Top 78 Utilization management nurse Jobs in Minnesota

Patient Care Management Coordinator
Fairview Health Services —Minneapolis, MN
- $48.11 - $69.49 an hour
- Day shift
- Nursing
- RN License
- BLS Certification
Clinical Manager Service Line - Oncology / Cancer Care
Fairview Health Services —Minneapolis, MN
- $121,638.40 - $175,697.60 a year
- Urgently hiring
- Nursing
- RN License
- BLS Certification
10d
Utilization Management- RN
South Country Health Alliance —Medford, MN
- $34.39 - $47.94 an hour
- Weekends as needed
- Nursing
- Microsoft Excel
- Microsoft Outlook
- Disability insurance
- Health insurance
Utilization Management Nurse Consultant
CVS Health —Minnesota
- $26.01 - $68.55 an hour
- Full-time
- Remote
- Nursing
- RN License
- Mid-level
- Health insurance
- Dental insurance
5d
Nurse Liaison
Fairview Health Services —Minneapolis, MN
- $86,507.20 - $124,945.60 a year
- Nursing
- RN License
- Computer literacy
Case Manager, Registered Nurse (Oncology experience required)
CVS Health —Minnesota
- $54,095 - $155,538 a year
- Full-time
- Remote
- Spanish
- Nursing
- RN License
- Health insurance
- Dental insurance
Telephonic Case Manager
Enlyte —Minnesota
- $74,000 - $86,000 a year
- Full-time
- Remote
- Nursing
- Microsoft Outlook
- RN License
- Health savings account
- AD&D insurance
4d
Supervisor, Utilization Management
Medica Services Company LLC —Minnetonka, MN
- $78,700 - $134,900 a year
- Microsoft Word
- Nursing
- Microsoft Excel
- Paid holidays
- Health insurance
1d
Director Inpatient Clinical Documentation Integrity | CentraCare
Centra Care —Saint Cloud, MN
- $117,104.00 - $175,676.80 a year
- Full-time
- Remote
- Nursing
- RN License
- Inpatient
- Health insurance
- Dental insurance
6d
RN Case Manager
HealthPartners/GHI —Bloomington, MN
- $36.37 - $54.55 an hour
- Full-time
- Nursing
- RN License
- Computer literacy
- Health insurance
Clinical Manager Service Line
Fairview Health Services —Minneapolis, MN
- $121,638.40 - $175,697.60 a year
- Nursing
- RN License
- BLS Certification
Supervisor Perioperative
Fairview Health Services —Minneapolis, MN
- $115,876.80 - $167,398.40 a year
- Full-time
- Nursing
- RN License
- PALS Certification
22h
Home Health Care (RN)
Leech Lake Band Of Ojibwe —Cass Lake, MN
- From $32 an hour
- Weekends as needed
- CPR Certification
- Nursing
- Blood sampling
- Continuing education credits
- Health insurance
Quick Apply
14d
Surgery Center RN Manager
Southdale Specialty Surgery Center —Minneapolis, MN
- $110,000 - $133,000 a year
- Full-time
- Nursing
- RN License
- 5 years
- Health insurance
- Dental insurance
Quick Apply
Dialysis Clinical Manager Registered Nurse - RN
Fresenius Medical Care —Shakopee, MN
- Full-time
- Nursing
- Heavy lifting
- RN License
- Health insurance
- Dental insurance
Quick Apply
Care Coordinator, LSW (MSHO) – $2,500 Sign-On Bonus
Bluestone Physician Services —Little Canada, MN
- $65,000 - $75,000 a year
- Full-time
- Hybrid work
- Nursing
- RN License
- Experience working with individuals with disabilities
- Mileage reimbursement
- Health savings account
Quick Apply
Care Coordinator, LSW (MSHO) – $2,500 Sign-On Bonus
Bluestone Physician Services —Maplewood, MN
- $65,000 - $75,000 a year
- Full-time
- Hybrid work
- RN License
- Experience working with individuals with disabilities
- English
- Mileage reimbursement
- Health savings account
Quick Apply
Care Coordinator, LSW (MSHO) - $2,500 Sign-On Bonus
Bluestone Physician Services —Winona, MN
- $65,000 - $75,000 a year
- Full-time
- Hybrid work
- RN License
- Experience working with individuals with disabilities
- English
- Mileage reimbursement
- Health savings account
Quick Apply
Clinical Supervisor
CareAparent —Woodbury, MN
- $95,000 - $98,000 a year
- Monday to Friday
- Background check
- CPR Certification
- Nursing
- Health savings account
- Disability insurance
Quick Apply
Dialysis Clinical Manager Registered Nurse - RN
Fresenius Medical Care —Shakopee, MN
- Full-time
- Nursing
- Heavy lifting
- RN License
- Health insurance
- Dental insurance

