- 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)
- …**Telephonic Transplant Nurse Case Manager II** is responsible for care management and utilization management within the scope of licensure for ... **Telephonic Transplant Nurse Case Manager II** **Location: This...claims or service issues. + Assists with development of utilization /care management policies and procedures. **Minimum Requirements:**… more
- HCA Healthcare (Lone Tree, CO)
- …Coordinator Mom Baby opportunity. **Job Summary and Qualifications** The Clinical Nurse Coordinator (CNC) exemplifies professional nursing practice through ... any other healthcare provider. We are seeking a(an) Clinical Nurse Coordinator Mom Baby to join our healthcare family....want to create your own personal career path in nursing ? HCA Healthcare is your career destination! Our scale… 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 II** 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)
- …**Monday - Friday 10 am - 7 pm EST.** The **Telephonic** ** Nurse Case Manager II** is responsible for care management within the scope of licensure for ... **Telephonic Nurse Case Manager II** At **Federal...or service issues. + Assists with the development of utilization /care management policies and procedures. **Minimum** **Requirements:**… more
- HCA Healthcare (Aurora, CO)
- …American Heart Association or American Red Cross. + Special certification in case management preferred. + Associates Degree or Nursing Diploma. BSN Preferred. + ... is hired below midpoint of the range. **RN Case Manager PRN** **Must Be Available for both Weekdays /...2+ years' experience in case management OR 3+ years' experience in clinical … more
- HCA Healthcare (Englewood, CO)
- …through the continuum of care, including discharge planning. + Oversee utilization management process including verification of insurance coverage, ... is hired below midpoint of the range. **RN Case Manager Rehab** **PRN - Flexible for Weekday Coverage** **Case... Rehab** **PRN - Flexible for Weekday Coverage** **Case Management with Inpatient Rehab experience required** Do you want… more
- HCA Healthcare (Englewood, CO)
- …role. The typical candidate is hired below midpoint of the range. **RN Case Manager ** **Acute Case Management Experience Required** Are you looking for a place ... and family needs with the efficacious and cost effective utilization of resources. + Through concurrent case management...licensure in the State of Colorado as a Registered Nurse , or current active multistate nursing licensure.… more
- UCHealth (Aurora, CO)
- …cost-effective outcomes. Provides focused support to various areas such as utilization management , emergency department, acute, ambulatory and specialty care. ... + Graduate of an accredited or state board of nursing approved Registered/Professional Nursing program if less...3 years' experience. + State licensure as a Registered Nurse (RN). Certified Case Manager (CCM). Relevant… 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
- HCA Healthcare (Englewood, CO)
- …individually identified patient and family needs with the efficacious and cost effective utilization of resources. + Through concurrent case management , you will ... hired below midpoint of the range. **Experienced RN Case Manager PRN** **Flexible for weekdays and weekends** **Must have...licensure in the State of Colorado as a Registered Nurse , or current active multistate nursing licensure.… more
- HCA Healthcare (Englewood, CO)
- …identified patient and family needs with the efficacious and cost effective utilization of resources. Through concurrent case management , you will assess ... is hired below midpoint of the range. **RN Case Manager ** **Monday - Friday 8am - 4:30pm (rotate weekends/holidays)**...licensure in the State of Colorado as a Registered Nurse , or current active multistate nursing licensure.… more
- AdventHealth (Littleton, 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
- AdventHealth (Littleton, 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
- 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