- Humana (Denver, CO)
- **Become a part of our caring community and help us put health first** The Utilization Management Behavioral Health Nurse 2 utilizes clinical nursing skills ... and communication of behavioral health services and/or benefit administration determinations. The Utilization Management Behavioral Health Nurse 2 work… more
- AdventHealth (Denver, CO)
- …qualifications:** + Two years of Hospital experience. A minimum of 1 year in Case Management + Registered Nurse - State Licensure and/or Compact State ... State specific license **Preferred qualifications:** + Bachelor's Degree BSN + Prior Utilization Management experience + Accredited Case Manager (ACM) /CCM… 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
- Highmark Health (Denver, CO)
- …Highmark Health **Job Description :** **JOB SUMMARY** This job implements effective utilization management strategies including: review of appropriateness of ... + Experience in UM/CM/QA/Managed Care **LICENSES or CERTIFICATIONS** **Required** + United States Registered Nurse ( RN ) license + Delaware RN … more
- Humana (Denver, CO)
- …guidelines/procedures. **Use your skills to make an impact** **Required Qualifications** + Active Licensed Registered Nurse ( RN ) in the state of Virginia or ... licensure + Previous Medicare/Medicaid experience a plus + Previous experience in utilization management , case management , discharge planning and/or home… more
- Humana (Denver, CO)
- …of our caring community and help us put health first** The Manager, Utilization Management Behavioral Health utilizes behavioral health knowledge and skills to ... of medical services and/or benefit administration determinations. The Manager, Utilization Management Behavioral Health works within specific guidelines… more
- CenterWell (Denver, CO)
- …license, auto insurance and reliable transportation. + Two years as a Registered Nurse with at least one-year of management experience in a home care, ... clinical documentation in addition to feedback and recommendations by Utilization Review staff. Upon completion of the...School of Nursing. + Current state license as a Registered Nurse . + Proof of current CPR.… more
- HCA Healthcare (Denver, CO)
- …Nurses at HCA HealthONE Presbyterian St. Luke's! **Job Summary and Qualifications** The Registered Nurse ( RN ) CM is responsible for promoting ... utilization . **What you will do** + Provides case management services for both inpatient and observation patients as...career path, we encourage you to apply for our RN Case Manager PRN opening. We review … more
- Guardian Life (Denver, CO)
- …services. Act as a liaison between all parties required in case management to facilitate collaboration toward RTW goals. Utilization of independent ... **Position Summary** The RN Clinical Consultant serves as a clinical resource...issues, when possible, to enhance the customer experience. **Activity** Review and assess claimant subjective reports and objective medical… more
- Sedgwick (Denver, CO)
- …to work. Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer RN Medicare Compliance **We are growing and looking for nurses who have their ... clinical data; to complete complex submissions revisions/updates in preparation for Medicare review and act as an internal resource regarding Centers for Medicare &… more
- HCA Healthcare (Denver, CO)
- …on the sterile field including syringes, needles, etc. and is accountable to the registered nurse for oversight of this practice. Must be able to demonstrate ... scope of training of the OR technician and under the direction of the RN . + Respects patient's rights by maintaining patient privacy, dignity, and confidentiality. +… more
- HCA Healthcare (Denver, CO)
- …Develops and implements the strategic planning for labor and productivity management for the Division, sets specific productivity goals to be accomplished, ... to the appropriate facility and division individuals. + Provides input on the utilization of PLUS and Benchmark; web-based applications used to capture and report… more
- Elevance Health (Denver, CO)
- …with providers, claims or service issues. + Assists with development of utilization /care management policies and procedures. **Minimum Requirements:** + Requires ... **Telephonic Nurse Case Manager II** **Location: This is a... Case Manager II** is responsible for performing care management within the scope of licensure for members with… more
- HCA Healthcare (Denver, CO)
- …satisfaction and personal growth, we encourage you to apply for our Operating Room Nurse PRN opening. We review all applications. Qualified candidates will be ... have the PRN career opportunities as an Operating Room Nurse PRN you want with your current employer? We...the instrument and equipment set-up for your OR, including utilization of preference cards and ability to anticipate your… more
- HCA Healthcare (Denver, CO)
- …step in your career path, we encourage you to apply for our Operating Room Nurse opening. We review all applications. Qualified candidates will be contacted by a ... you have the career opportunities as an Operating Room Nurse you want in your current role? We invest...the instrument and equipment set-up for your OR, including utilization of preference cards and ability to anticipate your… more