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Utilization review nurse jobs in Minnesota - 232 jobs
Utilization Management Nurse
Centerwell
Utilization review nurse job in Saint Paul, MN
**Become a part of our caring community and help us put health first** Healthcare isn't just about health anymore. It's about caring for family, friends, finances, and personal life goals. It's about living life fully. At Conviva, a wholly-owned subsidiary of Humana, Inc., we want to help people everywhere, including our team members, lead their best lives. We support our team members to be happier, healthier, and more productive in their professional and personal lives. We encourage our people to build relationships that inspire, support, and challenge them. We promote lifelong well-being by giving our team members fresh perspective, new insights, and exciting opportunities to enhance their careers. At Conviva, we're seeking innovative people who want to make positive changes in their lives, the lives of our patients, and the healthcare industry as a whole. Conviva Care Solutions is seeking a RN who will collaborate with other health care givers in reviewing actual and proposed medical care and services against established CMS Coverage Guidelines/NCQA review criteria and who is interested in being part of a team that focuses on excellent service to others. **Preferred Locations:** Daytona, FL, Louisville, KY, San Antonio, TX **Use your skills to make an impact** **Role Essentials** + Active Unrestricted RN license + Possession of or ability to obtain Compact Nursing License + A minimum of three years clinical RN experience; + Prior clinical experience, managed care experience, DME, Florida Medicaid **OR** utilization management experience + Demonstrates Emotional Maturity + Ability to work independently and within a team setting + Valid driver's license and/or dependable transportation necessary + Travel for offsite Orientation 2 to 8 weeks + Travel to offsite meetings up to 6 times a year as requested + Willing to work in multiple time zones + Strong written and verbal communication skills + Attention to detail, strong computer skills including Microsoft office products + Ability to work in fast paced environment + Ability to form positive working relationships with all internal and external customers + Available for On Call weekend/holiday rotation if needed **Role Desirables** + Education: BSN or bachelor's degree in a related field + Experience with Florida Medicaid + Experience with Physical Therapy, DME, Cardiac or Orthopedic procedures + Compact License preferred + Previous experience in utilization management within Insurance industry + Previous Medicare Advantage/Medicare/Medicaid Experience a plus + Current nursing experience in Hospital, SNF, LTAC, DME or Home Health. + Bilingual **Additional Information** We offer tangible and intangible benefits such as medical, dental and vision benefits, 401k with company matching, tuition reimbursement, 3 weeks paid vacation time, paid holidays, work-life balance, growth, a positive and fun culture and much more. To ensure Home or Hybrid Home/Office employees' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria: At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested. Satellite, cellular and microwave connection can be used only if approved by leadership. Employees who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense. Humana will provide Home or Hybrid Home/Office employees with telephone equipment appropriate to meet the business requirements for their position/job. Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information. Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required. **Scheduled Weekly Hours** 40 **Pay Range** The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc. $71,100 - $97,800 per year This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance. **Description of Benefits** Humana, Inc. and its affiliated subsidiaries (collectively, "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 also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities. Application Deadline: 02-18-2026 **About us** About Conviva Senior Primary Care: Conviva Senior Primary Care provides proactive, preventive care to seniors, including wellness visits, physical exams, chronic condition management, screenings, minor injury treatment and more. As part of CenterWell Senior Primary Care, Conviva's innovative, value-based approach means each patient gets the best care, when needed most, and for the lowest cost. We go beyond physical health - addressing the social, emotional, behavioral and financial needs that can impact our patients' well-being. About CenterWell, a Humana company: CenterWell creates experiences that put patients at the center. As the nation's largest provider of senior-focused primary care, one of the largest providers of home health services, and fourth largest pharmacy benefit manager, CenterWell is focused on whole-person health by addressing the physical, emotional and social wellness of our patients. As part of Humana Inc. (NYSE: HUM), CenterWell offers stability, industry-leading benefits, and opportunities to grow yourself and your career. We proudly employ more than 30,000 clinicians who are committed to putting health first - for our teammates, patients, communities and company. By providing flexible scheduling options, clinical certifications, leadership development programs and career coaching, we allow employees to invest in their personal and professional well-being, all from day one. **Equal Opportunity Employer** It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment. Centerwell, a wholly owned subsidiary of Humana, complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our full accessibility rights information and language options *************************************************************$71.1k-97.8k yearly 3d agoReview Coordinator (On-Call/Some FT hours)
MnTC
Utilization review nurse job in Minneapolis, MN
Work where you matter! Mn Adult & Teen Challenge is a leader in the recovery community, offering a broad spectrum of treatments services and recovery programs for men, women, and teens across Minnesota. As a part of our team, you'll find a workplace with strong values, invested managers, and supportive co-workers as well as numerous awards, including Newsweek's “Best Addiction Treatment Center” and six time recipient of the Star Tribune's “Top Work Places.” Job Summary The Review Coordinator will collaborate and partner with the assessment team to assist in the admission and referral process for clients applying to short-term, long-term or outpatient treatment services. This position is the first point of contact with applicants, following a client referral, ensuring the appropriate recommendation is being made while providing a positive client experience. *Hybrid work model, on-site work in south Minneapolis* This position is On-Call, BUT Will have full time hours from 1/1/25-2/18/25 and again in May for 12 weeks Essential Job Duties/Responsibilities: To perform this job successfully, an individual must be able to perform each essential job duty satisfactorily. The essential functions include the following: Following a client referral, coordinate the application process for all clients applying to treatment services. Ensure the appropriate recommendations are being made for applicant referrals. Assist and coordinate the application review process for clients with legal, mental health or medical concerns that need to be resolved before the intake process begins. Follow up on any required paperwork through county, courts, etc. as needed. Stay in regular communication with clients throughout the entire application review process. Clearly document every interaction with clients. Provide a positive client experience to incoming referrals. Manage crisis situations, as they arise. Handle a client caseload of approximately 100 referrals. Required Skills & Experience (Minimum Qualifications): High School Diploma or GED required. 2+ years of relative experience in a customer focused role in a professional setting. Previous experience with mental health and/or addiction preferred. At least 2 years of freedom from problematic substances. Must be comfortable working with people with life-controlling challenges, including mental health and addiction. Strong organizational skills and attention to detail, with the ability to effectively manage time. Excellent communication and interpersonal skills to interact with clients, staff, and leadership. The ability to live and work by MnTC's culture of honor & core values - practicing compassion, honor, respect, integrity, servanthood, and trust. Must complete DHS background check and be cleared to work in human service programs. Must be able to meet specific staff requirements outlined in Minnesota Statutes 245G.11 (including understanding of client rights). Reference: 245G.11 MN Statutes Physical Requirements: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job: Prolonged periods sitting at a desk and working on a computer. Must be able to lift up to 10 pounds at a time. Target Compensation (Negotiable based on Qualifications): $20.00-22.00 per hour Our robust benefits package includes medical, HSA, dental, vision, PTO, dependent care FSA, disability, life insurance and 403b retirement plan for all full time employees. We seek to recruit, develop and retain the most talented people from a diverse candidate pool in order to successfully meet our mission of helping every Minnesotan find help and healing from addiction. Mn Adult & Teen Challenge is an Equal Opportunity Employer and does not discriminate based on any category protected by federal, state or applicable laws. Reasonable accommodation is provided upon request.$20-22 hourly 12d agoRegistered Nurse - Transplant Care Coordinator: BMT - RN