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Patient Care Management Coordinator

Fairview Health Services -
Minneapolis, MN

Apply Now

Job Details

$48.11 - $69.49 an hour

Qualifications

RN License
Bachelor's degree
Bachelor's degree in nursing

Full Job Description

Responsibilities/Job Description:

Fairview is seeking a Patient Care Management Coordinator for our University of Minnesota East Bank location. This is a 0.6 FTE position (48 hours every two weeks). The schedule will be Monday–Friday, day shifts from 8:00 AM–4:30 PM, with a requirement to work every 6th weekend and one holiday per year.

This Patient Care Management Coordinator provides comprehensive care coordination of patients as assigned. The care coordinator assesses the patient's plan of care and develops, implements, monitors, and documents the utilization of resources and progress of the patient through their care, facilitating options and services to meet the patient's health care needs. The intensity of care coordination provided is situational and appropriate based on patient need and payer requirements. This position is accountable for the quality of clinical services delivered by both them and others and identifies/resolves barriers which may hinder effective patient care. This position has responsibility to determine how to best accomplish functions within established procedures, consulting with leader on any unusual situations. Internal customers include all levels of nursing management and staff, medical staff, and all other members of the interdisciplinary health care team. External customers include physicians and their office staff, payers, community agencies, provider networks, and regulatory agencies.

Responsibilities

Manages patients across the health care continuum to achieve the optimal clinical, financial, operational, and satisfaction outcomes.
Acts as one point of contact for patients, physicians, and care providers throughout the patient’s hospitalization.
Initiates/implements transition functions and activities for patients communicating with patients, families, and the health care team to ensure seamless transitions.
Assesses patient admissions and continued stay utilizing evidence-based criteria.
Contributes to the development and implementation of individualized patient care plans.
Collaborates with health care team partners and patients/family to manage the patient discharge plan.
Effectively communicates the plan across the continuum of care.
Assist in the development and implementation of process improvement activities to achieve optimal clinical, financial and satisfaction outcomes.
Enables efficiency in care by identifying and reducing delays, ensuring appropriate level of care, facilitating length of stay reductions, and identifying resources to promote a safe and effective discharge.
Collects data and other information required by payers to fulfill utilization and regulatory requirements.
Identify and communicate, to appropriate leader, all issues related to case escalation.
Establishes a collaborative relationship with physicians, medical directors, nurses and other unit staff, and payers.
Demonstrates effective communication by being a critical link with attending and consulting physicians and all health care team members and payers. Facilitates resolution to any identified issues.
Mentors internal members of the health care team on case management and managed care concepts.
Understands and focuses on key performance indicators.
Actively tracks outcomes and participates in quality planning.
Facilitates integration of concepts into daily practice.

Required Qualifications

Bachelors Degree in Nursing
1 year RN experience
Registered Nurse

Preferred Qualifications

Case Management Nurse
Basic Life Support (American Heart Assoc, Red Cross or MTN)

Qualifications:

$48.11- $69.49 Hourly

Apply Now

Refine Your Search

utilization management nurse jobs in minnesota

Patient Care Management Coordinator

Clinical Manager Service Line - Oncology / Cancer Care

Utilization Management- RN

Utilization Management Nurse Consultant

Nurse Liaison

Case Manager, Registered Nurse (Oncology experience required)

Telephonic Case Manager

Supervisor, Utilization Management

Director Inpatient Clinical Documentation Integrity | CentraCare

RN Case Manager

Clinical Manager Service Line

Supervisor Perioperative

Home Health Care (RN)

Surgery Center RN Manager

Dialysis Clinical Manager Registered Nurse - RN

Care Coordinator, LSW (MSHO) – $2,500 Sign-On Bonus

Care Coordinator, LSW (MSHO) – $2,500 Sign-On Bonus

Care Coordinator, LSW (MSHO) - $2,500 Sign-On Bonus

Clinical Supervisor

Dialysis Clinical Manager Registered Nurse - RN

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