jobs in Minnesota

RN Readmission Manager, Payment Integrity
Centene Corporation —Minnesota
- $87,700 - $157,800 a year
- Full-time
- Remote
- Nursing
- RN License
- 3 years
- Paid holidays
- Health insurance
7d
Corporate Compliance Strategist
Fairview Health Services —Minneapolis, MN
- $99,236.80 - $140,108.80 a year
- RN License
- Bachelor of Science
- Organizational skills
Quality Practice Liaison (Must be licensed in Arizona or Multi-State)
CVS Health —Minnesota
- $54,095 - $155,538 a year
- Full-time
- Remote
- Nursing
- Microsoft Outlook
- RN License
- Health insurance
- Dental insurance
7d
Senior Marketing Manager
Raspberry Pi Foundation —Minneapolis, MN
- $110,000 - $120,000 a year
- Part-time
- Remote
- Background check
- Marketing
- Team management
- Paid holidays
- Disability insurance
Quick Apply
8d
Payment Integrity Manager
HealthPartners/GHI —Bloomington, MN
- $51.85 - $77.77 an hour
- Full-time
- Office
- Finance
- Master's degree
- Health insurance
Senior Project Manager, Institutional
Leo A Daly LLC —Minneapolis, MN
- $135,000 - $195,000 a year
- Full-time
- Mentoring
- Senior level
- Professional Engineer
- Commuter assistance
- Health savings account
Legal Practice Analyst (Fully remote in Dykema Office Locations)
Dykema Gossett PLLC —Minneapolis, MN
- $80,000 - $120,000 a year
- Remote
- Mid-level
- Travel
- Contracts
- Profit sharing
- Commuter assistance
Clinical Reimbursement Manager
Benedictine —Saint Paul, MN
- $45 - $49 an hour
- Full-time
- RN License
- Mid-level
- Care plans
- Health insurance
- Dental insurance
8d
Employee Health Services Case Manager
HealthPartners/GHI —Saint Louis Park, MN
- $37.46 - $56.20 an hour
- Weekends as needed
- Hybrid work
- Nursing
- RN License
- Computer literacy
- Health insurance
Cell and Molecular Research Account Manager
Agilent Technologies Inc —Saint Paul, MN
- $110,250 - $183,750 a year
- Full-time
- Up to 50% travel
- Mid-level
- Master's degree
- Work from home
Registered Nurse (RN) Nurse Manager
Estates at Chateau —Minneapolis, MN
- $85,000 - $95,000 a year
- Full-time
- CPR Certification
- Nursing
- Skilled nursing facility
- Health insurance
- Tuition reimbursement
Quick Apply
Registered Nurse (RN) Case Manager - $5K Sign on Bonus
St. Croix Hospice —Bemidji, MN
- $73,000 - $95,000 a year
- Full-time
- Nursing
- RN License
- Mid-level
- Paid holidays
- Disability insurance
Quick Apply
Nurse Manager - Charter House Senior Living Community - RN
Mayo Clinic —Rochester, MN
- $87,193.60 - $128,606.40 a year
- Weekends as needed
- CPR Certification
- Nursing
- RN License
- Health savings account
- Relocation assistance
Registered Nurse (RN) Nurse Manager
Estates at Excelsior —Excelsior, MN
- $80,000 - $92,500 a year
- Full-time
- CPR Certification
- Nursing
- Skilled nursing facility
- Health insurance
- Paid time off
Quick Apply
Registered Nurse (RN) Case Manager - Aitkin area
St. Croix Hospice —Baxter, MN
- $73,000 - $99,000 a year
- Weekends as needed
- Nursing
- Clean driving record
- RN License
- Disability insurance
- Health insurance
Quick Apply
Registered Nurse (RN) Nurse Manager
River Valley Health & Rehabilitation Center —Redwood Falls, MN
- $82,000 - $90,000 a year
- Part-time
- CPR Certification
- Nursing
- Skilled nursing facility
- Health insurance
- Paid time off
Quick Apply
Registered Nurse (RN) Manager
Estates at Rush City —Rush City, MN
- $85,000 - $99,000 a year
- Full-time
- CPR Certification
- Nursing
- Skilled nursing facility
- Health insurance
- Tuition reimbursement
Quick Apply
10d
Registered Nurse (RN) Manager
Edgewood Healthcare —Walker, MN
- $70,000 - $75,000 a year
- No weekends
- Background check
- RN License
- Pass drug screening
- Health savings account
- AD&D insurance
Quick Apply
RN Nurse Case Manager - Home Care
Senior Home Health Care —Rochester, MN
- $85,000 - $95,000 a year
- Part-time
- Management
- RN License
- Mid-level
- Health savings account
- Disability insurance
Quick Apply
14d
Dental Hygienist
Riverland Community Health —Saint Paul, MN
- From $55 an hour
- Full-time
- Spanish
- CPR Certification
- Dental office
- Health savings account
- Disability insurance
Quick Apply

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RN Readmission Manager, Payment Integrity

Centene Corporation -
Minnesota

Apply Now

Job Details

Full-time
$87,700 - $157,800 a year
7 days ago

Benefits

Paid holidays
Health insurance
401(k)
Tuition reimbursement
Paid time off

Qualifications

Medical claims processing software
Healthcare team management
Healthcare reimbursement methods
Healthcare coding investigations
Documentation reviews
DRG

Full Job Description

You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you’ll have access to competitive benefits including a fresh perspective on workplace flexibility.

