Utilization Review Nurse Salary at Healthez BETA

Bluestone Physician Services delivers great outcomes by bringing exceptional care to patients living with complex, chronic conditions and disabilities. Our unique, robust model of care goes beyond primary care services our multidisciplinary care teams collaborate with patients, their families and other healthcare providers to deliver care that is preventative, proactive and tailored to their unique needs. Our care teams travel to patients who reside in Assisted Living, Memory Care and Group Home communities throughout Minnesota, Wisconsin and Florida. In addition to primary care, Bluestone has a highly developed care coordination model for more than 14,000 seniors and individuals living with disabilities in Minnesota. Bluestone Care Coordination partners with Minnesota health plans to support their members who receive medical assistance through Minnesotas Special Needs BasicCare (SNBC) & Minnesota Senior Health Options (MSHO) programs. Care Coordinators are registered nurses or license

Job Description HealthPartners is hiring a Consultant, Medical Coverage Policy. The Consultant is responsible for the development, maintenance, review, and implementation of medical policies/criteria which support clinical decision-making coverage for services that are rooted in scientific evidence, proven to positively impact healthcare outcomes. This position monitors, reviews and analyzes medical literature for current, new and emerging technology. This position also manages administrative criteria which supplement benefits and third-party resources. The Consultant is a collaborative position that works with many cross functional departments including Claims, Utilization Management (UM), Medical Directors, Contracts and Benefits, Member Services/Appeals, and Government Programs to support policy changes. The position serves as a content expert related to medical coverage policies and offers continued support to internal and external partners. MINIMUM QUALIFICATIONS: Education, Exper

Bluestone Physician Services delivers great outcomes by bringing exceptional care to patients living with complex, chronic conditions and disabilities. Our unique, robust model of care goes beyond primary care services our multidisciplinary care teams collaborate with patients, their families and other healthcare providers to deliver care that is preventative, proactive and tailored to their unique needs. Our care teams travel to patients who reside in Assisted Living, Memory Care and Group Home communities throughout Minnesota, Wisconsin and Florida. In addition to primary care, Bluestone has a highly developed care coordination model for more than 14,000 seniors and individuals living with disabilities in Minnesota. Bluestone Care Coordination partners with Minnesota health plans to support their members who receive medical assistance through Minnesotas Special Needs BasicCare (SNBC) & Minnesota Senior Health Options (MSHO) programs. Care Coordinators are registered nurses or license

Job Description Job Description RN, Clinical Operations Manager OVERVIEW: Starting Salary: Hours per week/FTE: 40 hrs. weekly / 1.0 FTE Job Shift: Day / 9:00 am to 5:00 pm schedule on Monday through Friday, with occasional weekend work Position Type: Full-time exempt position, at-will employee Work Location: In-person / Office Reports to the Director of Clinical Operations ABOUT US Homeland Health Specialists, Inc. (HHSI) is a Minnesota-based essential wellness and vaccination service provider. We have served customers, including for-profit businesses, schools, state and local governments, non-profit organizations, and underserved communities since 2002. Our programs are designed to fit the budgets, work environments, health disparities, and health goals of the communities we serve. Our reputation for high-quality clinical services, customer satisfaction, and innovative program design make us a leader in worksite and community-based health. HHSI is dedicated to community wellness and e

Bluestone Physician Services delivers great outcomes by bringing exceptional care to patients living with complex, chronic conditions and disabilities. Our unique, robust model of care goes beyond primary care services our multidisciplinary care teams collaborate with patients, their families and other healthcare providers to deliver care that is preventative, proactive and tailored to their unique needs. Our care teams travel to patients who reside in Assisted Living, Memory Care and Group Home communities throughout Minnesota, Wisconsin and Florida. In addition to primary care, Bluestone has a highly developed care coordination model for more than 14,000 seniors and individuals living with disabilities in Minnesota. Bluestone Care Coordination partners with Minnesota health plans to support their members who receive medical assistance through Minnesotas Special Needs BasicCare (SNBC) & Minnesota Senior Health Options (MSHO) programs. Care Coordinators are registered nurses or license

Job Description HealthPartners is hiring a Case Manager, EHAT. This position provides support to patients, their families, and physicians in addressing medical and social concerns; educate and empower patients and families to make informed personal health care decisions; and facilitate communication between patient, physician, health plan and community. ACCOUNTABILITIES: Member Focus Ensures all activities are member-focused and individualized, resulting in personalized attention to each patient's unique needs. Identifies interventions and resources to assist member reaching personal health related goals. Identifies patterns and episodes of care that are predictive of future needs and services. Integration Integrates clinical and psychosocial information for case identification and individual patient assessment to develop action-oriented and time-specific planning and implementation of appropriate interventions. Facilitates integration of patient care by encouragement of effective comm

Schedule: Full Time - 80 hours/pay period - Monday to Friday - 8 a.m. to 4:30 p.m. Join Vivie and help us create meaningful impact! As an LPN in Home Health, you'll deliver compassionate nursing care to patients in their homes, focusing on recovery and well-being. We're looking for a licensed LPN with qualifications such as home health experience, strong clinical skills, and a caring attitude. At Vivie, we value our people and offer a competitive pay range of $24.50/hr. to $32.00/hr. (hourly non-exempt) based on qualifications, experience, and location. Our comprehensive benefits package includes health coverage, flexible scheduling, and professional development opportunities. Let's grow together-apply now and discover the difference you can make at Vivie! Vivie is an equal opportunity employer. Scope: Responsible for delivery of nursing services in accordance with the standards & practices of nursing, state & federal regulations and Vivie's policies and procedures with minimal supervi

Number of Job Openings Available: 1 Date Posted: March 20, 2025 Department: 34007805 Pharmacy Residency Program Shift: Day/Evening/Night (United States of America) Shift Length: 8 hour shift Hours Per Week: 40 Union Contract: Non-Union-NCT Weekend Rotation: Every 3rd Job Summary: Allina Health is a not-for-profit health system that cares for individuals, families and communities throughout Minnesota and western Wisconsin. If you value putting patients first, consider a career at Allina Health. Our mission is to provide exceptional care as we prevent illness, restore health and provide comfort to all who entrust us with their care. This includes you and your loved ones. We are committed to providing whole person care, investing in your well-being, and enriching your career. Key Position Details: Pharmacy Resident position to be awarded via national match process. Job Description: Provides optimal pharmaceutical care for patients through dispensing prescribed medications, monitoring pati