- Katmai (Fort Carson, CO)
- …American Red Cross. + Three (3) years within the last four (4) years as a registered nurse in utilization management . + One (1) year of experience in UR/UM ... Provide a comprehensive utilization review (UR) and utilization management (UM) program for all TRICARE...active, and unrestricted license to practice as a registered nurse . + Must be a graduate from a college… 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
- State of Colorado (Pueblo, CO)
- …understood, actionable, and tied to CMHHIP's improvement goals. + Participate in utilization management and review activities when requested, applying clinical ... Nurse I - RN Critical Incident/Occurrence Reporter-CMHHIP-Pueblo Print...surveyors throughout the hospital) and/or provides assistance to Quality Management Leadership as directed during regulatory surveys. May perform… 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
- 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
- Veterans Affairs, Veterans Health Administration (Colorado Springs, CO)
- Summary The Patient Aligned Care Team (PACT) Registered Nurse assumes responsibility for the coordination of care focused on patient education, self- management , ... during the open period. The Patient Aligned Care Team (PACT) Registered Nurse demonstrates proficiency in practice based on conscious and deliberate planning and… 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
- Veterans Affairs, Veterans Health Administration (Aurora, CO)
- …patient care. Assumes coordination of care focused on patient education, self- management , and customer satisfaction throughout the continuum of care. Administers ... education, orientation, competencies and providing quality improvement and outcomes utilization consultation demonstrating leadership in delivering and improving holistic… 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
- Veterans Affairs, Veterans Health Administration (Grand Junction, CO)
- Summary The Intensive Community Mental Health Recovery (ICMHR) Registered Nurse (RN) is responsible for providing competent, evidence-based care to patients. They ... orientation, competencies and providing quality improvement and enhance outcomes utilization . Responsibilities This is an OPEN CONTINUOUS ANNOUNCEMENT and will… more
- Battelle Memorial Institute (Colorado Springs, CO)
- …as a case manager by a recognized certifying organization, ie, Commission for Case Management Certification or American Nurse Credentialing Center + At least two ... Research and Analytics (HRA) business line is seeking a highly motivated, full-time ** Nurse Case Manager** to join our team in support of our government customer,… more
- Vighter Medical Group (Glendale, CO)
- …the Office of Community Care (OCC) in Glendale, Colorado. As a Case Manager / Utilization Review Nurse , you'll play a key role in coordinating and reviewing ... Type Full Time Job Shift Any Education Level Registered Nurse (RN) Travel Percentage None Category Health Care Description...RN experience within the past 3 years - Case Management , Utilization Review, or Primary Care preferred.… more
- Katmai (Fort Carson, CO)
- …analyze, update and record data. + Facilitate the development and integration of utilization management (UM) review policies and procedures into operations. + ... case manager as needed to provide direction in care management . + Plan and prioritize utilization review...last two (2) years as a practical or vocational nurse . + Current, full, active, and unrestricted license as… 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