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Utilization Review Nurse Jobs in Minneapolis
Evening Utilization Review Nurse - ED Care Coordination
Hennepin County Medical Center
Minneapolis (MN)
On-site
USD 70,000 - 90,000
Full time
30+ days ago
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Utilization Review Specialist (or UR Nurse)
PrairieCare
Brooklyn Park (MN)
On-site
USD 50,000 - 70,000
Full time
Today
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Staff Nurse - Utilization Review (ED)
Hennepin Healthcare
Minneapolis (MN)
On-site
USD 65,000 - 85,000
Full time
15 days ago
Evening ED Utilization Review Nurse
Hennepin Healthcare
Minneapolis (MN)
On-site
USD 65,000 - 85,000
Full time
30+ days ago
Utilization Review Specialist: Case Triage & Data Entry
Sedgwick
Saint Paul (MN)
On-site
USD 10,000 - 60,000
Full time
19 days ago
Discover more opportunities than anywhere else. Find more jobs nowStaff Nurse - Utilization Review (ED)
Hennepin County Medical Center
Minneapolis (MN)
On-site
USD 70,000 - 90,000
Full time
15 days ago
Clinical Utilization Review Specialist (Casual)
Ridgeview
Minneapolis (MN)
On-site
USD 70,000 - 90,000
Part time
30+ days ago
Specialist Clinical Review
Ridgeview
Minneapolis (MN)
On-site
USD 70,000 - 90,000
Part time
30+ days ago
Connect with headhunters to apply for similar jobsCare Manager - Utilization & Case Management (RN)
University of Minnesota School of Nursing
Eagan (MN)
On-site
USD 60,000 - 80,000
Full time
10 days ago
RN Clinical Appeals Specialist
Intermountain Health
Saint Paul (MN)
On-site
USD 80,000 - 100,000
Full time
11 days ago
Utilization Review Coordinator
Sedgwick
Saint Paul (MN)
On-site
USD 10,000 - 60,000
Full time
17 days ago
Remote Utilization Management Nurse — Impact & Growth
Humana Inc
Saint Paul (MN)
Remote
USD 71,000 - 98,000
Full time
21 days ago
Remote RN Medical Review Analyst (Medicare)
WPS Health Solutions
Minneapolis (MN)
On-site
USD 68,000 - 70,000
Full time
11 days ago
Clinical Appeals Consultant PRN
Intermountain Health
Saint Paul (MN)
On-site
USD 80,000 - 100,000
Full time
11 days ago
Registered Nurse - Field Assessor
Optum
Edina (MN)
Remote
USD 60,000 - 80,000
Full time
30+ days ago
Registered Nurse - Field Assessor
University of Minnesota School of Nursing
Minneapolis (MN)
On-site
USD 64,000 - 142,000
Part time
17 days ago
Medical Review Nurse Analyst
WPS Health Solutions
Minneapolis (MN)
On-site
USD 68,000 - 70,000
Full time
11 days ago
Quality Review Supervisor - Regulatory Audits & Compliance
Medica
Hopkins (MN)
On-site
USD 78,000 - 135,000
Full time
6 days ago
Be an early applicant
Care Manager RN - (Remote)
Highmark Health
Saint Paul (MN)
Remote
USD 65,000 - 80,000
Full time
14 days ago
Remote Inpatient Utilization Review Medical Director
Humana Inc
Saint Paul (MN)
Remote
USD 223,000 - 314,000
Full time
28 days ago
Remote Oncology Physician Clinical Reviewer
Prime Therapeutics
Minneapolis (MN)
Remote
USD 60,000 - 80,000
Full time
30+ days ago
RN Case Mix Specialist — MDS & Reimbursement (Travel)
Direct Staffing Inc
Minneapolis (MN)
On-site
USD 70,000 - 85,000
Full time
30+ days ago
Remote Utilization Management Admin Coordinator
Humana Inc
Saint Paul (MN)
Remote
USD 40,000 - 53,000
Full time
26 days ago
Part time Clinical Reviewer - Substance Use (LPCC, LMFT, LICSW)
Acentra Health
Minneapolis (MN)
On-site
USD 60,000 - 80,000
Part time
12 days ago
Care Manager RN — Clinical UM & Care Optimization
Highmark Health
Saint Paul (MN)
Remote
USD 65,000 - 80,000
Full time
30+ days ago
Evening Utilization Review Nurse - ED Care Coordination
Hennepin County Medical Center
Minneapolis (MN)
On-site
USD 70,000 - 90,000
Full time
30+ days ago
Job summary
A leading healthcare organization in Minneapolis is seeking a Staff Nurse for its Utilization Management department. The role involves evaluating the appropriateness of healthcare services and developing utilization management plans. Ideal candidates should have recent nursing experience in utilization review or emergency departments and possess strong critical thinking and communication skills. A Bachelor's degree in nursing is preferred.
Qualifications
- 1 year of recent utilization review or care coordination nursing experience.
- 1 year of recent Emergency Department nursing (RN) experience.
Responsibilities
- Evaluate medical necessity and appropriateness of healthcare services.
- Collect and document clinical data relevant to utilization management.
- Develop and implement utilization management plans with clinical teams.
Skills
Utilization Review
Critical Thinking
Communication Skills
Documentation Skills
Education
Bachelor's degree in nursing
Tools
EMRs
InterQual
MCG
Job description
A leading healthcare organization in Minneapolis is seeking a Staff Nurse for its Utilization Management department. The role involves evaluating the appropriateness of healthcare services and developing utilization management plans. Ideal candidates should have recent nursing experience in utilization review or emergency departments and possess strong critical thinking and communication skills. A Bachelor's degree in nursing is preferred.
* The salary benchmark is based on the target salaries of market leaders in their relevant sectors. It is intended to serve as a guide to help Premium Members assess open positions and to help in salary negotiations. The salary benchmark is not provided directly by the company, which could be significantly higher or lower.