Hospice Care Consultant AccentCare, Inc.Hospice Care ConsultantSaint Paul, MN$70,500–$110,000 / yearYou can find success in this role if you’ve held the following jobs: Hospice Care Consultant, Hospice Liaison, Hospice Sales Consultant, Hospice Representative, Community Liaison, Hospice Outreach Specialist, Business Development Representative (Hospice), Hospice Account Executive, Referral Development Manager, Hospice Marketing Specialist, End-of-Life Care Consultant, or Hospice Services Educator. Develop and maintain trusting relationships with physicians, hospitals, skilled nursing facilities, and community organizations through in-person visits and educational conversations, helping them understand when and how hospice care can best support patients and families.
MLS - Baylor shift, Overnights River's Edge Hospital & ClinicMLS - Baylor shift, OvernightsSaint Peter, MN$34.32–$45.39 / hourBe capable of identifying problems that may adversely affect test performance or reporting of test results and either must correct the problem or immediately notify the Lab Manager, Senior Lab Tech, Technical Supervisor, or Clinical Consultant. Perform only those waived, moderate, and/or high complexity tests that are authorized by the Lab Manager and require a degree skill commensurate with the individual's education, training or experience and technical abilities.
Clinical Nurse Consultant (Rns) PartnerReClinical Nurse Consultant (Rns)Maple Grove, MNRemote$76,000–$120,000 / yearAs clinical experts, our clinical consultants are able to identify and understand a clients' risk profile, educate on how to more effectively manage that risk and work with a variety of specialty service providers to generate optimal outcomes both clinically and financially. Our mission is to continue to be a financially stable and predictable business partner, supporting our clients with solutions tailored to their needs, delivering superior returns to our owner, providing rewarding opportunities for our people and making a positive contribution to society.
Clinical Nurse Consultant (RNs) PartnerRe Ltd.Clinical Nurse Consultant (RNs)Maple Grove, MN$76,000–$120,000 / yearAs clinical experts, our clinical consultants are able to identify and understand a clients' risk profile, educate on how to more effectively manage that risk and work with a variety of specialty service providers to generate optimal outcomes both clinically and financially. Our mission is to continue to be a financially stable and predictable business partner, supporting our clients with solutions tailored to their needs, delivering superior returns to our owner, providing rewarding opportunities for our people and making a positive contribution to society.
Clinical Coding Analyst RN, Consultant Blue Cross and Blue Shield AssociationClinical Coding Analyst RN, ConsultantMinneapolis, MNIn this role you will be supporting the FCR team in addition to a small clinical coder team of 2 clinical coders who will be responsible for performing in-depth quality audits of hospital claims to support ICD-10-CM and ICD-10 PCS codes as well as EDC (Emergency Department Coding), MS-DRG and APR-DRG reviews based on clinical determination. Acts as a resource and helps to validate post claim DRG downgrade denials related to coding and clinical determination to support appeal strategy, tracking by disease, payer and denial activity and works with teams to create transparency and improvements to mitigate and prevent denials.
Clinical Consultant Account Pharmacist, Health Plans UnitedHealth Group IncClinical Consultant Account Pharmacist, Health PlansEden Prairie, MN$91,700–$163,700 / yearPrimary Responsibilities: Collaborates with clients to establish achievable but aggressive clinical program goals, including generic dispensing rate improvements, implementation of utilization management programs, improvement in medication adherence rates, improvements in therapy gaps for key chronic disease states, formulary compliance targets, and HEDIS & NCQA measures. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.
Clinical Consultant Pharmacist, Health Plans UnitedHealth Group IncClinical Consultant Pharmacist, Health PlansEden Prairie, MN$91,700–$163,700 / yearPrimary Responsibilities: Collaborates with clients to establish achievable but aggressive clinical program goals, including generic dispensing rate improvements, implementation of utilization management programs, improvement in medication adherence rates, improvements in therapy gaps for key chronic disease states, formulary compliance targets, and HEDIS & NCQA measures. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.
NewUtilization Management Clinical Consultant (Tuesday - Saturday) CVS Health CorpUtilization Management Clinical Consultant (Tuesday - Saturday)MN$26.01–$56.14 / hourJoin our Utilization Management team and play a critical role in ensuring members receive appropriate, evidence-based behavioral health services while supporting quality care and effective treatment planning. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.
NewClinical Quality Consultant - Oncogenetic Program - Remote UnitedHealth Group Inc.Clinical Quality Consultant - Oncogenetic Program - RemoteMinneapolis, MNRemote$112,700–$193,200 / yearWork with medical director teams focusing on inpatient care management, clinical coverage review, member appeals clinical review, medical claim review and provider appeals clinical review. The position requires experience in molecular pathology and oncogenetics, combined with demonstrated collaboration skills and the ability to thrive in a fast-paced, technology-driven environment.
Provider Clinical Operations Consultant, Senior Associate PricewaterhouseCoopers LLPProvider Clinical Operations Consultant, Senior AssociateMinneapolis, MN$77,000–$202,000 / yearPreference for at least one of the following fields of study: Accounting, Actuarial Science, Analytics/Data Science, Business Administration/Management, Computer Science/Information Systems, Economics, Engineering, Finance, Government/Public Policy, Health Administration/Public Health, Mathematics/Statistics, Operations/Supply Chain, Organizational Management/Behavior, Risk Management/Insurance. PwC does not intend to hire experienced or entry level job seekers who will need, now or in the future, PwC sponsorship through the H-1B lottery, except as set forth within the following policy: https://pwc.to/H-1B-Lottery-Policy .
