Utilization review nurse Jobs in Saint Paul, MN

Last updated: 1 day ago

Promoted

Remote LVN Utilization Review Nurse

VirtualVocationsSaint Paul, Minnesota, United States

Remote

Full-time

Commercial Loan Review Officer

AlerusShoreview, Minnesota, US

Full-time

The Loan Review Officer is responsible for performing various duties in the ongoing management of credit risk.The incumbent performs and directs reviews of the bank’s commercial, consumer, and real...Show moreLast updated: 30+ days ago

eDiscovery Document Review Attorney - Remote

Dauntless DiscoveryMinneapolis, MN, US

$23.00 hourly

Remote

Quick Apply

Experienced Document Review Attorney – Remote Great opportunity for licensed attorneys interested in getting started with document review. Please apply to get on our roster for upcoming matter...Show moreLast updated: 30+ days ago

Document Review Attorney Onsite-Minneapolis $41 / hr. IND#

Consilio LLCMinneapolis, Minnesota., Minnesota

$41.00 hourly

A Consilio Company is staffing an onsite document review project in downtown Minneapolis, MN.This opportunity offers 40 hours per week with OT potential as well as a referral bonus for any qualifie...Show moreLast updated: 30+ days ago

Promoted

Organ Utilization Coordinator

LifeSourceMinneapolis, MN, US

$33.00–$40.00 hourly

Full-time

LifeSource is hiring an Organ Utilization Coordinator (OUC) to manage logistics for organ donation opportunities.The OUC will be responsible for responding to calls and notifications regarding orga...Show moreLast updated: 3 days ago

Promoted

Credit Risk Review - Payments

U.S. BancorpMinneapolis, MN, United States

Full-time

Partners with their assigned Line of Business, other Risk / Compliance / Audit (RCA) professionals, and RCA Managers to, depending on their function, create, implement, maintain, review or oversee an...Show moreLast updated: 1 day ago

Promoted

Business forms data input and review specialist

RandstadSaint Paul, MN, US

$21.00–$23.00 hourly

Permanent

Do you have solid financial, banking, or mortgage operations experience within a Fortune 500 Financial Services Corporation? Do you have a passion for enhancing the client's experience, efficiently...Show moreLast updated: 2 days ago

Promoted

Legal Invoice Review Quality Assurance Analyst (31889)

Myticas ConsultingMinneapolis, MN, United States

Full-time

Legal Invoice Review Quality Assurance Analyst II.Cloud, MN or Minneapolis, MN (Must be located in MN; flexible for 2 days per week onsite). Myticas' direct client, based in St.Cloud, MN or Minneapo...Show moreLast updated: 22 days ago

Legal Invoice Review Quality Assurance Analyst

Axelon Services CorporationMinneapolis, MN, United States

Temporary

Legal Invoice Review Quality Assurance Analyst.Juris Doctor degree from an ABA-accredited law school required.Cloud, or Minneapolis (Minneapolis is the preferred location).Description : The Legal In...Show moreLast updated: 3 days ago

Lead Coordinator - Clinical Review, LPN / RN (Remote)

MaximusMinneapolis, US

$31.75 hourly

Remote

Full-time

Description & Requirements Maximus is currently hiring a Lead Coordinator - Clinical Review to support the Independent Medical Review (IMR) program. What You Will Receive : • Work / Life...Show moreLast updated: 17 days ago

Promoted

Document Review Associate

U.S. BankSaint Paul, MN, US

$26.50 hourly

Full-time

Bank, we're on a journey to do our best.Helping the customers and businesses we serve to make better and smarter financial decisions and enabling the communities we support to grow and succeed.We b...Show moreLast updated: 7 days ago

Promoted

ORDER REVIEW SUPERVISOR

MarvinMN, United States

$55,346.00–$65,000.00 yearly

Full-time

As the Order Review Supervisor, you will supervise department activity for the Order Review team including coaching, mentoring, facilitating problem solving, conducting performance reviews, develop...Show moreLast updated: 1 day ago

Promoted

MANAGER - BEHAVIORAL HEALTH UTILIZATION MANAGEMENT

Blue Cross and Blue Shield of MinnesotaSaint Paul, MN, United States

$170,000.00 yearly

Full-time

Blue Cross and Blue Shield of Minnesota is one of the most recognized and trusted health care brands in the world with 2. We're committed to reinventing health care to improve health for our members...Show moreLast updated: 4 days ago

Promoted

Mental Health Professional - Clinical Review Team (Float)

Meridian Behavioral HealthSt Paul, MN, United States

$62,000.00–$75,000.00 yearly

Full-time

Compensation : $62,000-$75,000 per year.Conducts clinical reviews on flagged referrals to screen for appropriateness for admission. Assure that flagged referrals meet clinical admission criteria.Cond...Show moreLast updated: 30+ days ago

Promoted

Quality Review Supervisor - Work from home

Millennium Information ServicesMinnesota, St. Paul

We are an equal employment opportunity employer.All qualified applicants will receive consideration for employment without regard to race, color, religion, national origin, disability status, prote...Show moreLast updated: 1 day ago

Claims Clinical Specialist – Medical Review Team

Genworth FinancialMinnesota

$124,600.00 yearly

Remote

Full-time

At Genworth, we empower families to navigate the aging journey with confidence.We are compassionate, experienced allies for those navigating care with guidance, products, and services that meet fam...Show moreLast updated: 30+ days ago

Promoted

Loan Review Officer II

Associated Bank - CorpMinneapolis, MN, United States

$74,130.00–$127,080.00 yearly

Full-time

At Associated Bank we strive to create an inclusive culture where different perspectives are valued and recognized as strengths critical to our success. If you thrive in an environment where your gr...Show moreLast updated: 18 days ago

SBA Eligibility Review Officer III

Huntington National BankSaint Paul, MN

The SBA Eligibility Review Officer III is responsible for reviewing SBA & USDA guaranteed business loans to determine proper structure and ensure loan closes in accordance with SBA & USDA eligibili...Show moreLast updated: 30+ days ago

Utilization Review Nurse

HealthPartnersSaint Paul, MN, United States

Regions Hospital is seeking an experienced RN with a knowledge of reimbursement systems to join our Utilization Management department working a. FTE, day shifts and every 5th weekend.Perform daily U...Show moreLast updated: 30+ days ago

Utilization Behavioral Health Professional

HumanaWork at Home, Minnesota

Remote

Full-time

Humana”) offers competitive benefits that support whole-person well-being.Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while...Show moreLast updated: 30+ days ago

Remote LVN Utilization Review Nurse

VirtualVocationsSaint Paul, Minnesota, United States

11 days ago

Job type

Full-time

Remote

Job description

A company is looking for a Remote LVN Utilization Review Nurse.Key ResponsibilitiesConducts retrospective clinical reviews using InterQual guidelines for medical necessityFollows documented processes for the clinical appellate process and adheres to productivity and quality goalsPerforms follow-up on initial denials and ensures accurate diagnosis and procedure codingRequired Qualifications, Training, and EducationHigh School Diploma or equivalent requiredCompletion of an accredited RN or LVN program requiredMinimum of 3 years clinical practice experience required2 years of utilization management and / or case management experience requiredActive, unrestricted State Registered Nursing license or Licensed Vocational Nursing license in good standing required