RN Leader, Utilization Management - Clinical Ops
Medica Services Company LLC
Medica is a nonprofit health plan serving members across Minnesota, Nebraska, Wisconsin, Missouri, and beyond. This Office role in Health Services supports day-to-day operations of the Utilization Management team, driving clinical excellence and ensuring regulatory compliance. You will supervise clinical staff, coordinate with vendor partners, and oversee quality improvement initiatives while maintaining strong customer service relationships with internal and external stakeholders. #J-18808-Ljbffr Medica Services Company LLC
- Medica is a nonprofit health plan serving Minnesota, Nebraska, Wisconsin, Missouri, and beyond. This Supervisor, Utilization Management - Ops role leads the review coordinator team to ensure efficient triage, provider inquiries, and end-to-end operational processes. It...Suggested
- Medica is a nonprofit health plan serving communities in Minnesota and surrounding states. This role leads the Utilization Management team, supervising clinical staff, managing performance, and ensuring compliance with Medicare/Medicaid regulations. The Supervisor...SuggestedWork at office3 days per week
- Vivie in Minnesota seeks a Regional Clinical Support Nurse to lead clinical operations across multiple communities, overseeing resident assessments... ...person-centered services. This exempt role requires Minnesota RN licensure, BLS, 3-5 years of leadership in healthcare, and...Suggested
$113.4k - $194.4k
Medica Health Management LLC is seeking a Pharmacy Clinical Governance Manager to lead the development and oversight of the health plan’s clinical pharmacy positions. This crucial role ensures evidence-based clinical decision making and effective coordination across teams...SuggestedFlexible hours$78.7k - $134.9k
...Responsibilities include supervision of the clinical staff, ensuring that the strategic and... ...development responsibilities, the Utilization Management Supervisor must also build strong relationships... .../Licensure Registered Nurse (RN) with active Minnesota license required...SuggestedWork experience placementWork at office3 days per week$22.46 - $39.73 per hour
...Operating Room Leadership Team reporting directly to the OR Nurse Manager. This individual provides oversight and supervision to the OR... ...Nurse, and OR Educator to ensure the competency of the OR Clinical Attendants. Directs and conducts training programs. Attends...Hourly payFull timeContract workShift work- ...IM ingredients Trains all new RN hires and maintains on-going training... ...for all nurse candidates Manages the schedules of part-time nurses Utilizes blood tests to assist clients in wellness... ...found in offices, medical clinics, and building repairs /maintenance...Full timePart timeWork at officeMonday to FridayShift workWeekday work
- Fresenius Medical Care is seeking a Clinical Manager in Shakopee, Minnesota. In this role, you will oversee clinical operations while ensuring high-quality patient care for individuals with kidney disease. Responsibilities include managing clinic financials, coordinating...
- ...The Clinical Care Leader (CCL) at Good Samaritan Society in Robbinsdale, MN leads nursing care on the Long Term Care unit, using the nursing process... .... The role requires a Bachelor’s in Nursing, an active RN license, BLS, and at least two years of clinical experience....
- Fresenius Medical Care in Minnesota seeks a Clinical Manager to lead clinic operations, ensure quality patient care, and manage staff for dialysis services. This role emphasizes leadership, regulatory compliance, and patient outcomes within a dynamic healthcare environment...
- ...plan serving Minnesota and surrounding states, seeks an Utilization Management Supervisor to lead the Health Services team. You will... ...and accreditation standards. The role requires an RN with 5+ years of clinical experience, including 2+ years in Utilization Management...
- careers-bhshealth is seeking a Clinical Manager in Shakopee, Minnesota. This role involves managing a unit within the community, overseeing care... ...residents feel safe and at home. Applicants need a current RN license, managerial skills, and at least one year of experience...
- CVS Health, a leader in healthcare, seeks a Sr. Manager of Clinical Change Adoption and Readiness to drive readiness, adoption planning and stakeholder engagement across OneCM initiatives in a hybrid role. You will partner with clinical operations, learning and performance...
- Circle K Stores Inc. in Minnetonka, MN seeks a District Manager to lead store operations across multiple locations. You will drive profitability... ...cost control, and ensuring adherence to policies. A proactive leader will mentor teams, implement company initiatives, and uphold...