A Licensed RN paired with a Coding Credential is the candidate this team is seeking for this position that will lead and oversee PI initiatives focused on potentially preventable readmissions, cost recovery, cost avoidance, and payment accuracy. You will lead a team focused on expanded readmission reviews allowing CNC to ensure payment accuracy as well as alignment with internal policies and regulatory requirements. Experience Required for all RN's with Coding Credentials applying:

5 + years of progressive experience in Payment Integrity, including readmission review and DRG validation activities, required.
3+ years of people leadership experience, including direct management of teams, required.
2+ or more years of experience using Diagnosis Related Group encoder and grouper tools (for example, 3M, Optum Encoder, TruCode, TruBridge, WebSTRAT, Payment Systems Incorporated, or similar tools), required.

Position Purpose:
Manages a team of auditors and clinical professionals and is accountable for audit quality, consistency, and overall program performance for potentially preventable readmissions. Oversees payer readmission review programs to ensure accurate, compliant determinations and achievement of payment integrity objectives. This role directs the identification and validation of potentially preventable readmissions while supporting appropriate reimbursement under MS-DRG and APR-DRG methodologies. Responsible for driving program results through audit oversight, trend analysis, and the development of standardized review criteria and best practices.

Lead and oversee Payment Integrity initiatives focused on potentially preventable readmissions, cost recovery, cost avoidance, and payment accuracy, ensuring alignment with established objectives, internal policies, and regulatory requirements.
Collaborate with Health Plans, Medical Economics, Finance, Compliance, Legal, Provider Relations, and Technology teams to support the design, execution, and ongoing monitoring of readmission and DRG-related Payment Integrity strategies.
Monitor program performance against defined metrics, financial targets, and operational benchmarks, using trend analysis to identify risks, variances, and opportunities for improvement.
Provide leadership and operational oversight to teams performing readmission, MS-DRG, and APR-DRG reviews, ensuring accuracy, consistency, timeliness, and adherence to established review standards.
Ensure compliance with federal and state regulations, managed care organization requirements, contractual obligations, and internal policies governing Payment Integrity and audit activities.
Prepare and present reports, analyses, and performance summaries to leadership and key stakeholders, highlighting audit outcomes, trends, and actionable recommendations.
Identify process gaps, operational risks, and control weaknesses, and implement or recommend corrective actions to improve quality, efficiency, and program effectiveness.
Lead, coach, and develop team members by setting clear expectations, promoting accountability, and fostering a culture of collaboration, quality, and continuous improvement.
Serve as a subject matter expert for Payment Integrity practices within assigned scope, providing guidance on readmission review methodology, audit standards, and reimbursement considerations.
Performs other duties as assigned.
Complies with all policies and standards.

Education/Experience:

Bachelor’s degree in Healthcare Administration, Business, Public Health, Health Information Management, Nursing, or a related field required; an additional four (4) years of directly related experience may be considered in lieu of a degree.

5 + years of progressive experience in Payment Integrity, including readmission review and DRG validation activities, required.
3+ years of people leadership experience, including direct management of teams, required.
2+ or more years of experience using Diagnosis Related Group encoder and grouper tools (for example, 3M, Optum Encoder, TruCode, TruBridge, WebSTRAT, Payment Systems Incorporated, or similar tools), required.
Experience working with payer claims systems preferred.
Demonstrated experience supporting government programs, regulatory compliance, or audit activities preferred.
Project management experience preferred.
Experience partnering with external vendors supporting Payment Integrity audit, recovery, or edit programs preferred.
Inpatient hospital documentation improvement experience preferred.

Master’s degree preferred.

License/Certification: Active Health Information Management or coding credentials required, such as RHIT, RHIA, CCS, CIC, or CCDS or Registered Nurse licensure or higher clinical qualification, in combination with a coding credential, required.

Pay Range: $87,700.00 - $157,800.00 per year

Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.

Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.

Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act

Apply Now

Refine Your Search

registered manager jobs in minnesota

RN Readmission Manager, Payment Integrity

Corporate Compliance Strategist

Quality Practice Liaison (Must be licensed in Arizona or Multi-State)

Senior Marketing Manager

Payment Integrity Manager

Senior Project Manager, Institutional

Legal Practice Analyst (Fully remote in Dykema Office Locations)

Clinical Reimbursement Manager

Employee Health Services Case Manager

Cell and Molecular Research Account Manager

Registered Nurse (RN) Nurse Manager

Registered Nurse (RN) Case Manager - $5K Sign on Bonus

Nurse Manager - Charter House Senior Living Community - RN

Registered Nurse (RN) Nurse Manager

Registered Nurse (RN) Case Manager - Aitkin area

Registered Nurse (RN) Nurse Manager

Registered Nurse (RN) Manager

Registered Nurse (RN) Manager

RN Nurse Case Manager - Home Care

Dental Hygienist

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