- Humana (Denver, CO)
- …community and help us put health first** Full-Time, Remote Telephonic opportunity The Utilization Management Nurse 2 utilizes clinical nursing skills to ... documentation and communication of medical services and/or benefit administration determinations. The Utilization Management Nurse 2 work assignments are… more
- CVS Health (Denver, CO)
- …1+ years of clinical experience in acute or post-acute setting, and 1+ years of Utilization Management / Care Management Experience + Must have active ... additional Nursing Licenses as business needs require. **Preferred Qualifications** Utilization Management experience preferred **Education** Education: Diploma… more
- CenterWell (Denver, CO)
- …RN experience; + Prior clinical experience, managed care experience, **OR** utilization management experience + Demonstrates Emotional Maturity + Ability ... Therapy, DME, Cardiac or Orthopedic procedures + Previous experience in utilization management within Insurance industry + Previous Medicare Advantage/Medicare… more
- Humana (Denver, CO)
- **Become a part of our caring community and help us put health first** The Utilization Management Nurse 2 utilizes clinical nursing skills to support the ... documentation and communication of medical services and/or benefit administration determinations. The Utilization Management Nurse 2 work assignments are… more
- CVS Health (Denver, CO)
- …Founded in 1993, AHH is URAC accredited in Case Management , Disease Management and Utilization Management . AHH delivers flexible medical management ... Abuse or Maternity/ Obstetrics experience. **Preferred Qualifications** + 1+ years' Case Management experience or discharge planning, nurse navigator or nurse… more
- State of Colorado (Denver, CO)
- Off Hours Nurse Supervisor - Nurse III (Internal Pool) - Colorado Mental Health Hospital Fort Logan Print ... (https://www.governmentjobs.com/careers/colorado/jobs/newprint/5132944) Apply Off Hours Nurse Supervisor - Nurse III (Internal Pool) - Colorado Mental Health… more
- State of Colorado (Golden, CO)
- …Analyzes staff management of medical / mental health problems during nurse 's off duty hours. Medical Policy Implementation Oversight: Provide oversight of DYS ... Medical Operations Coordinator ( Nurse V) - Lookout Mountain Youth Services Center...pre-adjudicated youth, the Division is also responsible for the management and oversight of Colorado Youth Detention Continuum, a… more
- Centene Corporation (Denver, CO)
- …and provide recommendations to senior management of process improvements within utilization management + Manages and oversees cases to ensure timely ... training and education to the interdepartmental teams on training needed within the utilization management team based on trends + Partners with leadership to… more
- HCA Healthcare (Denver, CO)
- …Nurses!** **Introduction** Do you have the career opportunities as a(an) Clinical Nurse Coordinator Inpatient Surgery you want with your current employer? We have ... caring group of colleagues. Do you want to work as a(an) Clinical Nurse Coordinator Inpatient Surgery where your passion for creating positive patient interactions… more
- HCA Healthcare (Denver, CO)
- …we support our colleagues in their positions. Join our Team as a(an) Clinical Nurse Coordinator Medical Oncology and access programs to assist with every stage of ... affordable to gain certifications and job skills. Apply today for our Clinical Nurse Coordinator Medical Oncology opening and continue to learn! **Job Summary and… more
- HCA Healthcare (Denver, CO)
- …Center have the opportunity to make a real impact. As an Operating Room Registered Nurse PT you can be a part of change. **Benefits** Rose Surgical Center, offers a ... location._** It is an exciting time to be a nurse at HCA Healthcare! Come unlock your career potential...the instrument and equipment set-up for your OR, including utilization of preference cards and ability to anticipate your… more
- HCA Healthcare (Thornton, CO)
- …from any other healthcare provider. We are seeking an Operating Room Nurse to join our healthcare family. **Benefits** Muscular-Skeletal Ambulatory Surgery Center, ... nurses play a vital part. We know that every nurse 's path and purpose is unique. Do you want...the instrument and equipment set-up for your OR, including utilization of preference cards and ability to anticipate your… more
- HCA Healthcare (Denver, CO)
- …range. **Introduction** Do you have the PRN career opportunities as an Operating Room Nurse PRN you want with your current employer? We have an exciting opportunity ... Do you want to work as an Operating Room Nurse PRN where your passion for creating positive patient...the instrument and equipment set-up for your OR, including utilization of preference cards and ability to anticipate your… more
- Evolent (Denver, CO)
- …Stay for the culture. **What You'll Be Doing:** The Clinical Review Nurse is responsible for performing precertification and prior approvals. Tasks are performed ... medical policies, and clinical decision-making criteria sets. The Clinical Review Nurse serves as a member advocate, expediting care across the continuum… more
- OptiMindHealth (Lafayette, CO)
- Psychiatric Nurse Practitioner (PMHNP) Position Requirement: Full-Time FLSA Status: Exempt Location: Boulder, Colorado Salary: 125K - 145K+ Summary: OptiMindHealth ... our clinical staff in all aspects of their work. The Psychiatric Nurse Practitioner (PNP/PMNP) at OMH is responsible for providing psychotherapy and medication… more
- HCA Healthcare (Denver, CO)
- …passionate about delivering patient-centered care?** Submit your application for Operating Room Nurse position and spend more time at the bedside with the patient. ... clinical excellence behind the scenes in data science, case management or transfer centers. Unlock your potential at Rose...Summary and Qualifications** We are seeking an Operating Room Nurse for our ambulatory surgery center who demonstrates the… more
- Elevance Health (Denver, CO)
- …criteria._** The **Telephonic Nurse Case Manager II** is responsible for care management within the scope of licensure for members with complex and chronic care ... **Telephonic Nurse Case Manager II** **Location: This role enables...claims or service issues. + Assists with development of utilization /care management policies and procedures. **Minimum Requirements:**… more
- UCHealth (Longmont, CO)
- …and clinical resource. Conducts interventions focused on care coordination and utilization . Responsibilities: Makes frequent rounds to nursing units and ancillary ... patient and family. Coordinates care across departments to meet outcomes management and system improvement goals. Educates staff by reinforcing appropriate methods… more
- CenterWell (Denver, CO)
- …driver's license, auto insurance and reliable transportation. + Two years as a Registered Nurse with at least one-year of management experience in a home care, ... review of clinical documentation in addition to feedback and recommendations by Utilization Review staff. Upon completion of the assessment, creates and conducts… more
- CVS Health (Denver, CO)
- …- 3+ years of acute experience as a Registered Nurse - 1+ years of Utilization Management experience - Must have experience using MS Office suites - Must be ... year - Occasional travel less than 5% to complete audits/meetings - Utilization Management is a 24/7 operation and work schedules will include weekends,… more