• The Community Care Coordinator Registered

    Veterans Affairs, Veterans Health Administration (Glendale, CO)
    …total rewards package: VA Nurse Total Rewards The Community Care Coordinator Registered Nurse ( RN ) is responsible for executing a streamlined approach ... of the internal referral care process, clinical review criteria, utilization management standards, clinical documentation requirements, community...level degree in Nursing may have opportunity to become registered as a nurse with a state… more
    Veterans Affairs, Veterans Health Administration (01/15/25)
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  • Care Manager RN - Weekends ( Remote

    Highmark Health (Denver, CO)
    …Sunday required in addition to 3 weekdays** This job implements effective utilization management strategies including: review of appropriateness of health care ... depending on where clinical care is being provided. **Preferred** + Certification in utilization management or a related field **SKILLS** + Working knowledge of… more
    Highmark Health (01/07/25)
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  • Prior Authorization Specialist RN PRN

    Intermountain Health (Broomfield, CO)
    …REGISTRATION, LICENSE (*indicates primary source verification requirement) Required: + Active Registered Nurse License Preferred: + Certified Healthcare Access ... Associate (CHAA) EXPERIENCE Required: + Licensed Registered Nurse + Minimum of 2 years'...experience in acute clinical nursing setting + Knowledge of utilization management and case management more
    Intermountain Health (01/18/25)
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  • RN Clinical Consultant, Claims Shared…

    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...plan and length of disability. Plan for ongoing case management through proactive partnering with treating providers to move… more
    Guardian Life (12/20/24)
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  • Senior Process Improvement Professional

    Humana (Denver, CO)
    …your skills to make an impact** **Required Qualifications** + Associate degree + Active Registered Nurse , ( RN ), License in your state of residence without ... project management and/or process improvement experience + Minimum 3 years utilization management experience with exposure to grievance and appeals +… more
    Humana (01/23/25)
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  • Clinical Implementation Specialist I

    ZOLL Medical Corporation (Broomfield, CO)
    …purpose.Join our team. It's a great time to be a part of ZOLL!Job Type: Remote - The candidate can be based in Colorado, Oregon, Washington, Arizona, Nevada, or ... builds deep, long lasting customer relationships to encourage ongoing utilization of ZOLL hospital products and achievement of desired...Experience + Bachelor's Degree BA or BS preferred + RN , Paramedic, or RT with 5+ years of experience… more
    ZOLL Medical Corporation (01/04/25)
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