- AtriCure, Inc. is seeking a Marketing Operations Manager in Minnesota to lead enterprise-level marketing operations with a focus on project governance, cross-functional collaboration, and people leadership. The role ensures on-time delivery of complex initiatives in a regulated...
- ...Cooperative Electric Association in Rockford, MN is seeking a Safety Manager to lead safety programs, assess field operations, and promote a... ...culture across the organization. The role requires 5+ years in utility operations and a background in safety/compliance within...
- ...healthcare operations. You’ll have the flexibility to work remotely from anywhere in the U.S.; in Minneapolis area, in-office four days per week. You’ll collaborate with analytics, clinical and technology teams to drive value-based care and improve #J-18808-Ljbffr OptumRemote jobWork at office
- ...Division Chief of Pediatric Surgery. The candidate will provide leadership for a collaborative pediatric surgery team, overseeing clinical, academic, and research initiatives while ensuring high-quality surgical care in the Minneapolis area. This role requires a DO,...
$22 - $41.5 per hour
...Process Team Leader Senior - OPS Under general supervision, the Process Team Leader Senior - OPS performs the most complex... ...the area and ensures the cross training of others. Utilizes leadership and management skills as the Team Leader of a team while also performing...Hourly payWork at officeRemote workWork from homeFlexible hours- Concentra is seeking a Clinical Manager to provide primary medical direction in a clinical setting, under the Regional Medical Director, ensuring high-quality, affordable care for business, industry and patients. The role requires leading medical treatment activities,...
- Customer Contact Services is seeking a Senior IT Manager to lead the IT infrastructure and systems team. This role blends strategic direction with hands-on work in systems administration, troubleshooting, and automation. You will report to the President and shape the department...
$134.6k - $230.8k
...reduce costs while improving risk management, quality and revenue growth.... ...AI and Data Science Strategy Leader within the Crimson AI team,... ...via the Crimson AI clinical business intelligence platform... ...industry-leading AI solutions, utilizing advanced technologies such as...Minimum wageFull timeWork experience placementWork at officeLocal areaRemote work- ...companies come into their own as digital leaders. Ready to find genius answers to... ...Oracle practice (.)You Are:A senior Oracle Utilities Integration Lead who brings both the architectural... ...data mapping artifacts.Establish and manage integration testing strategy and...Full timeWork experience placementLive inWork at officeLocal areaRemote work
- ...Job Description Job Description RN – OR Team Lead – Minneapolis, MN – Job # 2896... ...sourcing only the best administrative and clinical talent in the healthcare industry. Our pool... ...as assessed by Charge Nurse or Nurse Manager. The position includes a generous salary...
$46.42 - $64.22 per hour
...This position will support Dean Lakes clinic & St. Francis Jordan clinic Job Description... ...care activities, staff education and management activities. Principle Responsibilities... ...outcomes. Builds and retains engaged staff by utilizing employee engagement data, tools and...Hourly payTemporary workImmediate startRemote workShift workDay shift- Great Lakes Management in Minnesota is seeking an Assistant Director of Nursing to lead a team... .... This role focuses on directing clinical activities, training staff, and maintaining... ...with state and federal regulations. A MN RN license and 1+ year in home health/assisted...
$149.52k - $175.9k
...strategic and visionary infrastructure leader with deep experience in high-availability... ...environments.Lead production operations, incident management, problem management, and root-cause... ...forecasting, performance analytics, and utilization planning to support current and future...Full timeWork experience placementLocal area3 days per week$200.4k - $343.5k
A leading healthcare organization is seeking a National Medical Director of Musculoskeletal Health to lead clinical strategy and improve healthcare delivery. The role requires a Doctorate in Medicine and at least 10 years of clinical experience, alongside strong leadership...Remote work- Summit Orthopedics in Minnesota is seeking an experienced RN for Staff Development, Education and Credentialing Oversight. You will develop... ...and deliver education programs, oversee staff competency, and manage credentialing processes to ensure compliance with federal and...
- ...coordinating with the interdisciplinary team to ensure exceptional patient outcomes. The role emphasizes staff supervision, resource management, and patient advocacy, with opportunities to participate in quality improvement and professional development within a fast-paced...
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