Mayo Clinic
Utilization review nurse job in Rochester, MN
**Why Mayo Clinic** Mayo Clinic is top-ranked in more specialties than any other care provider according to U.S. News & World Report. As we work together to put the needs of the patient first, we are also dedicated to our employees, investing in competitive compensation and comprehensive benefit plans (************************************** - to take care of you and your family, now and in the future. And with continuing education and advancement opportunities at every turn, you can build a long, successful career with Mayo Clinic. **Benefits Highlights** + Medical: Multiple plan options. + Dental: Delta Dental or reimbursement account for flexible coverage. + Vision: Affordable plan with national network. + Pre-Tax Savings: HSA and FSAs for eligible expenses. + Retirement: Competitive retirement package to secure your future. **Responsibilities** Location: Charlton 9 The Transplant Coordinator Nurse is accountable for the coordination of all aspects of care for the transplant patient population. Assesses and plans in collaboration with the patient, caregiver, and multidisciplinary healthcare team to meet needs across the care continuum. Assesses data reflective of the patient's status and appropriately interprets information relative to the patient's age-specific needs. Provides patient and family education on a consistent basis. Provides leadership through activities such as community involvement, committee work, and participation in quality improvement and research. The American Nurses Association (ANA) Nursing: Scope and Standards of Practice, the ANA Code of Ethics for Nurses, the United National Organ Standard's (UNOS), and the Foundation for the Accreditation of Cellular Therapy (FACT) guidelines provide the basis for practice. This role is eligible for TN sponsorship. Successful sponsorship will require state licensure and completion of the VisaScreen or equivalent certification. **Qualifications** BSN Required. Student or graduate of an accredited, or those in the candidacy process, baccalaureate nursing program, as recognized by the Accreditation Commission for Education in Nursing (ACEN), Commission on Collegiate Nursing Education (CCNE), National League for Nursing Commission for Nursing Education Accreditation (NLN CNEA). If graduated from a nursing program that was not accredited by ACEN, CCNE, or NLN CNEA, at least one year of RN experience in an applicable care setting is required. **Additional Qualifications:** One year of RN experience in an applicable care setting or one year of current LPN experience at Mayo Clinic is preferred. Excellent communication skills (verbal and written). Experience working in a team environment. Computer skills required, prior experience with electronic medical record systems preferred. Ability to work flexible hours, which may include days, evenings, nights, holidays, and weekends and on-call. Ability to adapt to unpredictable situations within the work setting. Demonstrated leadership, effective communicator, and excellent critical thinking skills. **Internal applicants should submit their three most recent performance appraisals.** **Must obtain prior to start date:** Current RN license by applicable state requirements. BLS (Basic Life Support) must be valid for 90 days post start date - acceptable BLS certificates are American Heart Association: "BLS Provider" or American Red Cross: "Basic Life Support" or "CPR/AED for Professional Rescuers and Health Care Providers" **Exemption Status** Nonexempt **Compensation Detail** $39.08 - $58.67 / hour **Benefits Eligible** Yes **Schedule** Full Time **Hours/Pay Period** 64-72 **Schedule Details** Monday - Friday; Days, nurses work 0700 - 1600 and 0800-1700 **Weekend Schedule** No weekends **International Assignment** No **Site Description** Just as our reputation has spread beyond our Minnesota roots, so have our locations. Today, our employees are located at our three major campuses in Phoenix/Scottsdale, Arizona, Jacksonville, Florida, Rochester, Minnesota, and at Mayo Clinic Health System campuses throughout Midwestern communities, and at our international locations. Each Mayo Clinic location is a special place where our employees thrive in both their work and personal lives. Learn more about what each unique Mayo Clinic campus has to offer, and where your best fit is. (***************************************** **Equal Opportunity** All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, gender identity, sexual orientation, national origin, protected veteran status or disability status. Learn more about the "EOE is the Law" (**************************** . Mayo Clinic participates in E-Verify (******************************************************************************************** and may provide the Social Security Administration and, if necessary, the Department of Homeland Security with information from each new employee's Form I-9 to confirm work authorization. **Recruiter** Missy Egeland **Equal opportunity** As an Affirmative Action and Equal Opportunity Employer Mayo Clinic is committed to creating an inclusive environment that values the diversity of its employees and does not discriminate against any employee or candidate. Women, minorities, veterans, people from the LGBTQ communities and people with disabilities are strongly encouraged to apply to join our teams. Reasonable accommodations to access job openings or to apply for a job are available.$39.1-58.7 hourly 57d agoNurse Liaison
Fairview Health Services
Utilization review nurse job in Edina, MN
Provides assessment, education and therapeutic interventions related to health/wellness issues for clients and their families. Serves as a liaison between the physician and the interdisciplinary team. Effectively communicates verbally and in writing with the interdisciplinary team and external support systems. Participates in the development and implementation of the treatment and discharge plan. Functions as an interdisciplinary team member. Responsible, as assigned, for the management of caseload. Job Expectations: Works collaboratively with the physician and the interdisciplinary team * Implements physician directed care within prescribed timeframe. * Participates on the interdisciplinary team to ensure coordination and cooperation among team members for patient care. Contributes to the development of an individualized treatment plan * Collaborates with patient, family, and other interdisciplinary team members to develop an individualized treatment plan. * Develops an individualized treatment plan based on age, social and cultural considerations, clinical diagnosis, level of functioning and other relevant needs. * Acts as a liaison between patient, family, community resources, multidisciplinary team and other concerned parties on assessment and treatment issues. * Provides ongoing assessment, monitoring, and interventions of the client's health needs. * Documents the plan in a legible, thorough, timely and clinically appropriate manner. * Provides case management and coordinates the treatment planning process in collaboration with the multidisciplinary team. Participates in developing and implementing a clinically appropriate discharge plan. * Identifies health related discharge needs. * Acts, as assigned, as a liaison between patient, family, community resources, multidisciplinary team, and other concerned parties on discharge issues. * Documents the discharge plan in a legible, thorough, timely and clinically appropriate manner. * Contributes to an individualized discharge plan based on age, social and cultural considerations, clinical diagnosis, level of functioning and other relevant needs. Facilitates individual and group psychoeducation. * Focuses on the management of physical and mental health conditions. * Provides appropriate client education on the use of prescribed medication and its side effects. Communicates effectively with others. * Communicates only appropriate clinical information. * Ensures both written and verbal information in a clear, concise, and accurate manner. Demonstrates the ability to support the business functions of the outpatient program * Completes the billing function for services provided * Completes the requirements of various payers and utilization management reviewers to obtain authorization for treatment. Demonstrates the ability to advance evidence-based practice by utilizing standards, guidelines, and pathways for care delivery. Incorporates data and information into practice to continually improve care and practice so that patient outcomes are enhanced. Promotes a culture of evidence-based practice by participation in any of, but not limited to, the following activities: * Utilizing evidence-based policies in clinical practice * Attends and participates in learning opportunities about evidence-based practice * Membership in hospital or unit-based nursing practice council/research council * Evidence based