Clinical Solutions Consultant, CV Ultrasound (Minnesota) PhilipsClinical Solutions Consultant, CV Ultrasound (Minnesota)Saint Paul, MN$125,000–$155,000 / yearYour role: Meet or exceed assigned AOP for equipment and revenue annually by working closely with Account Managers to develop and execute a winning strategy to meet financial targets. Work directly with partnered CV Ultrasound Account Manager(s) to schedule and perform product demonstrations, both onsite and virtually, as required to support assigned territory and assist as needed in other territories and zones.
Advisory Services Consultant, Consultant Development Program - Multiple Locations UnitedHealth Group IncAdvisory Services Consultant, Consultant Development Program - Multiple LocationsEden Prairie, MN$72,800–$130,000 / yearRequired Qualifications: Master's degree earned within the past 24 months OR bachelor's degree earned within the past 24 months and 2+ years of professional experience performing research and development projects with responsibility for collecting and interpreting research and analyses of markets, trends, competitors, products and services for use in operational business planning/decisions and strategic planning/decisions. You'll complete structured consulting and healthcare training, receive mentorship from experienced leaders, and gain experience across multiple client engagements while developing capabilities in strategic problem solving, data-driven decision making, client relationship management, change management, AI-enabled consulting, and healthcare industry expertise.
Nurse Consultant – Long-Term Care (RN) Advanced Health InstituteNurse Consultant – Long-Term Care (RN)Minneapolis, MN$100,000–$110,000 / yearWe are hiring an RN Nurse Consultant to help clients with survey readiness, quality systems, education, and interim leadership. Advanced Health Institute provides consulting support to assisted living communities and skilled nursing facilities.
RN Consultant - Traveling Vista Prairie CommunitiesRN Consultant - TravelingChamplin, MNFull timeStart a meaningful career as a RN Consultant - Traveling at Vista Prairie Communities, Assisted Living and Memory Care! If requested, this organization will make every effort to provide reasonable accommodations to enable employees with disabilities to perform the position’s essential job duties.
RN Medical Coverage Policy Consultant HealthPartners InstituteRN Medical Coverage Policy ConsultantBloomington, MNESSENTIAL DUTIES: (15%) Research, identify, analyze and evaluate evidence based scientific literature and use critical thinking skills to summarize and synthesize evidence-based findings, complex clinical information and technical information which affect medical coverage policies and benefits. The Consultant is a collaborative position that works with many cross functional departments including Claims, Utilization Management (UM), Medical Directors, Contracts and Benefits, Member Services/Appeals, and Government Programs to support policy changes.
Utilization Management Nurse Consultant CVS Health CorpUtilization Management Nurse ConsultantMN$32.01–$68.55 / hourCommunicates with providers and other parties to facilitate care/treatment Identifies members for referral opportunities to integrate with other products, services and/or programs Identifies opportunities to promote quality effectiveness of Healthcare Services and benefit utilization Consults and lends expertise to other internal and external constituents in the coordination and administration of the utilization/benefit management function. Systems Access & Security: Ability to Log in to secure systems (e.g., VPN, EHR portal), lock a computer screen when unattended, manage strong passwords, and recognize suspicious emails or links.
Associate Director of Clinical Consulting UnitedHealth Group IncAssociate Director of Clinical ConsultingEden Prairie, MN$112,700–$193,200 / yearThey will work with clinical leadership in developing a strategy related to the delivery of proactive consultative services and driving clinical upsell targets, including deployment of appropriate use guidelines and protocols, utilization management strategies, clinical products / services and formulary management strategies. This Associate Director of Clinical Consulting will oversee clinical consulting client relationships, proactively identify clinical solutions, and manage clinical resource allocation for one or more of OptumRx's segments of Clinical Consulting support.
NewAssociate Director Of Clinical Consulting UnitedHealth Group Inc.Associate Director Of Clinical ConsultingEden Prairie, MN$112,700–$193,200 / yearThey will work with clinical leadership in developing a strategy related to the delivery of proactive consultative services and driving clinical upsell targets, including deployment of appropriate use guidelines and protocols, utilization management strategies, clinical products / services and formulary management strategies. This Associate Director of Clinical Consulting will oversee clinical consulting client relationships, proactively identify clinical solutions, and manage clinical resource allocation for one or more of OptumRx's segments of Clinical Consulting support.
Managing Consultant Yantran LLCManaging ConsultantMinneapolis, MNThis role owns how solutions are designed, integrated, governed, and evolved across access, clinical, and revenue cycle domains, ensuring consistency, scalability, and operational reliability as organizational needs change. Success is defined by clear architectural decisions, reduced system fragmentation, predictable change, and Epic environments that support clinical and operational workflows.
LPN/LVN - Clinical Nurse Accurate Staffing child board (JobRobotix)LPN/LVN - Clinical NurseRoseau, MNQualified candidates must hold an active MN license and have a minimum of 2 years of recent U.S. Experience in Clinical Nurse as a LPN/LVN. Accurate Staffing Consultants is currently seeking a LPN/LVN –Clinical Nurse for an assignment in Roseau, MN.