Counsel | Remote
Minneapolis, MN · On-site +1
Responsibilities includes preparation, review and negotiation of prospective reinsurance term ... Utilization of artificial intelligence tools and resources (e.g. generative Al). What you bring:
Minneapolis, MN · On-site +1
Responsibilities includes preparation, review and negotiation of prospective reinsurance term ... Utilization of artificial intelligence tools and resources (e.g. generative Al). What you bring:
Minneapolis, MN · On-site +1
Responsibilities includes preparation, review and negotiation of prospective reinsurance term ... Utilization of artificial intelligence tools and resources (e.g. generative Al). What you bring:
Maple Grove, MN · On-site +1
Review high-cost claims, trigger reports, and 50% notices to identify catastrophic diagnoses ... utilization management, case management, or related managed care experience preferred. * Experience ...
Maple Grove, MN · On-site +1
Review high-cost claims, trigger reports, and 50% notices to identify catastrophic diagnoses ... utilization management, case management, or related managed care experience preferred. * Experience ...
Minnetonka, MN · On-site +1
$81K - $111K/yr
Clear and actionable for nurses, physician reviewers, and AI enabled workflows * Apply senior ... Utilization management * Coverage interpretation using UM clinical criteria * Clinical operations ...
Minnetonka, MN · On-site +1
$81K - $111K/yr
Clear and actionable for nurses, physician reviewers, and AI enabled workflows * Apply senior ... Utilization management * Coverage interpretation using UM clinical criteria * Clinical operations ...
Minnetonka, MN · On-site +1
$81K - $111K/yr
Clear and actionable for nurses, physician reviewers, and AI enabled workflows * Apply senior ... Utilization management * Coverage interpretation using UM clinical criteria * Clinical operations ...
Minnetonka, MN · On-site +1
$81K - $111K/yr
Clear and actionable for nurses, physician reviewers, and AI enabled workflows * Apply senior ... Utilization management * Coverage interpretation using UM clinical criteria * Clinical operations ...
Minneapolis, MN · On-site +1
$85K - $142K/yr
You will be able to work remotely, from your home location, in the United States This is a remote ... Registered Nurse required * BSN or bachelor's degree in healthcare-related field preferred (or ...
Minneapolis, MN · On-site +1
$85K - $142K/yr
You will be able to work remotely, from your home location, in the United States This is a remote ... Registered Nurse required * BSN or bachelor's degree in healthcare-related field preferred (or ...
Saint Paul, MN · Remote
... utilization, CSAT). * Lead post-incident reviews for P1/P2 incidents and implement corrective ... Excellent remote customer-facing communication skills; experience managing escalations virtually.
Saint Paul, MN · Remote
... utilization, CSAT). * Lead post-incident reviews for P1/P2 incidents and implement corrective ... Excellent remote customer-facing communication skills; experience managing escalations virtually.
Minneapolis, MN · Remote
$248K - $373K/yr
Experience in utilization and clinical coverage review * Proven excellent oral, written, interpersonal communication skills * Proven data analysis and interpretation aptitude * Proven innovative ...
Minneapolis, MN · Remote
$248K - $373K/yr
Experience in utilization and clinical coverage review * Proven excellent oral, written, interpersonal communication skills * Proven data analysis and interpretation aptitude * Proven innovative ...
Minneapolis, MN · On-site +1
$248K - $373K/yr
Experience in utilization and clinical coverage review * Proven excellent oral, written, interpersonal communication skills * Proven data analysis and interpretation aptitude * Proven innovative ...
Minneapolis, MN · On-site +1
$248K - $373K/yr
Experience in utilization and clinical coverage review * Proven excellent oral, written, interpersonal communication skills * Proven data analysis and interpretation aptitude * Proven innovative ...
Minneapolis, MN · On-site +1
$102K - $121K/yr
... • Review contract terms to ensure risks are appropriately controlled • Conduct transaction ... Utilization of artificial intelligence tools and resources (e.g. generative AI). What you bring ...
Minneapolis, MN · On-site +1
$102K - $121K/yr
... • Review contract terms to ensure risks are appropriately controlled • Conduct transaction ... Utilization of artificial intelligence tools and resources (e.g. generative AI). What you bring ...
Saint Paul, MN · Remote
ABOUT THE POSITION (Remote, work from home) The 340B Program Director, Pharmacy Services will lead ... utilization reports and inventory tracking, are generated accurately and timely for client review ...
Saint Paul, MN · Remote
ABOUT THE POSITION (Remote, work from home) The 340B Program Director, Pharmacy Services will lead ... utilization reports and inventory tracking, are generated accurately and timely for client review ...
Saint Paul, MN · Remote
$18 - $40/hr
... RN scope questions, pharmacology calculations, and managing anxiety with the adaptive testing format. Adapts instruction using NCLEX-PN specific practice question banks, content review focused on ...
Saint Paul, MN · Remote
$18 - $40/hr
... RN scope questions, pharmacology calculations, and managing anxiety with the adaptive testing format. Adapts instruction using NCLEX-PN specific practice question banks, content review focused on ...
Minneapolis, MN · Remote
$18 - $40/hr
... RN scope questions, pharmacology calculations, and managing anxiety with the adaptive testing format. Adapts instruction using NCLEX-PN specific practice question banks, content review focused on ...