practice project (e.g. policy development or poster presentation) * Journal club * Journal article critique and circulation * Literature review * Development of standard/pathway/guideline for patient care * Presentation * Research study Minimum Qualifications to Fulfill Job Responsibilities: Required Education * Bachelor's Degree in Nursing or Behavioral Science Experience * Three years in mental health or related setting License/Certification/Registration * Current Registered Nurse license in Minnesota * Basic Life Support Certification Preferred Experience * Outpatient experience License/Certification/Registration * Certified Registered Nurse Additional Requirements (must be obtained or completed within a period of time): * For Nurse Liaisons in Behavioral, completion of de-escalation and self-defense training and retraining every two years or as often as required. Benefit Overview Fairview offers a generous benefit package including but not limited to medical, dental, vision plans, life insurance, short-term and long-term disability insurance, PTO and Sick and Safe Time, tuition reimbursement, retirement, early access to earned wages, and more! Please follow this link for additional information: ***************************************************** Compensation Disclaimer The posted pay range is for a 40-hour workweek (1.0 FTE). The actual rate of pay offered within this range may depend on several factors, such as FTE, skills, knowledge, relevant education, experience, and market conditions. Additionally, our organization values pay equity and considers the internal equity of our team when making any offer. Hiring at the maximum of the range is not typical. If your role is eligible for a sign-on bonus, the bonus program that is approved and in place at the time of offer, is what will be honored. EEO Statement EEO/Vet/Disabled: All qualified applicants will receive consideration without regard to any lawfully protected status$61k-72k yearly est. Auto-Apply 45d agoLTS - Building Nurse
Jordan Public Schools
Utilization review nurse job in Minnesota
Student Support Services/School Nurse Date Available: 12/01/2025 Closing Date: open until filled POSITION: Full-time Long Term Substitute Building Nurse for Jordan Elementary School. Approximate dates would be December 1, 2025 - February 27, 2026. SUMMARY: Participates and collaborates in planning, providing and evaluating school health services. Provide appropriate health services to students. The school nurse works with students, parents, school, medical and social work personnel for the control and prevention of disease and for the development of optimal health and safety of each student. SALARY/BENEFITS: $22.96 - 25.03 per hour, depending upon experience. Benefit Package Includes: Medical Insurance Dental Insurance HSA&VEBA Flexible Spending & Dependent Care Accidental Injury & Critical Illness Life Insurance Short & Long Term Disability Paid Time Off TRA Retirement Plan (Teacher Retirement Association) - 9.81% district contribution 403(B) plan REPORTS TO: Special Services Director and Building Principal QUALIFICATIONS: Graduate of an accredited LPN or RN program Current LPN or RN license Current CPR and First Aid Certification Two plus years' experience in a healthcare setting preferred Previous experience working with an electronic medical record system preferred TO APPLY: Apply online @ ******************** For questions contact: Chad Williams, Special Services Director at ************ or email ********************.$23-25 hourly Easy Apply 60d+ agoNurse Care Coordinator (RN or LPN) (20 hours)
Hiawatha Valley Mental Health Center
Utilization review nurse job in Red Wing, MN
Please note, This is a summary of the , a full job description will be provided if selected for an interview. TITLE: Nurse Care Coordinator (20 hours per week) PROGRAM: Community Based Care Coordination JOB SUMMARY: The Psychiatric Nurse Care Coordinator provides ancillary/nursing services as well as coordinates integrated medical and behavioral health care for individuals who receive care from a Hiawatha Valley Mental Health Center prescriber. JOB RESPONSIBILITIES AND ESSENTIAL FUNCTIONS: Psychiatric Nurse Responsibilities and Essential Functions: Provides skilled nursing services that promote consumer recovery within the parameters of professional nursing practice. This may include obtaining and documenting a client's height, weight, blood pressure, BMI, or other symptom related communication, including medication education and/or compliance at each visit. Comply with all safety and health standards, rules, regulations, policies and procedures. Participate with other health care providers in the development and modification of a plan of care. Determine and implement appropriate interventions within a nursing plan of care or when delegated or assigned by an RN (if an LPN). Collaborates and communicates with other health care providers. CCBHC Care Coordination Responsibilities and Essential Functions: Monitors consumer compliance with Certified Community Behavioral Health Center (CCBHC) data outcome measures. Consults with consumer and multi-disciplinary treatment team about treatment options and preferences. Monitors progress of the person-centered or family centered Integrated Treatment Plan for all Psychiatric CCBHC consumers. Coordinates care (routine, urgent, crisis) among primary healthcare, behavioral healthcare, dental, pharmacy, and specialty services inside and outside the agency, including, but not limited to: Prescription prior authorization, appeals, adherence Secure releases of information from past or current providers and obtains relevant information Facilitates and monitors internal and external treatment referrals. Monitors progress in achieving goals to demonstrate improvement in the care and clinical outcome of the consumers receiving Psychiatric Nurse Care Coordination services. Complete all clinical documentation related to the position within compliance with regulatory and agency requirements. JOB QUALIFICATIONS AND REQUIREMENTS: Registered Nurse (RN) OR Licensed Practical Nurse (LPN) able to practice in Minnesota. Must meet minimum qualifications as a Mental Health Practitioner as outlined in MN Statute 245i.04: Sec. 245I.04 MN Statutes Knowledge of and ability to work effectively with persons who experience serious and persistent mental health problems. Knowledge of mental health service delivery and case management principles with a treatment service continuum. Knowledge of Federal, State and County laws and regulations which impact upon service delivery. Must hold a current certificate in CPR/AED/First Aid or be willing to obtain. Must possess a vehicle valid driver's license and a willingness to travel as needed to client or organization locations throughout SE MN. PHYSICAL REQUIREMENTS FOR POSITION: Must be able to move in a manner conducive to the execution of daily activities. While performing the duties of this job, the employee must communicate with others and exchange information. The employee regularly operates equipment (listed below) on a daily basis. Occasional bending and lifting of office materials may be . NON-ESSENTIAL FUNCTIONS: Perform other duties as assigned by the Program Director. EQUIPMENT USED: Including but not limited to: Telephone/cell phone, vehicle, computer, scanner, blood pressure cuff, thermometer, stethoscope, scale. WORK ENVIRONMENT: Hiawatha Valley Mental Health Center is committed to providing a safe and inclusive work environment free from harassment, violence and discrimination. Our inclusive work environment represents many different backgrounds, cultures and viewpoints. The core values we live by include: integrity, respect, people focused, community focused, continuous improvement, compassion, partnership and collaboration, empowerment and financial stewardship. All Hiawatha Valley Mental Health Center owned facilities are smoke/drug free environments, with some exposure to excessive noise, dust and temperature. The employee is occasionally exposed to a variety of conditions at client sites. EMPLOYEE BENEFITS: Paid Time Off & Leave Paid Leave Time: Begins accruing at 4.46 hours per paycheck, with 16 hours available upon hire (prorated for PT employees). Holidays: 8 paid holidays, plus 2 floating holidays (prorated for PT employees). Additional Paid Leave: Up to 10 days of jury duty leave Up to 5 days of bereavement leave 1 personal day per year Professional Development Support Up to $2,000 tuition reimbursement Up to $1,500 for continuing education Health & Wellness Benefits Medical, Dental, Vision, Short Term Disability, Long Term Disability, Life Insurance offered for employees working between 30-40 hours per week. 20% YMCA membership discount OR $50 fitness reimbursement per year Retirement Savings Retirement plan with employer match of 50% match up to 6%, for employees working between 20-40 hours per week. EEO STATMENT: Hiawatha Valley Mental Health Center is an Equal Opportunity Employer. We welcome all qualified applicants, regardless of race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or veteran status. APPLICATION PROCESS: A background check is as part of the hiring process. Depending on the role, applicants may also need to complete a Mental Health Practitioner Verification Form or Professional Conduct Inquiry Form.$75k-88k yearly est. 3d agoField Nursing Coordinator (LPN)
Olydia Home Care Inc.
