- CommonSpirit Health Mountain Region (Centennial, CO)
- …discretion, and independent judgment in assessing/reassessing, facilitating care coordination, utilization management , and patient advocacy. + Assure medical ... leaders who care about your success. As a Registered Nurse , RN Case Manager you'll advocate for...Applicable State of Employment required + 1 year of nursing or case management experience required. +… more
- Intermountain Health (Denver, CO)
- …cost-effective outcomes. Provides focused support to various areas such as utilization management , emergency department, acute, ambulatory and specialty care. ... (RN) or Compact license **Preferred Qualifications:** + Bachelor's degree in Nursing . + Certified Case Manager (CCM). Relevant certification as determined… more
- Elevance Health (Denver, CO)
- …states; therefore, Multi-State Licensure will be required.** The **Telephonic Nurse Case Manager II** is responsible for care management within the scope of ... **Telephonic Nurse Case Manager II** **Location: This...claims or service issues. + Assists with development of utilization /care management policies and procedures. **Minimum Requirements:**… more
- CommonSpirit Health Mountain Region (Centennial, CO)
- …field. * 5 years of RN experience preferred. * Minimum Three (3) years utilization management experience preferred * Denials management experience preferred. ... revenue cycle by providing clinical expertise in the denials management process. The Denials RN performs a root cause.... Recommends and provides education in collaboration with their manager . The Denials RN follows a standardized approach to… more
- HCA Healthcare (Englewood, CO)
- …Based on experience and continuous assessment of progress by Specialty Team Manager /Chief Flight Nurse , Educators and Medical Director's. Orientation ranges ... Assistance . Employee Stock Purchase Program (ESPP). **POSITION SUMMARY:** The Neonatal Nurse Practitioner (NNP) is responsible for coordinating the care of and the… more
- Prime Therapeutics (Denver, CO)
- …+ Clinical and Quality oversight for this program is provided by the Manager , Patient Programs. **Responsibilities** + Registered Nurse (RN). + 5 years ... post-degree clinical experience. + Experience in managed care, specialty drugs, care management and utilization review. + Meets Magellan Credentialing criteria.… more
- Fresenius Medical Center (Denver, CO)
- …post procedure, under the direction of the Facility Manager , Director of Nursing and/or Charge Registered Nurse , utilizing standard nursing techniques to ... on adverse events and action thresholds in collaboration with facility management . + Maintains integrity of medical records and other organization administrative… more
- Elevance Health (Denver, CO)
- …management plan and modifies as necessary. + Assists with development of utilization /care management policies and procedures. + Participates in or leads ... The Nurse Care Mgr II is responsible for collaborating with...services in multiple states. + AS or BS in nursing preferred. + Certification as a Case Manager … more
- Erickson Living (Highlands Ranch, CO)
- …and dehydration. + Participating in Wound Rounds, Operations Meetings, Utilization Review, and Performance Improvement/Risk Management /Safety (PI/RM/S) ... campuses in 11 states-and growing. The Assistant Director of Nursing is responsible for clinical leadership and outcomes within...3 years experience in a healthcare leadership role (Charge Nurse , Unit Manager , etc.). + Experience with… more
- Elevance Health (Denver, CO)
- …Monday-Friday Hours: 10:30 - 7 pm CST. The Telephonic **Telephonic Nurse Case Manager II** is responsible for care management within the scope of licensure ... **Telephonic Nurse Case Manager II** Elevance Health...or service issues. + Assists with the development of utilization /care management policies and procedures and all… more
- HCA Healthcare (Thornton, CO)
- … nursing experience in the acute care setting. + Prior utilization /quality/discharge planning/and/or case management experience highly preferred. For nearly ... is hired below midpoint of the range. **RN Case Manager PRN** **Weekday, Weekend and Holiday Availability Required** **Will...2-4 shifts for 3 weeks during weekday** **Medical Case Management with Discharge Planning** Do you want to be… more
- HCA Healthcare (Aurora, CO)
- …American Heart Association or American Red Cross. + Special certification in case management preferred. + Associates Degree or Nursing Diploma. BSN Preferred. + ... is hired below midpoint of the range. **RN Case Manager PRN** **Must Be Available for both Weekdays /...2+ years' experience in case management OR 3+ years' experience in clinical … more
- HCA Healthcare (Englewood, CO)
- …through the continuum of care, including discharge planning. + Oversee utilization management process including verification of insurance coverage, ... is hired below midpoint of the range. **RN Case Manager Rehab** **PRN - Flexible for Weekday Coverage** **Case... Rehab** **PRN - Flexible for Weekday Coverage** **Case Management with Inpatient Rehab experience required** Do you want… more
- AdventHealth (Littleton, CO)
- … is under the general supervision of the Care Management Supervisor or Manager or Director of Nursing and is responsible for patient evaluations of ... satisfaction, patient safety, readmission prevention and length of stay management . The RN Care Manager communicates daily...and experiences you'll need to succeed:** + Associates Degree Nursing or RN Diploma degree + Registered Nurse… more
- UCHealth (Aurora, CO)
- …cost-effective outcomes. Provides focused support to various areas such as utilization management , emergency department, acute, ambulatory and specialty care. ... patterns of health care needs, decisions, lifestyle choices, and utilization of resources that affect their health. + Advocates,...Manager (CCM). + Minimum Experience: 2 years of nursing experience. Preferred: Acute care and 1 year Case… more
- HCA Healthcare (Englewood, CO)
- …identified patient and family needs with the efficacious and cost effective utilization of resources. Through concurrent case management , you will assess ... is hired below midpoint of the range. **RN Case Manager ** **Monday - Friday 8am -4:30pm** **Rotating Weekends/Holidays** **Required...licensure in the State of Colorado as a Registered Nurse , or current active multistate nursing licensure.… more
- Highmark Health (Denver, CO)
- …Inc. **Job Description :** **JOB SUMMARY** This job implements the effective utilization management strategies including: review of appropriateness of health ... Management + Experience in a clinical setting **Preferred** + Certification in utilization management or a related field + Experience in UM/CM/QA/Managed Care… more
- CommonSpirit Health Mountain Region (Lakewood, CO)
- …discretion, and independent judgment in assessing/reassessing, facilitating care coordination, utilization management , and patient advocacy. + Assure medical ... leaders who care about your success. As a Registered Nurse , RN Case Manager , you'll advocate for...Applicable State of Employment required + 1 year of nursing or case management experience required. +… more
- HCA Healthcare (Englewood, CO)
- …individually identified patient and family needs with the efficacious and cost effective utilization of resources. + Through concurrent case management , you will ... hired below midpoint of the range. **Experienced RN Case Manager PRN** **Flexible for weekdays and weekends** **Must have...licensure in the State of Colorado as a Registered Nurse , or current active multistate nursing licensure.… more
- Intermountain Health (Wheat Ridge, CO)
- …directs, and staffs to maintain and improve functions. The incumbent ensures optimal utilization of Materials Management programs and SCO policies and procedures ... **Job Description:** The SCO Operations Manager oversees all day-to-day operations for their assigned...assigned facilities or clinical program including the monitoring and utilization of key performance indicators associated with projects. This… more