- Humana (Denver, CO)
- **Become a part of our caring community and help us put health first** The Manager , Utilization Management Nursing utilizes clinical nursing skills ... documentation and communication of medical services and/or benefit administration determinations. The Manager , Utilization Management Nursing works… more
- AdventHealth (Denver, CO)
- … Manager is under the general supervision of the Care Managment Supervisor or Manager or Director of Nursing and is responsible for patient evaluations of ... satisfaction, patient safety, readmission prevention and length of stay management . The RN Care Manager communicates daily...and experiences you'll need to succeed:** + Associate's degree Nursing or RN Diploma degree + Registered Nurse… more
- AdventHealth (Denver, CO)
- … is under the general supervision of the Care Management Supervisor or Manager or Director of Nursing and is responsible for patient evaluations of ... transitions, patient satisfaction, patient safety, readmission prevention and length of stay management . The RN Care Manager communicates daily with the… more
- Elevance Health (Denver, CO)
- …states; therefore, Multi-State Licensure will be required.** The **Telephonic Nurse Case Manager II** is responsible for care management within the scope of ... **Telephonic Nurse Case Manager II** **Location: This...claims or service issues. + Assists with development of utilization /care management policies and procedures. **Minimum Requirements:**… more
- Prime Therapeutics (Denver, CO)
- …+ Clinical and Quality oversight for this program is provided by the Manager , Patient Programs. **Responsibilities** + Registered Nurse (RN). + 5 years ... post-degree clinical experience. + Experience in managed care, specialty drugs, care management and utilization review. + Meets Magellan Credentialing criteria.… more
- Elevance Health (Denver, CO)
- …equivalent and a minimum of 3 years acute care clinical experience or case management , utilization management or managed care experience; or any combination ... each way of a relevant Elevance Health location. The ** Nurse Medical Management ll** is responsible to...Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance… more
- Fresenius Medical Center (Denver, CO)
- …post procedure, under the direction of the Facility Manager , Director of Nursing and/or Charge Registered Nurse , utilizing standard nursing techniques to ... on adverse events and action thresholds in collaboration with facility management . + Maintains integrity of medical records and other organization administrative… more
- Elevance Health (Denver, CO)
- …management plan and modifies as necessary. + Assists with development of utilization /care management policies and procedures. + Participates in or leads ... The Nurse Care Mgr II is responsible for collaborating with...services in multiple states. + AS or BS in nursing preferred. + Certification as a Case Manager … more
- HCA Healthcare (Thornton, CO)
- …nursing experience in the acute care setting. + Prior utilization /quality/discharge planning/and/or case management experience highly preferred. HCA ... is hired below midpoint of the range. **RN Case Manager PRN** **Weekday, Weekend and Holiday Availability Required** **Will...2-4 shifts for 3 weeks during weekday** **Medical Case Management with Discharge Planning** Do you want to be… more
- HCA Healthcare (Denver, CO)
- …appropriate resource utilization . **What you will do** + Provides case management services for both inpatient and observation patients as assigned. + Identifies ... is hired below midpoint of the range. **RN Case Manager PRN** **Available for Weekdays, Weekends and Holiday rotation**...and units of distinction. We learn from our multi-generational nursing family. We partner with our Nurses at HCA… more
- CommonSpirit Health Mountain Region (Lakewood, CO)
- …discretion, and independent judgment in assessing/reassessing, facilitating care coordination, utilization management , and patient advocacy. + Assure medical ... leaders who care about your success. As a Registered Nurse , RN Case Manager , you'll advocate for...Applicable State of Employment required + 1 year of nursing or case management experience required. +… more
- CommonSpirit Health Mountain Region (Lakewood, CO)
- …discretion, and independent judgment in assessing/reassessing, facilitating care coordination, utilization management , and patient advocacy. + Assure medical ... leaders who care about your success. As a Registered Nurse , RN Case Manager you'll advocate for...Applicable State of Employment required + 1 year of nursing or case management experience required. +… more
- Intermountain Health (Brighton, CO)
- …+ Provides education to patients, caregivers, and patient representatives on health management and community resource utilization . + Attends and may facilitate ... controllable variances. + Identifies needs, facilitates, or provides education to physicians, nursing , and ancillary departments on care management process and… more
- CommonSpirit Health Mountain Region (Longmont, CO)
- …discretion, and independent judgment in assessing/reassessing, facilitating care coordination, utilization management , and patient advocacy. + Assure medical ... who care about your success. As a RN Case Manager you'll advocate for patients while collaborating closely with...Applicable State of Employment required + 1 year of nursing or case management experience required. +… more
- CommonSpirit Health Mountain Region (Lakewood, CO)
- …discretion, and independent judgment in assessing/reassessing, facilitating care coordination, utilization management , and patient advocacy. + Assure medical ... and leaders who care about your success. RN Case Manager you'll advocate for patients while collaborating closely with...Applicable State of Employment required + 1 year of nursing or case management experience required. +… more
- HCA Healthcare (Denver, CO)
- …Analyst, OR Director, CV Director, Radiology Director, OR Nurses, Surgeons, Revenue Integrity Nurse , and the Facility Management team + Is authorized to ... We care like family! Jump-start your career as a(an) Procedural Operations Manager today with HCA HealthONE Presbyterian St. Luke's. **Benefits** HCA HealthONE… more
- AdventHealth (Louisville, CO)
- …The Clinical Social Worker, Licensed, is under the general supervision of the Care Management Supervisor or Manager and is responsible for patient evaluations of ... Social Worker, Licensed, , in collaboration with the patient/family, care manager nurses, nurses, physicians and the interdisciplinary team, ensures patient-centered… more
- AdventHealth (Denver, CO)
- …care escalations. The Social Worker is under the general supervision of the Care Management Supervisor or Manager and is responsible for patient evaluations of ... transitions, patient satisfaction, patient safety, readmission prevention and length of stay management . The Social Work Care Manager communicates daily with the… more
- HCA Healthcare (Denver, CO)
- …Nurses at HCA HealthONE Rose! **Job Summary and Qualifications** The Clinical Nurse Coordinator (CNC) exemplifies professional nursing practice through expert ... clinical practice, strong leadership skills, and management activities. The CNC provides clinical management to the department through coordination of patient… more
- Intermountain Health (Brighton, CO)
- …Identify needs, facilitates, or provide education to physicians and ancillary departments/ nursing units regarding case management , discharge planning process, ... provides clerical and administrative support to enhance integrated care management for targeted populations and individuals. Facilitates communication with payers… more