Utilization review nurse job in Minneapolis, MN
Job DescriptionBenefits: 401(k) 401(k) matching Paid time off Training & development We are seeking a Field Nursing Coordinator/ LPN to join our team! This position is a part time position and will ensure that the health care needs of all clients are met. The Field Nursing Coordinator will ensure that staff is trained in Olydia Care Private Duty Nursing procedures and assisted living procedures as well as policies which are current and up to date. The Field Nursing Coordinator will also ensure that the Assisted Living is in compliance with current Assisted Living License regulations. Working cooperatively with the Director of Nursing, answering Directly to the D.O.N, supervises the delivery of services provided to the clients and supervises staff. This is an Administrative Position, which would require the you to be on call for 4 hours a day. ESSENTIAL JOB FUNCTIONS AND TASKS: Manage the Assisted Living services that are provided including completing essential paperwork and complying with state regulations. Works to assure the facility is in compliance with federal state and local standards and regulations. Works with Assisted Living Director to keep forms updated including policies, procedures, Bill of Rights, and related assisted living forms and manuals. Meets with Case Workers regularly, as needed. Maintains an up-to-date knowledge of current trends regarding Assisted Living facilities Is responsible for investigating and reporting incidents of suspected resident neglect and/or abuse and reporting these findings to the director of Nursing, and/or appropriate county officials according to Olydia Care procedures and state regulations. Works to maintain privacy and confidentiality of client, clients records and client living environment. Is willing to carry a cell phone and be "on call" for emergencies, resident change of condition, and when ULP perform delegated nursing tasks. Prepare, record, submit and maintain accurate and timely correspondence and paperwork regarding resident data and billing information with the Office Coordinator as needed. Communicates and documents resident data to staff as needed. Completes initial assessment of potential clients to assure that their needs will be met. Follows the Assisted Living License regulations for providing timely and thorough nursing assessments for all clients. Assures clients maintain residency requirements, reassess and recommend alternative placement if necessary. Implements service agreements with all new clients. Reviews and revises service plans as needed. Assures clients have up to date care plans. Reviews and revises care plans as needed. Monitors and maintains resident records and nursing notes. Communicates to physicians and other personnel (county caseworkers) any changes in clients needs or conditions. Monitors and follows thru with ordering medications and all medication renewals as well as any necessary follow-up with physicians regarding medications and/or medical conditions. Assures all physicians orders are signed and implemented with-in 24 hours. Fills weekly pill boxes for medication administration by unlicensed staff and checks new medications from the pharmacy. Assured new medication sheets are in place by the first of each month. Reviews each clients medication sheet at least monthly and assures accuracy and appropriate signatures. Communicates in staff communication books any information that staff needs to be aware of. Documents disposal of medication per procedure. Assures compliance with regulations and is available for federal and state licensure surveys. Assists in the development of policies and procedures and implementation of them. Responsible for management of Tuberculosis / Infection Control Program. Supervision of other nursing and Unlicensed Personnel. Supervises, orientations and competency tests unlicensed staff to assisted living and to each clients individual needs. Gives input and/or helps perform annual evaluations for nursing and unlicensed personnel staff. Supervises, disciplines, and terminates unlicensed personnel. Coordinates staff education to include at least 8 hours of in-services per year. Meets with staff as needed. Provides health and medication training to all new employees as well as continued education for all staff and documents such training to assure compliance with state, federal and local regulations. Assures that staff clearly understands and follows all assisted living procedures. Monitors staff for compliance of monthly resident treatments as scheduled. Supervises medication practices and medical equipment being used by assisted living clients. Assures that medication administration procedures are followed properly and discusses any needed corrections, errors, etc., with staff. Provide support and address needs for programs and services. Maintain resident records and appropriate documents as required. Assess clients on an ongoing basis to assure their needs can be met. Assures clients continue to live safely in their unit, reassess and recommend alternative placement if necessary. Communicates the services to be provided for each resident to staff responsible for delivering the services, and assures follow through. Inform personnel of changes in clients needs and conditions. Maintains communication with clients, their families and staff. Facilitates coordination of resident services with other service providers as needed. Is available for on-call medical questions and/or emergencies via phone. Participate and function effectively as a team member. Develop and maintain a positive working relationship with staff, and other Morgan House staff including providing backup to other staff as needed. Articulate information regarding clients to the team. Provide proactive, constructive participation in staff meetings, committees, etc. Assists other departments with special events and family functions. Be compassionate and work with tact and ethical awareness. Be flexible and adaptable to changing situations. Responds appropriately to safety hazards, fire drills and other emergency situations. Reports injuries for self, staff, clients or visitors immediately to the Director of Nursing. Keep the Director of Nursing informed and involved and advised of needs and problems. Other duties as assigned. Support the mission and values of Olydia Health Care, Inc. Qualifications: Active LPN License with the State of Minnesota Previous experience in nursing or other medical fields Familiarity with medical software and equipment Strong problem solving and critical thinking skills Ability to thrive in a fast-paced environment Must have a valid drivers license, if needed to drive At least 3 years experience in related fields Must have Clinical experience. Please Visit out Website *********************** and submit an application today!$68k-87k yearly est. 16d agoRegistered Nurse - Transplant Care Coordinator: BMT - RN
Mayo Healthcare
Utilization review nurse job in Rochester, MN
The Transplant Coordinator Nurse is accountable for the coordination of all aspects of care for the transplant patient population. Assesses and plans in collaboration with the patient, caregiver, and multidisciplinary healthcare team to meet needs across the care continuum. Assesses data reflective of the patient's status and appropriately interprets information relative to the patient's age-specific needs. Provides patient and family education on a consistent basis. Provides leadership through activities such as community involvement, committee work, and participation in quality improvement and research. The American Nurses Association (ANA) Nursing: Scope and Standards of Practice, the ANA Code of Ethics for Nurses, the United National Organ Standard's (UNOS), and the Foundation for the Accreditation of Cellular Therapy (FACT) guidelines provide the basis for practice. This role is eligible for TN sponsorship. Successful sponsorship will require state licensure and completion of the VisaScreen or equivalent certification. BSN Required. Student or graduate of an accredited, or those in the candidacy process, baccalaureate nursing program, as recognized by the Accreditation Commission for Education in Nursing (ACEN), Commission on Collegiate Nursing Education (CCNE), National League for Nursing Commission for Nursing Education Accreditation (NLN CNEA). If graduated from a nursing program that was not accredited by ACEN, CCNE, or NLN CNEA, at least one year of RN experience in an applicable care setting is required. Additional Qualifications: One year of RN experience in an applicable care setting or one year of current LPN experience at Mayo Clinic is preferred. Excellent communication skills (verbal and written). Experience working in a team environment. Computer skills required, prior experience with electronic medical record systems preferred. Ability to work flexible hours, which may include days, evenings, nights, holidays, and weekends and on-call. Ability to adapt to unpredictable situations within the work setting. Demonstrated leadership, effective communicator, and excellent critical thinking skills. Internal applicants should submit their three most recent performance appraisals. Must obtain prior to start date: Current RN license by applicable state requirements. BLS (Basic Life Support) must be valid for 90 days post start date - acceptable BLS certificates are American Heart Association: “BLS Provider” or American Red Cross: “Basic Life Support” or “CPR/AED for Professional Rescuers and Health Care Providers”$60k-73k yearly est. Auto-Apply 58d agoNurse Liaison
