Nurse reviewer jobs in Minnesota

Nurse Reviewer I Location: Within 50 miles of a pulse point Shift : Monday - Friday from 9:30 am - 6:00 pm CST or PST The Nurse Reviewer I is responsible for conducting preauthorization, out of network and appropriateness of treatment reviews for diagnostic imaging... 

 ...specific benefit plan for PreferredOne products, using utilization review. You will have the flexibility to work remotely* as you take...  ...reviews and assist with Transition of Care and Extended Hour Nursing to meet the needs of internal and external customers Perform Pre... 

 ...Position Summary: The Utilization Reviewer (UR) is a strong advocate for clients to access medically necessary care by pursuing insurance...  ...Experience & Education: Degreein behavioral health or nursing preferred, or related education and/or experience. Minimum 1... 

 ...health equity on a global scale. Join us to start Caring. Connecting. Growing together. The Case Manager (CM) / Utilization Review (UR) nurse staff augmentation full time role will temporarily fill in for Optum care management teams for short term staffing as well as... 

Description Medica's Utilization Review Nurses are responsible for reviewing and documenting prior authorization requests and member case history in compliance with policies and procedures for approval of member coverage. Medica's Utilization Review Nurses are also responsible... 

 ...those directly involved with activities related to Variable products, Broker Dealers and Registered Representatives. What you do: Review and analyze information gathered from producers, FMOs, and broker dealers to determine the suitability of the sale. Present complex... 

 ...future by supporting sustainability, protecting the local environment, and promoting societal equity. What you do: The Advertising Review Director will lead a team of compliance professionals responsible for reviewing and approving all sales literature, marketing... 

 ...We do not lose sight of that. It fuels our passion and drives every decision we make. **Job Posting Title** Physician Clinical Reviewer- Oncology -REMOTE **Job Description Summary** Key member of the utilization management team, and provides timely medical... 

Working Title: Financial Review Specialist - Management Analyst 3 Job Class: Management Analyst 3 Agency: Education Department Job ID : 76764 Location : Minneapolis Telework Eligible : Yes - Telework arrangements may be possible. You will discuss your preferences... 

 ...Business, other Risk/Compliance/Audit (RCA) professionals, and RCA Managers to, depending on their function, create, implement, maintain, review or oversee an effective risk management framework. Participates in projects and/or activities that ensure compliance with... 

 ...stage of your career. Try new things, learn new skills and discover what you excel at—all from Day One. Job Description Credit Risk Review Officers independently evaluate and monitor risk in Corporate and Commercial Banking. CRROs independently evaluate and monitor... 

 ...collaborative development and implementation of all practitioner peer review activities. This includes supporting the medical staff...  ...experience Preferred Qualifications ~ Bachelors degree in Nursing or Health Information Managemen ~5-10 years of medical staff... 

Business Title: Tax Return Reviewer, Global Mobility Services Requisition Number: 111481 - 46 Function: Tax Services Area of Interest: State: MN City: Minneapolis Description: At KPMG, you can become an integral part of a dynamic team at one of the world's top tax... 

 ...0,000 Hours: M-F 8a-4:30p  NO Remote Work  NO RELOCATION ASSISTANCE AVAILABLE WeCare is actively seeking a Utilization Review Advocate. This vital role is central to our commitment to delivering exceptional care and support. The ideal candidate will be responsible... 

 ...office position at Minneapolis, MN headquarters, candidate must be local as this position is 100% in-office. ~1 year experience reviewing contracts and drafting redlines with excellent attention to detail and accuracy. ~ Experience using Microsoft Word Track Changes... 

 ...CAS) Audit Project Manager is responsible for supporting the strategic direction, leadership, and coordination of CAS's Credit Risk Review cyclical risk-based audit plans. As an Independent Risk Review function, Credit Risk Review provides independent assessment and... 

 ...status based on medical documentation and use of clinical decision support software. Responsible for administering the continued stay review process in accordance with payer guidelines. Facilitates accurate and timely communication with physicians/practitioners and other... 

 ...States. We are seeking qualified volunteers to join the External Review Board (ERB) team. This is a fully remote role and confidential...  ...and child health , such as: Medical Doctor Certified Nurse Midwife Registered Nurse International Board-Certified Lactation... 

Job Description Job Description Pay: $17/hour Onsite in St Paul 5 Days a week 12-18 Month Contract to Hire   Required Skills & Experience High school diploma or equivalent - Good communication and attitude! - One to two years of related experience on feet...

 ...your career. Try new things, learn new skills and discover what you excel at—all from Day One. Job Description Operational Risk Review Quality Assurance Lead (QAL) conducts Quality Assurance (QA) reviews of the Operational Risk Review (ORR) function of independently...