- Katmai (Usaf Academy, CO)
- …all levels of health care management to include outside agencies. Performs utilization management activities to optimize cost, quality, and access to care. ... those required of any military or government civil service nurse of similar experience and in similar duty assignments....and employ safe work habits. + Utilize available information management systems in daily practice for patient care and… more
- Luke Staffing (Glendale, CO)
- **REGISTERED NURSE ** **SITE OF SERVICE:** Department of Veterans Affairs, Eastern Colorado Healthcare System (ECHCS), 4100 E. Mississippi Ave, Glendale, CO 80246 ... consider Part Time and Full Time Applicants** **POSITION OVERVIEW:** The Registered Nurse (RN) will provide on-site professional nursing services to beneficiaries of… more
- Katmai (Usaf Academy, CO)
- …with military and civilian healthcare providers and staff and uses Utilization Management (UM) systems support to identify high-risk/high-cost patients ... **SUMMARY:** Performs healthcare coordination and case management activities IAW Medical Treatment Facility (MTF) instructions....States or jurisdiction, be able to practice using a nurse compact state license or Enhanced Nurse … 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
- Cognizant (Denver, CO)
- …background - Registered Nurse (RN) + 2-3 years combined clinical and/or utilization management experience with managed health care plan + 3 years' experience ... Time **Location:** Remote **About the role** As a Registered Nurse you will make an impact by performing advanced...care revenue cycle or clinic operations + Experience in utilization management to include Clinical Appeals and… more
- Veterans Affairs, Veterans Health Administration (Aurora, CO)
- Summary The Infusion Registered Nurse (RN) assumes responsibility for the coordination of care focused on patient education, self- management , and customer ... of the interdisciplinary team. Demonstrate leadership, experience, and creative approaches to management of complex client care. Uses a team approach to identify,… more
- Arapahoe County Government (Aurora, CO)
- Registered Nurse /Senior Registered Nurse **Job Number:** 258 **Salary:** $66,010.10 - $99,015.02 **Department/Office:** Public Health **Division:** Nursing ... call home.** This position will specifically work in the Nurse Liaison Program, a nurse home visiting... home visitation, pediatric nursing, public health, or case management . **NOTE:** + **The anticipated hiring range for the… more
- Veterans Affairs, Veterans Health Administration (Glendale, CO)
- …knowledge of the internal referral care process, clinical review criteria, utilization management standards, clinical documentation requirements, community care ... evidence-based-practice culture. VA offers a comprehensive total rewards package: VA Nurse Total Rewards Pay: Competitive salary, regular salary increases, potential… 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)
- …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
- HCA Healthcare (Greenwood Village, CO)
- …**Introduction** Do you have the career opportunities as a Clinical Manager Registered Nurse you want with your current employer? We have an exciting opportunity for ... group of colleagues. Do you want to work as a Clinical Manager Registered Nurse where your passion for creating positive patient interactions is valued? If you are… 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 (Denver, CO)
- Psychiatric Nurse Practitioner (PNP/PMNP) Position Requirement: Full-Time FLSA Status: Exempt Location: Denver, Colorado Salary: 114K - 135K+ 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
- Evolent (Denver, CO)
- …team focusing on appeals and post-determination requests. We maintain the principles of utilization management by adhering to Evolent and Client policies and ... **What You Will Be Doing:** + Practices and maintains the principles of utilization management and appeals management by adhering to company policies and… more
- Elevance Health (Denver, CO)
- …required.** 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** **Sign on Bonus: $2000.**...claims or service issues. + Assists with development of utilization /care management policies and procedures. **Minimum Requirements:**… more
- HCA Healthcare (Lone Tree, 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 Sky...Summary and Qualifications** We are seeking an Operating Room Nurse for our ambulatory surgery center who demonstrates the… 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
- HCA Healthcare (Lone Tree, CO)
- … Department operations, functions and staff in alignment with the annual Utilization Management Program Description as well as applicable regulations and ... the guidance and supervision of the Director of Case Management (CM), the CM Manager is responsible and accountable...and family needs with the efficacious and cost effective utilization of resources. The CM Manager shares responsibility for… more
- HCA Healthcare (Englewood, CO)
- …patient through the continuum of care, including discharge planning. Oversee utilization management process including verification of insurance coverage, ... and family needs with the efficacious and cost effective utilization of resources. Coordinates patient, family, physicians and all...pre-authorization, resource management and overall management of patients within… more