Minnesota Eye Consultants
Utilization review nurse job in Woodbury, MN
Minnesota Eye Consultants (MEC) is one of the premiere eye care practices in the nation. We believe in One Team, All In. The culture at MEC is one of excellence and teamwork. We are passionate about patient care and dedicated to improving quality of life through life-changing vision procedures and treatments. MN Eye Consultants is currently hiring for a full-time Nurse Liaison for our Ambulatory Surgery Center in Woodbury. SUMMARY The Nurse Liaison ensures that surgical patients are medically optimized for their surgical procedures. This includes providing support to the providers by answering surgical patient calls, e-prescribing medications, triaging patient concerns, answering general patient phone calls and other medical administrative responsibilities such as patient paperwork to ensure superior patient care. Starting pay is $28.00-31.00/hour. RESPONSIBILITIES Complete all preoperative surgical calls (Ambulatory Surgery Center (ASC)). Ensure surgical chart is complete (H&P, blood work, EKG, IOL pick, surgery order). Triage patient calls regarding ocular concerns. Determines clinic visit necessity. Document all calls using the Patient Communication log in the Electronic Health Record (EHR). Review all pathology reports; contacts patients and/or provider with results as directed and records communication in EHR. Complete medication refill requests obtained via fax, phone call or patient portal. Answer patient calls and/or portal requests to provide education, answer questions, etc. to ensure superior patient care. Send tasks via EHR when necessary to enlist the assistance of other team members. Complete same day post-operative surgical calls. Participate in trainings and meets requirements for Merit Based Incentive Payment System (MIPS) measures, HIPAA compliance and Protected Health Information. Perform all patient related duties as assigned to ensure quality patient care. Other duties as assigned. EDUCATION AND EXPERIENCE LPN or RN, experience preferred Open and willing to try new workflows and ideas. Ability to remain calm at all times and escalate issues to appropriate levels of management. Comprehensive knowledge of EHR system and ability to use it efficiently. Knowledge of medical terminology. BENEFITS Health Insurance (medical, dental, vision, HSA) Paid Time Off (PTO) Holiday Pay 401K Retirement Savings Plan Other Benefits: Accident, Hospital Indemnity, Critical Illness, Life/AD&D, Disability, Commuter, Dependent Care, Adoption & Surrogate, Pet Insurance Employee Assistance Program Employee Discounts CERTIFICATES, LICENSES, REGISTRATIONS Current BLS required About Us: At MEC, our areas of expertise range from cataract surgery and premium lens implants, treatment of corneal disease and glaucoma, oculofacial and aesthetic services, to LASIK - laser vision correction. Our mission is to preserve, restore, and enhance vision through research, teaching, and providing the highest quality medical and surgical care to patients. MN Eye Consultants and Northwest Eye Clinic are now sister companies under Unifeye Vision Partners! To view employment opportunities at all of our locations go to ******************* Unifeye Vision Partners provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.$28-31 hourly 59d agoResource Nurse (RN or LPN) (Twin Cities) $2,000 Sign on Bonus!
New Perspective Senior Living
Utilization review nurse job in Minnetonka, MN
New Perspective is seeking a RN or LPN Resource Nurse! This position will float between our assisted living communities primarily in the Twin Cities area. Daytime Shifts! Why New Perspective Senior Living? A career with a purpose starts here! On our clinical team, your hours are predictable and manageable, helping you strike a better balance with other parts of your life. You'll become part of a growing, family-owned and operated business that invests in our people through training, education assistance as well as leadership and career development. Position Summary As the nurse, you will plan, monitor and give nursing care to residents and oversee nursing care and procedures, and other services given to residents by other team members. You will act as the resource in the absence of the Director of Wellness and RN in relation to the current state and federal regulations and to accepted standards of quality and services. Responsibilities * Executes daily, weekly, monthly tasks list * Performs all necessary LPN's duties as required by state regulations. * Assists in monitoring and training caregivers for all clinical issues in the community * Assists with the onboarding of caregivers * Responsible to coach team members as needed to ensure performance expectations, and clinical measures are met. * Conducts retention activities to ensure adequate levels of engaged team members. * Champions hospitality and delivers excellent customer service to residents, families, visitors and vendors. * Attends and participates in team meetings including Town Hall and departmental meetings. Qualifications * An active and unencumbered RN or LPN license for the state of MN * Strong computer skills and the ability to work within an electronic health record * Ability to effectively communicate in English, verbally and in writing Team Member Benefits & Perks* * Mileage Reimbursement * Overnight Accommodations (as needed due to weather or logistics) * Medical, Dental, & Vision Insurance * 401(k) with Company Match! * Paid Time Off and Holidays * Company-Paid Basic Life Insurance * Voluntary Short-Term Disability * Company-Paid Long-Term Disability * Health Reimbursement Account/Health Savings Account * Flexible Spending Accounts * Education assistance - up to $5,000 per calendar year! * Leadership Development & Career Advancement * Real-time Access to Earned Wages * Referral Bonuses * Employee Assistance Program Salary * $72k to $90k (Depending on Experience & licensure) * Benefits vary by full-time, part-time, and PRN status. New Perspective is an equal opportunity employer. INDNP$72k-90k yearly 8d agoNurses: Every 3rd Weekend
Pioneercare
Utilization review nurse job in Fergus Falls, MN
PioneerCare is a successful and dynamic non-profit organization providing a diverse spectrum of care services in Fergus Falls and throughout the region. Services include skilled care, transitional care, specialized memory care, assisted living, independent living with home care, and community-based services. PioneerCare is located in beautiful Otter Tail Lakes Country, brimming with recreational opportunities and small town living. Fergus Falls, a community of 14,000, is sized just right to offer diverse amenties while providing the chance to know your neighbors. Job Description Nurses: Work Every Third Weekend Because we know weekend time off is important for work/life balance, PioneerCare now offers nurses evening shift scheduling (2:15 pm to 10:45 pm) with an every-third-weekend rotation. This new pilot program, for evening shifts only, adds to the many reasons to choose PioneerCare as your employer of choice: Beautiful Work Setting: PioneerCare Center provides 24-hour short-term and long-term care in a nearly new, state-of-the-art facility. Focus your care on a smaller group of individuals in a household setting, allowing you to build relationships with the people you care for - and their families. Better Compensation: PioneerCare has invested over $1 million in new money to increase pay and benefits including shift differentials, 401K, paid time off, voluntary insurance benefits, wellness gym and more. RECENT GRADS - Scholarships & Loan Repayment: If you're a qualifying nurse who joins our staff at PioneerCare Center, we'll make your student loan payments for as long as you're employed here. Additional funds are available for scholarships to pursue additional education. Candidates must be have current LPN or RN nursing licensure in Minnesota. Apply online Phone ************ Or stop by PioneerCare Center, 1131 Mabelle Ave S, Fergus Falls PioneerCare is an equal opportunity provider and employer. Qualifications Candidates must be have current LPN or RN nursing licensure in Minnesota. Additional Information Why work for PioneerCare? With 89 successful years committed to serving aging adults, PioneerCare offers the opportunity to be mission driven and work as a team. Our staff provide the highest quality care and make a daily difference in the lives of those we serve. They reflect the best of what PioneerCare is all about. PioneerCare has consistently been recognized as a top senior care provider in Minnesota by U.S. News and World Report. A comprehensive salary and benefit package includes health, 401K, PTO, voluntary insurance benefits and more. We promote career advancement and offer very generous student loan repayment and other scholarship opportunities. For consideration, please complete our online application process at **************************** PioneerCare is an equal opportunity provider and employer.$48k-70k yearly est. 1d agoNursing Assitant