Minneapolis, MN · Remote
$18 - $40/hr
... RN scope questions, pharmacology calculations, and managing anxiety with the adaptive testing format. Adapts instruction using NCLEX-PN specific practice question banks, content review focused on ...
Edina, MN · Remote
$18 - $40/hr
... RN scope questions, pharmacology calculations, and managing anxiety with the adaptive testing format. Adapts instruction using NCLEX-PN specific practice question banks, content review focused on ...
Edina, MN · Remote
$18 - $40/hr
... RN scope questions, pharmacology calculations, and managing anxiety with the adaptive testing format. Adapts instruction using NCLEX-PN specific practice question banks, content review focused on ...
This is a remote opportunity and can be based from any location in the United States. #LI-Remote ... Review and understand the contractual terms and scope of assigned projects * Review key ...
This is a remote opportunity and can be based from any location in the United States. #LI-Remote ... Review and understand the contractual terms and scope of assigned projects * Review key ...
Minneapolis, MN · On-site +1
$248K - $373K/yr
Experience in utilization and clinical coverage review * Proven excellent oral, written, interpersonal communication skills * Proven data analysis and interpretation aptitude * Proven innovative ...
Minneapolis, MN · On-site +1
$248K - $373K/yr
Experience in utilization and clinical coverage review * Proven excellent oral, written, interpersonal communication skills * Proven data analysis and interpretation aptitude * Proven innovative ...
Minneapolis, MN · Remote
$248K - $373K/yr
Experience in utilization and clinical coverage review * Proven excellent oral, written, interpersonal communication skills * Proven data analysis and interpretation aptitude * Proven innovative ...
Minneapolis, MN · Remote
$248K - $373K/yr
Experience in utilization and clinical coverage review * Proven excellent oral, written, interpersonal communication skills * Proven data analysis and interpretation aptitude * Proven innovative ...
Eden Prairie, MN · On-site +1
$70K/yr
The Senior Underwriter will examine, review, evaluate, classify and rate customer documents in ... BA, BS, RN or equivalent insurance industry experience * Minimum of 3 years LTC/Life, underwriting ...
Eden Prairie, MN · On-site +1
$70K/yr
The Senior Underwriter will examine, review, evaluate, classify and rate customer documents in ... BA, BS, RN or equivalent insurance industry experience * Minimum of 3 years LTC/Life, underwriting ...
Minneapolis, MN · On-site +1
$292K - $438K/yr
Lead clinical discussions, case reviews, and performance reviews with clients * Build relationships ... Proven expertise integrating clinical and financial data to drive quality, utilization, and cost ...
Minneapolis, MN · On-site +1
$292K - $438K/yr
Lead clinical discussions, case reviews, and performance reviews with clients * Build relationships ... Proven expertise integrating clinical and financial data to drive quality, utilization, and cost ...
Minneapolis, MN · Remote
$292K - $438K/yr
Lead clinical discussions, case reviews, and performance reviews with clients * Build relationships ... Proven expertise integrating clinical and financial data to drive quality, utilization, and cost ...
Minneapolis, MN · Remote
$292K - $438K/yr
Lead clinical discussions, case reviews, and performance reviews with clients * Build relationships ... Proven expertise integrating clinical and financial data to drive quality, utilization, and cost ...
Coach and develop consulting team members by guiding workstream approaches, reviewing deliverables ... utilization management * 5 years of experience leading large-scale consulting engagements or large ...
Coach and develop consulting team members by guiding workstream approaches, reviewing deliverables ... utilization management * 5 years of experience leading large-scale consulting engagements or large ...
$21.64 - $26.01
2% of jobs
$26.01 - $30.39
9% of jobs
$33.38 is the 25th percentile. Wages below this are outliers.
$30.39 - $34.77
21% of jobs
The median wage is $38.31 / hr.
$34.77 - $39.14
23% of jobs
$39.14 - $43.52
13% of jobs
$46.92 is the 75th percentile. Wages above this are outliers.
$43.52 - $47.89
10% of jobs
$47.89 - $52.27
8% of jobs
$52.27 - $56.65
5% of jobs
$56.65 - $61.02
5% of jobs
$61.02 - $65.40
2% of jobs
$65.40 - $69.78
2% of jobs
$21
$42
$69
| Aspect | Remote Utilization Review Rn | Remote Case Manager Rn |
|---|---|---|
| Certifications | RN license, Utilization Review certification (e.g., URAC) | RN license, Case Management certification (e.g., CCM) |
| Work Environment | Reviewing medical records, insurance policies, telehealth platforms | Coordinating patient care, discharge planning, telehealth |
| Employer & Industry | Insurance companies, healthcare organizations | Hospitals, insurance providers, healthcare agencies |
Remote Utilization Review Rns primarily focus on evaluating medical necessity for insurance coverage, while Remote Case Manager Rns coordinate patient care and discharge planning. Both roles require RN licensure and involve telehealth work, but they serve different functions within healthcare and insurance industries.
For Remote Utilization Review Rn jobs in St. Paul, MN, the most frequently searched job titles are:
The top searched job categories for Remote Utilization Review Rn jobs in St. Paul, MN are:
Cities near St. Paul, MN with the most Remote Utilization Review Rn job openings:

9.3
Based on 9 frontline employees who took The Breakroom Quiz
18th of 315 rated insurance
Sourced by ZipRecruiter
Finance and insurance and insurance services
10,000+ Employees
Richmond, VA, US