- Matrix Providers (Aurora, CO)
- Registered Nurse ( RN ) - Utilization Management Location: Aurora, CO, United States Healthcare Provider Type : Nursing START YOUR APPLICATION ... schedules. Matrix Providers is hiring a Registered Nurse ( RN ) - Utilization Management to join our team of talented professionals who provide… more
- UCHealth (Aurora, CO)
- …+ Education: Bachelor's degree in Nursing. + Licensure/Certification: State licensure as a Registered Nurse ( RN ). Minimum Experience: 3 years of relevant ... Description Location: UC Health Leprino Building AMC, US:CO: Aurora Department: UCH Utilization Management FTE: Full Time, 0.8, 64.00 hours per pay period (2… more
- Humana (Denver, CO)
- …to make an impact** **Required Qualifications** + Active enhance license compact, (eNLC), Registered Nurse , RN , without restrictions or disciplinary actions, ... Previous Medicare/Medicaid experience a plus, + Previous experience in pre-authorization, utilization management , case management , discharge planning and/or… more
- AdventHealth (Denver, CO)
- …Qualifications **The expertise and experiences you'll need to succeed:** + Associate's degree Nursing or RN Diploma degree + Registered Nurse ( RN ) + Two ... transitions, patient satisfaction, patient safety, readmission prevention and length of stay management . The RN Care Manager communicates daily with the… more
- AdventHealth (Denver, CO)
- …transitions, patient satisfaction, patient safety, readmission prevention and length of stay management . The RN Care Manager communicates daily with the ... and understanding of medical necessity are core competencies of this role. The RN Care Manager facilitates the collaborative management of patient care across… more
- HCA Healthcare (Englewood, CO)
- …stay criteria. **What qualifications you will need:** + Current Colorado (or compact state) Registered Nurse License + RN , BSN preferred + Minimum of ... typical candidate is hired below midpoint of the range. ** RN Case Manager Rehab** **PRN - Flexible for Weekday...the continuum of care, including discharge planning. + Oversee utilization management process including verification of insurance… more
- UCHealth (Aurora, CO)
- …/Professional Nursing program if less than 3 years' experience. State licensure as a Registered Nurse ( RN ). 2 years of nursing experience. We improve ... cost-effective outcomes. Provides focused support to various areas such as utilization management , emergency department, acute, ambulatory and specialty care.… more
- Veterans Affairs, Veterans Health Administration (Golden, CO)
- Summary The employee Occupational Health (EOH) Registered Nurse ( RN ) is responsible for providing competent, evidence-based care to employees with oversight ... at the RMR Aurora CO facility. The duties of the employee, Occupational Health (EOH) Registered Nurse ( RN ) include but not limited to: Responsible for… more
- Highmark Health (Denver, CO)
- …Remote - Part Time - Weekends Required.** This job implements the effective utilization management strategies including: review of appropriateness of health care ... Experience in a clinical setting **Preferred** + Certification in utilization management or a related field +...and Family Therapist (LMFT) + Licensed Behavior Specialist + Registered Nurse . **Preferred** + None **SKILLS** +… more
- Veterans Affairs, Veterans Health Administration (Aurora, CO)
- Summary The Registered Nurse will demonstrate integration of biopsychological concepts, cognitive skills, and technically competent practice while providing care ... equivalent to a bachelor's level degree in Nursing may have opportunity to become registered as a nurse with a state licensing board prior to completion… more
- CommonSpirit Health Mountain Region (Lakewood, CO)
- …resources to help you flourish and leaders who care about your success. As a Registered Nurse , RN Case Manager, you'll advocate for patients while ... to resources that help them maintain and build on positive outcomes. As a Registered Nurse Case Manager, you will: + Utilize clinical expertise, discretion, and… more
- CommonSpirit Health Mountain Region (Lakewood, CO)
- …resources to help you flourish and leaders who care about your success. As a Registered Nurse , RN Case Manager you'll advocate for patients while ... discretion, and independent judgment in assessing/reassessing, facilitating care coordination, utilization management , and patient advocacy. + Assure medical… more
- Veterans Affairs, Veterans Health Administration (Aurora, CO)
- …equivalent to a bachelor's level degree in Nursing may have opportunity to become registered as a nurse with a state licensing board prior to completion ... for the coordination of care focused on patient education, self- management , and customer satisfaction throughout the continuum of care. Responsibilities… more
- CommonSpirit Health Mountain Region (Lakewood, CO)
- …discretion, and independent judgment in assessing/reassessing, facilitating care coordination, utilization management , and patient advocacy. + Assure medical ... you flourish and leaders who care about your success. RN Case Manager you'll advocate for patients while collaborating...Employment required + 1 year of nursing or case management experience required. + Experience working with EMR preferred.… more
- Elevance Health (Denver, CO)
- …this position. **Preferred Skills, Capabilities and Experiences:** + Experience in case management / utilization management with a broad range of experience ... would provide an equivalent background. + Current active unrestricted Colorado license, such as RN LCSW LMHC LPC LBA (as allowed by applicable state laws) LMFT or… more
- HCA Healthcare (Lone Tree, CO)
- … Case Manager opening and continue to learn! **Job Summary and Qualifications** The Registered Nurse ( RN ) CM is responsible for promoting patient-centered ... utilization . **What you will do** + Provides case management services for both inpatient and observation patients as...qualifications you will need:** + Currently licensed as a Registered Nurse in the state of practice… more
- HCA Healthcare (Aurora, CO)
- …with our Nurses at HCA HealthONE Aurora! **Job Summary and Qualifications** The Registered Nurse ( RN ) CM is responsible for promoting patient-centered ... utilization . **What you will do** + Provides case management services for both inpatient and observation patients as...qualifications you will need:** + Currently licensed as a Registered Nurse in the state of practice… more
- Elevance Health (Denver, CO)
- …EST.** 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** At **Federal Health Products...or service issues. + Assists with the development of utilization /care management policies and procedures. **Minimum** **Requirements:**… more
- CommonSpirit Health Mountain Region (Centennial, CO)
- …to help you flourish and leaders who care about your success. The Denials Management RN is responsible and accountable for receiving, processing and documenting ... all concurrent denials for assigned facilities. The Denials Management RN has an integral role within...State of Employment required + 3 years of nursing utilization review preferred + Experience working with EMR preferred.… more
- Sharecare (Denver, CO)
- …appropriate total healthcare management and ensure cost effective, appropriate resource utilization and quality outcomes. The RN is also responsible for ... and their Primary Care Provider according to the disease management program intervention guidelines. An RN is...the disease management program intervention guidelines. An RN is supervised by an Operations Manager (OM). All… more