Northfield Retirement Community
Utilization review nurse job in Northfield, MN
For more than 40 years, Northfield Retirement Community (NRC) has provided exceptional housing, care facilities and services for seniors seeking a vibrant community rooted in the Christian tradition. With an emphasis on innovation, choice and tradition, NRC offers an array of housing options, including a care center, assisted living, memory care, apartments, town homes, a cooperative and condominiums, to match each resident's unique needs. Consistently, NRC's focus is on giving adults, age 55 or older, the assistance they need to lead healthy, meaningful lives. Job Description Provide daily cares for a geriatric population. Assist in bathing, dressing & grooming, toileting, resident transfers, and medication assistance. Qualifications Registered as a nursing assistant preferred 6 months experience in long term care setting; flexibility with working days; team player. Additional Information 16 hrs./pp EOW/EOH 4:00 pm- 9:30 pm Or 10:30pm-7:00am All your information will be kept confidential according to EEO guidelines.$36k-53k yearly est. 60d+ agoImmunization Nurse (Part Time)
Thrifty White Pharmacy
Utilization review nurse job in Breckenridge, MN
Benefits: 401(k) Competitive salary Employee discounts Paid time off Profit sharing Training & development Immunization Nurse Thrifty White Pharmacy is seeking a part time or temporary Immunization Nurse in #781 Breckenridge, Minnesota to provide all immunization duties and represents Thrifty White Pharmacy at immunization clinics, health fairs and other events where immunizations are provided. Applicant must possess to the following minimum qualifications: Degree in nursing required. RN with a current valid state licensure required. Current CPR Certification required. Participates in local health fairs, and identifies opportunities to serve as an information resource for the community. Completes billing for clinical services and trains team on related activities. Insures accurate patient documentation and consent form completion. Availability to work evenings, weekends, and holidays when needed. Good attendance and punctuality is required in order to fulfill the essential job functions. PHYSICAL DEMANDS The physical demands described here are representable of those that must be met by an employee to successfully perform the essential job functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. This position may include long periods of standing. While performing the duties of this job, the employee is also frequently required: to talk and hear, use hands and fingers, handle, or operate objects, tools, or controls, and to reach with hands and arms. The employee must occasionally lift and/or move up to 40 pounds. Specific vision abilities required by this job include close vision, distance vision, peripheral vision, color vision, depth perception, and the ability to adjust focus. Thrifty White Pharmacy is an Equal Opportunity Employer. Pharmacy Innovator of the Year by Drug Store News Compensación: $28.00 - $40.00 per hour Somos un empleador con igualdad de oportunidades y todos los candidatos calificados recibirán consideración por el empleo sin distinción de raza, color, religión, sexo, origen nacional, estado de discapacidad, estado de veterano protegido o cualquier otra característica protegida por la ley. Thrifty White Pharmacy is a pharmacy chain fully owned by our employees. We are committed to the communities we serve and believe that our services and products must exceed the expectations of our customers. Being an industry leader in innovation, our employee owners have been able to develop and implement several programs and initiatives that allow our team to practice at the top of their license, making them an invaluable asset to our pharmacy operations. As a dynamic organization, we have a variety of different practice sites and positions. No experience is necessary for most of our Pharmacy Technician positions! As detailed further down this careers page, Thrifty White offers Pharmacy Technician-in-Training programs at no cost to the employee!$28-40 hourly Auto-Apply 60d+ agoEndocrinology - NP or PA - St. Cloud, MN
Centracare
Utilization review nurse job in Saint Cloud, MN
Join our dynamic team of Endocrine providers at CentraCare Health Plaza. will have a strong focus on diabetes care. Schedule: 1.0 FTE Monday- Friday - 8:00am - 4:30pm No call responsibilities. No weekends or Holidays. To be considered for our position you would need to: Have a current Nurse Practitioner or Physician Assistant license and be eligible for Minnesota licensure. New graduates will be considered. Overall preference will be given to candidates that have personal and/or professional experience in diabetes care. Pay and Benefits Starting pay begins at $116,480 per year; exact wage determined by years of related experience Salary range: $116,480 - $156,936 per year Salary and salary range are based on a 1.0 FTE, reduced FTE will result in a prorated offer rate Full-time benefits: medical, dental, PTO, retirement, employee discounts and more! CentraCare CentraCare is committed to the patients and families we serve in the communities we call home throughout Central, West Central and Southwestern Minnesota. We listen then serve, we guide and heal-because health means everything. Has grown to be one of the largest health systems in Minnesota Leading provider of rural health in the state Recent investment in system-wide employee culture Innovative population health and wellness initiatives Collaborative physician and administration leadership model Access to more than 40 medical and surgical specialties Work for an organization that offers nationally recognized care. View our most recent awards by clicking here. CentraCare - St. Cloud Hospital Access to a regional referral center of 489 beds and Level II trauma center Highly skilled, specialized support staff and nursing - Magnet designated since 2004 Offers a full spectrum of inpatient and outpatient services, from primary care to specialty care Single hospital community St. Cloud, Minnesota St. Cloud is a wonderful place to live, work and raise a family. Enjoy easy access to Minneapolis/St. Paul but live in a low stress and relaxing community. 60 minutes from Minneapolis Mini-metro area in the heart of lake country Four season recreation Theatre and arts Excellent education options Family friendly Four colleges For More Information, Visit These Links About CentraCare ************************************ CentraCare Physician & APP Recruitment ************************************************* St. Cloud, MN Resources City of St. Cloud ***************************** St. Cloud Chamber of Commerce *********************************** St. Cloud Area Convention and Visitors Bureau ***************************** St. Cloud Times ************************ St. Cloud Area Education Resources St. Cloud School District 742 *********************** Sartell School District 748 ****************************** Sauk Rapids/Rice School District 47 ********************** Diocese of St. Cloud Catholic Schools ****************** St. John's Prep ******************* St. Cloud State University ***************************** St. Cloud Technical College ********************** College of St. Benedict/St. John's University *********************** CentraCare has made a commitment to diversity in its workforce. All individuals including, but not limited to, individuals with disabilities, are encouraged to apply. CentraCare is an EEO/AA employer.$28k-57k yearly est. Auto-Apply 60d+ agoRegistered Nurse - Transplant Care Coordinator: BMT - RN
Mayo Clinic
Utilization review nurse job in Rochester, MN
