- Humana (Denver, CO)
- **Become a part of our caring community and help us put health first** The Utilization Management Registered Nurse 2 utilizes clinical nursing skills to ... independent determination of the appropriate courses of action. The Utilization Management Registered Nurse...skills to make an impact** **Required Qualifications** + **Licensed Registered Nurse ( RN )** in the… more
- Matrix Providers (Aurora, CO)
- Registered Nurse ( RN ) - Utilization Management Location: Aurora, CO, United States Healthcare Provider Type : Nursing START YOUR APPLICATION ... is hiring a Registered Nurse ( RN ) - Utilization Management to...care clinical setting and 12 months consecutive experience in utilization management , utilization review… 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
- Highmark Health (Denver, CO)
- …and Sunday required in addition to 3 weekdays** This job implements effective utilization management strategies including: review of appropriateness of ... and offers interventions and/or alternatives. **ESSENTIAL RESPONSIBILITIES** + Implement care management review processes that are consistent with established… 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 ... Summary The Spinal Cord Injury (SCI) RN is responsible and accountable for all elements...for the coordination of care focused on patient education, self- management , and customer satisfaction throughout the continuum of care.… more
- Highmark Health (Denver, CO)
- …Remote - Part Time - Weekends Required.** This job implements the effective utilization management strategies including: review of appropriateness of health ... and offers interventions and/or alternatives. **ESSENTIAL RESPONSIBILITIES:** + Implement care management review processes that are consistent with established… more
- Banner Health (Greeley, CO)
- …quality management process. Reviews audit results and presents summary information for management utilization and review . 7. May coordinate the admission ... position provides nursing care under the direction and supervision of a registered nurse and/or licensed physician, and is accountable for the quality of nursing… more
- Banner Health (Sterling, CO)
- …quality management process. Reviews audit results and presents summary information for management utilization and review . 7. May coordinate the admission ... position provides nursing care under the direction and supervision of a registered nurse and/or licensed physician, and is accountable for the quality of nursing… more
- HCA Healthcare (Denver, 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
- UCHealth (Denver, CO)
- …/Professional Nursing program if less than 3 years experience. + CO State licensure as a Registered Nurse ( RN ). + 3 years of clinical experience as a ... but you must reside in Colorado. Department: UCHlth Denials Management Payer Audit FTE: Full Time, 1.0, 80.00 hours...utilization reviewer, case manager or equivalent revenue cycle RN role. Preferred: + Bachelor's degree in Nursing. +… 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
- 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
- University of Colorado (Aurora, CO)
- …Master's degree in Advanced Practice Nursing OR Physician Assistant Studies + Licensed as a Registered Nurse in Colorado and admitted as a nurse practitioner ... BMT Program (https://apptrkr.com/get\_redirect.php?id=5609515&targetURL=https://medschool.cuanschutz.edu/hematology) has an opening for a full-time ** Nurse Practitioner/Physician Assistant** for our inpatient unit. The position… more
- University of Colorado (Aurora, CO)
- …Master's degree in Advanced Practice Nursing OR Physician Assistant Studies + Licensed as a Registered Nurse in Colorado and admitted as a nurse practitioner ... and implement therapeutic regimens that include nursing and medical management strategies, including prescription medications/devices. + Establish systematic follow-up… more
- Elevance Health (Denver, CO)
- …in an ambulatory or hospital setting or minimum of 1 year of prior utilization management , medical management and/or quality management , and/or ... required. **Preferred Skills, Capabilities, and Experiences** **:** + Familiarity with Utilization Management Guidelines, ICD-9 and CPT-4 coding, and managed… 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
- Elevance Health (Denver, CO)
- …criteria._** 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** **Location: This is a...claims or service issues. + Assists with development of utilization /care management policies and procedures. **Minimum Requirements:**… more
- Banner Health (Greeley, CO)
- …current RN License may take Doctor's orders. 4. Conducts initial utilization review by obtaining treatment authorizations as appropriate with representatives ... behavioral health assessments within organization. Internal customers: all levels of nursing management and staff, medical staff, and all other members of the… more