Why Mayo Clinic Mayo Clinic is top-ranked in more specialties than any other care provider according to U.S. News & World Report. As we work together to put the needs of the patient first, we are also dedicated to our employees, investing in competitive compensation and comprehensive benefit plans - to take care of you and your family, now and in the future. And with continuing education and advancement opportunities at every turn, you can build a long, successful career with Mayo Clinic. Benefits Highlights Medical: Multiple plan options. Dental: Delta Dental or reimbursement account for flexible coverage. Vision: Affordable plan with national network. Pre-Tax Savings: HSA and FSAs for eligible expenses. Retirement: Competitive retirement package to secure your future. Responsibilities Location: Charlton 9 The Transplant Coordinator Nurse is accountable for the coordination of all aspects of care for the transplant patient population. Assesses and plans in collaboration with the patient, caregiver, and multidisciplinary healthcare team to meet needs across the care continuum. Assesses data reflective of the patient's status and appropriately interprets information relative to the patient's age-specific needs. Provides patient and family education on a consistent basis. Provides leadership through activities such as community involvement, committee work, and participation in quality improvement and research. The American Nurses Association (ANA) Nursing: Scope and Standards of Practice, the ANA Code of Ethics for Nurses, the United National Organ Standard's (UNOS), and the Foundation for the Accreditation of Cellular Therapy (FACT) guidelines provide the basis for practice. This role is eligible for TN sponsorship. Successful sponsorship will require state licensure and completion of the VisaScreen or equivalent certification. Qualifications BSN Required. Student or graduate of an accredited, or those in the candidacy process, baccalaureate nursing program, as recognized by the Accreditation Commission for Education in Nursing (ACEN), Commission on Collegiate Nursing Education (CCNE), National League for Nursing Commission for Nursing Education Accreditation (NLN CNEA). If graduated from a nursing program that was not accredited by ACEN, CCNE, or NLN CNEA, at least one year of RN experience in an applicable care setting is required. Additional Qualifications: One year of RN experience in an applicable care setting or one year of current LPN experience at Mayo Clinic is preferred. Excellent communication skills (verbal and written). Experience working in a team environment. Computer skills required, prior experience with electronic medical record systems preferred. Ability to work flexible hours, which may include days, evenings, nights, holidays, and weekends and on-call. Ability to adapt to unpredictable situations within the work setting. Demonstrated leadership, effective communicator, and excellent critical thinking skills. Internal applicants should submit their three most recent performance appraisals. Must obtain prior to start date: Current RN license by applicable state requirements. BLS (Basic Life Support) must be valid for 90 days post start date - acceptable BLS certificates are American Heart Association: “BLS Provider” or American Red Cross: “Basic Life Support” or “CPR/AED for Professional Rescuers and Health Care Providers” Exemption Status Nonexempt Compensation Detail $39.08 - $58.67 / hour Benefits Eligible Yes Schedule Full Time Hours/Pay Period 64-72 Schedule Details Monday - Friday; Days, nurses work 0700 - 1600 and 0800-1700 Weekend Schedule No weekends International Assignment No Site Description Just as our reputation has spread beyond our Minnesota roots, so have our locations. Today, our employees are located at our three major campuses in Phoenix/Scottsdale, Arizona, Jacksonville, Florida, Rochester, Minnesota, and at Mayo Clinic Health System campuses throughout Midwestern communities, and at our international locations. Each Mayo Clinic location is a special place where our employees thrive in both their work and personal lives. Learn more about what each unique Mayo Clinic campus has to offer, and where your best fit is. Equal Opportunity All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, gender identity, sexual orientation, national origin, protected veteran status or disability status. Learn more about the "EOE is the Law". Mayo Clinic participates in E-Verify and may provide the Social Security Administration and, if necessary, the Department of Homeland Security with information from each new employee's Form I-9 to confirm work authorization. Recruiter Missy Egeland Nursonality Flexible Team Player$39.1-58.7 hourly 12d agoNurse Liaison
Minnesota Eye Consultants
Utilization review nurse job in Minnetonka, MN
Minnesota Eye Consultants (MEC) is one of the premiere eye care practices in the nation. We believe in One Team, All In. The culture at MEC is one of excellence and teamwork. We are passionate about patient care and dedicated to improving quality of life through life-changing vision procedures and treatments. MN Eye Consultants is currently hiring for a full-time Nurse Liaison for our Ambulatory Surgery Center in Minnetonka. SUMMARY The Nurse Liaison ensures that surgical patients are medically optimized for their surgical procedures. This includes providing support to the providers by answering surgical patient calls, e-prescribing medications, triaging patient concerns, answering general patient phone calls and other medical administrative responsibilities such as patient paperwork to ensure superior patient care. Starting pay range is $28.00-31.00/hour. RESPONSIBILITIES Complete all preoperative surgical calls (Ambulatory Surgery Center (ASC)). Ensure surgical chart is complete (H&P, blood work, EKG, IOL pick, surgery order). Triage patient calls regarding ocular concerns. Determines clinic visit necessity. Document all calls using the Patient Communication log in the Electronic Health Record (EHR). Review all pathology reports; contacts patients and/or provider with results as directed and records communication in EHR. Complete medication refill requests obtained via fax, phone call or patient portal. Answer patient calls and/or portal requests to provide education, answer questions, etc. to ensure superior patient care. Send tasks via EHR when necessary to enlist the assistance of other team members. Complete same day post-operative surgical calls. Participate in trainings and meets requirements for Merit Based Incentive Payment System (MIPS) measures, HIPAA compliance and Protected Health Information. Perform all patient related duties as assigned to ensure quality patient care. Other duties as assigned. EDUCATION AND EXPERIENCE LPN or RN, experience preferred Open and willing to try new workflows and ideas. Ability to remain calm at all times and escalate issues to appropriate levels of management. Comprehensive knowledge of EHR system and ability to use it efficiently. Knowledge of medical terminology. CERTIFICATES, LICENSES, REGISTRATIONS Current BLS required BENEFITS Health Insurance (medical, dental, vision, HSA) Paid Time Off (PTO) Holiday Pay 401K Retirement Savings Plan Other Benefits: Accident, Hospital Indemnity, Critical Illness, Life/AD&D, Disability, Commuter, Dependent Care, Adoption & Surrogate, Pet Insurance Employee Assistance Program Employee Discounts About Us: At MEC, our areas of expertise range from cataract surgery and premium lens implants, treatment of corneal disease and glaucoma, oculofacial and aesthetic services, to LASIK - laser vision correction. Our mission is to preserve, restore, and enhance vision through research, teaching, and providing the highest quality medical and surgical care to patients. MN Eye Consultants and Northwest Eye Clinic are now sister companies under Unifeye Vision Partners! To view employment opportunities at all of our locations go to ******************* Unifeye Vision Partners provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.$28-31 hourly 18d agoSupv FHI Nursing
Fairview Health Services
Utilization review nurse job in Minneapolis, MN
Provide clinical supervision, mentorship, and education to nursing staff. Coordinate the delivery of all care and services appropriate to the needs of the patient using an interdisciplinary team approach. Oversee day-to-day operations to ensure customer needs are met while maintaining compliance with federal, state and Joint Commission requirements. Responsibilities * Manage the day-to-day operations of the Nurse Clinicians including care coordination, staffing, documentation, and communication. * Provide direct supervision of the Nurse Clinicians and Nursing Coordinators. * Complete timely performance reviews of staff according to agency policy including joint home visits * Maintain the productivity level of the nursing staff to maximize efficiency, assure adequate staffing levels, and control costs; approve timecards. * Assist Nurse Manager as directed in process improvement projects * Function as a clinical resource providing infusion nurse clinician expertise to the FHI team members and patients. * Identify conditions or circumstances that impair the ability of the patients/caregivers to successfully manage the prescribed therapy. * Provide education to patients/caregivers that enable them to self-administer medications and solutions safely and effectively. * Understand drug therapies for therapeutic outcomes, adverse reaction, and compliance. * Maintain and submit complete, accurate and timely clinical documentation on all patients * Triage telephone calls from patients and provide appropriate follow-up using established policy/procedure and standards of practice. * Participate in process improvement and committees as assigned * Coordinate and manage external and internal relationships with regional nursing agencies and/or FHCH as assigned * Identify and contract with nursing agencies that will provide quality nursing care to patients who receive infusion therapy services from Fairview Home Infusion * Ensure that each contracted nursing agency complies with accepted standards of care and state licensure requirements * Oversee and coordinate appropriate clinical follow-up for patients * Responsible for authorization of visits made by nursing agencies and Fairview affiliate home care agencies * Establish a point of care for regional patients based on patient input and nursing assessment * Organize information and communicate effectively with other disciplines, departments, and patients * Triage calls from patients, caregivers, physicians, and referral sources related to all aspects of infusion therapy * Take telephone orders from MD. Communicate order(s), write order(S) and function as a liaison between staff, physicians, and pharmacy * Demonstrate teamwork and effective communication * Serve as a resource to the affiliations, staff, and physicians regarding pharmacy services. Assist with coordination of services by communicating effectively and in a timely manner with other teams, disciplines/departments. Required Qualifications * B.S./B.A. in nursing * 2 years of recent nursing experience in an acute care setting, preferably in critical dare, oncology or med/surg * MN Registered Nurse (RN) License * Basic Life Support (American Heart Assoc or Red Cross) Preferred Qualifications * One to two years of previous home infusion therapy * Supervisory experience * Certified Registered Nurse Infusion (CRNI) Certification or * Oncology Certified Nurse (OCN) Certification or * Critical Care Nurse (CCRN) Certification Benefit Overview Fairview offers a generous benefit package including but not limited to medical, dental, vision plans, life insurance, short-term and long-term disability insurance, PTO and Sick and Safe Time, tuition reimbursement, retirement, early access to earned wages, and more! Please follow this link for additional information: ***************************************************** Compensation Disclaimer The posted pay range is for a 40-hour workweek (1.0 FTE). The actual rate of pay offered within thisrange may depend on several factors, such as FTE, skills, knowledge, relevant education, experience,and market conditions. Additionally, our organization values pay equity and considers the internal equity of our team when making any offer. Hiring at the maximum of the range is not typical. If yourrole is eligible for a sign-on bonus, the bonus program that is approved and in place at the time of offer, is what will be honored. EEO Statement EEO/Vet/Disabled: All qualified applicants will receive consideration without regard to any lawfully protected status$63k-85k yearly est. Auto-Apply 47d agoResource Nurse (RN or LPN) (Twin Cities) $2,000 Sign on Bonus!
New Perspective Senior Living LLC
Utilization review nurse job in Hopkins, MN
Job Description New Perspective is seeking a RN or LPN Resource Nurse! This position will float between our assisted living communities primarily in the Twin Cities area. Daytime Shifts! Why New Perspective Senior Living? A career with a purpose starts here! On our clinical team, your hours are predictable and manageable, helping you strike a better balance with other parts of your life. You'll become part of a growing, family-owned and operated business that invests in our people through training, education assistance as well as leadership and career development. Position Summary As the nurse, you will plan, monitor and give nursing care to residents and oversee nursing care and procedures, and other services given to residents by other team members. You will act as the resource in the absence of the Director of Wellness and RN in relation to the current state and federal regulations and to accepted standards of quality and services. Responsibilities Executes daily, weekly, monthly tasks list Performs all necessary LPN's duties as required by state regulations. Assists in monitoring and training caregivers for all clinical issues in the community Assists with the onboarding of caregivers Responsible to coach team members as needed to ensure performance expectations, and clinical measures are met. Conducts retention activities to ensure adequate levels of engaged team members. Champions hospitality and delivers excellent customer service to residents, families, visitors and vendors. Attends and participates in team meetings including Town Hall and departmental meetings. Qualifications An active and unencumbered RN or LPN license for the state of MN Strong computer skills and the ability to work within an electronic health record Ability to effectively communicate in English, verbally and in writing Team Member Benefits & Perks* Mileage Reimbursement Overnight Accommodations (as needed due to weather or logistics) Medical, Dental, & Vision Insurance 401(k) with Company Match! Paid Time Off and Holidays Company-Paid Basic Life Insurance Voluntary Short-Term Disability Company-Paid Long-Term Disability Health Reimbursement Account/Health Savings Account Flexible Spending Accounts Education assistance - up to $5,000 per calendar year! Leadership Development & Career Advancement Real-time Access to Earned Wages Referral Bonuses Employee Assistance Program Salary $72k to $90k (Depending on Experience & licensure) *Benefits vary by full-time, part-time, and PRN status. New Perspective is an equal opportunity employer. INDNP$72k-90k yearly 10d agoNursing Assitant
Northfield Retirement Community
Utilization review nurse job in Northfield, MN
For more than 40 years, Northfield Retirement Community (NRC) has provided exceptional housing, care facilities and services for seniors seeking a vibrant community rooted in the Christian tradition. With an emphasis on innovation, choice and tradition, NRC offers an array of housing options, including a care center, assisted living, memory care, apartments, town homes, a cooperative and condominiums, to match each resident's unique needs. Consistently, NRC's focus is on giving adults, age 55 or older, the assistance they need to lead healthy, meaningful lives. Job Description Provide daily cares for a geriatric population. Assist in bathing, dressing & grooming, toileting, resident transfers, and medication assistance. Qualifications Registered as a nursing assistant preferred 6 months experience in long term care setting; flexibility with working days; team player. Additional Information 80hrs./pp EOW/EOH 10:30pm-7:00am All your information will be kept confidential according to EEO guidelines.$36k-53k yearly est. 60d+ agoImmunization Nurse (Part Time)
Thrifty White Pharmacy
Utilization review nurse job in Breckenridge, MN
Job DescriptionBenefits: 401(k) Competitive salary Employee discounts Paid time off Profit sharing Training & development Immunization Nurse Thrifty White Pharmacy is seeking a part time or temporary Immunization Nurse in #781 Breckenridge, Minnesota to provide all immunization duties and represents Thrifty White Pharmacy at immunization clinics, health fairs and other events where immunizations are provided. Applicant must possess to the following minimum qualifications: Degree in nursing required. RN with a current valid state licensure required. Current CPR Certification required. Participates in local health fairs, and identifies opportunities to serve as an information resource for the community. Completes billing for clinical services and trains team on related activities. Insures accurate patient documentation and consent form completion. Availability to work evenings, weekends, and holidays when needed. Good attendance and punctuality is required in order to fulfill the essential job functions. PHYSICAL DEMANDS The physical demands described here are representable of those that must be met by an employee to successfully perform the essential job functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. This position may include long periods of standing. While performing the duties of this job, the employee is also frequently required: to talk and hear, use hands and fingers, handle, or operate objects, tools, or controls, and to reach with hands and arms. The employee must occasionally lift and/or move up to 40 pounds. Specific vision abilities required by this job include close vision, distance vision, peripheral vision, color vision, depth perception, and the ability to adjust focus. Thrifty White Pharmacy is an Equal Opportunity Employer. Pharmacy Innovator of the Year by Drug Store News$55k-66k yearly est. 15d ago
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