- Parexel (Denver, CO)
- **Job Title:** Data Management Lead (Medical Affairs) - Oncology **Location:** Fully Remote (US based) Must be able to accommodate West Coast hours. **About Us:** At ... solutions. We are seeking a dynamic and experienced Data Management Lead to join our team. If you have...practices like version control and literate programming. + BSN, RN , RPh, Pharm D, PA, MPH, or other applicable… more
- Luke Staffing (Glendale, CO)
- …holidays) **Will consider Part Time and Full Time Applicants** **POSITION OVERVIEW:** The Registered Nurse ( RN ) will provide on-site professional nursing ... ** REGISTERED NURSE ** **SITE OF SERVICE:** Department...of Veterans Affairs' Eastern Colorado Healthcare System (ECHCS). The RN will serve in the Office of Community Care… more
- Humana (Denver, CO)
- **Become a part of our caring community and help us put health first** The Utilization Management Nurse 2 utilizes clinical nursing skills to support the ... communication of medical services and/or benefit administration determinations. The Utilization Management Nurse 2 work...skills to make an impact** **Required Qualifications** + **Licensed Registered Nurse ( RN )** in the… more
- CVS Health (Denver, CO)
- …members. This position does require a weekend schedule. **Required Qualifications** + Registered Nurse + Education: Diploma RN acceptable;Associate ... Licenses as business needs require. **Preferred Qualifications** Utilization Management experience preferred **Education** Education: Diploma RN acceptable;… more
- UCHealth (Aurora, CO)
- …appropriate action. Requirements: + Bachelor's degree in Nursing. + State licensure as a Registered Nurse ( RN ). + 3 years of relevant experience. Preferred: ... Description Location: UCHealth UCHlth Leprino Building AMC, US:CO:Aurora Department: UCH Utilization Management FTE: Full Time, 1.0, 80.00 hours per pay period… more
- CenterWell (Denver, CO)
- … RN experience; + Prior clinical experience, managed care experience, **OR** utilization management experience + Demonstrates Emotional Maturity + Ability to ... put health first** Conviva Care Solutions is seeking a RN who will collaborate with other health care givers...DME, Cardiac or Orthopedic procedures + Previous experience in utilization management within Insurance industry + Previous… more
- Vighter Medical Group (Glendale, CO)
- …$44.00 - $48.00 Hourly Position Type Full Time Job Shift Any Education Level Registered Nurse ( RN ) Travel Percentage None Category Health Care Description ... (OCC) in Glendale, Colorado. As a Case Manager / Utilization Review Nurse , you'll play a key...required. What You'll Do As a Case Manager / Utilization Review RN , you will: + Conduct… more
- Veterans Affairs, Veterans Health Administration (Glendale, CO)
- …knowledge of the internal referral care process, clinical review criteria, utilization management standards, clinical documentation requirements, community care ... level degree in Nursing may have opportunity to become registered as a nurse with a state...responsibilities that demonstrate leadership, experience and creative approaches to management of complex client care beyond the immediate practice… more
- HCA Healthcare (Englewood, CO)
- …patient through the continuum of care, including discharge planning. Oversee utilization management process including verification of insurance coverage, ... We care like family! Jump-start your career as a(an) RN Case Manager today with HCA HealthONE Swedish. **Benefits**...Current licensure in the State of Colorado as a Registered Nurse , or current active multistate … more
- HCA Healthcare (Greenwood Village, CO)
- …DeterminationsSupervisory experience preferredCertifications, Licenses, and other Special RequirementsCurrent/Active Registered Nurse ( RN ) License within ... you have the career opportunities as a Clinical Manager Registered Nurse you want with your current...performance of assigned home health care team(s)Supervises ongoing case management of all patients ensuring an accurate evaluation and… more
- UCHealth (Aurora, CO)
- …3 years' experience. Preferred: Bachelor's degree in Nursing. + State licensure as a Registered Nurse ( RN ). Preferred: Basic Life Support (BLS) Healthcare ... cost-effective outcomes. Provides focused support to various areas such as utilization management , emergency department, acute, ambulatory and specialty care.… more
- Veterans Affairs, Veterans Health Administration (Aurora, CO)
- Summary The Infusion Registered Nurse ( RN ) assumes responsibility for the coordination of care focused on patient education, self- management , and ... customer satisfaction throughout the continuum of care, The RN is responsible and accountable for all elements of...level degree in Nursing may have opportunity to become registered as a nurse with a state… more
- CommonSpirit Health (Lakewood, CO)
- …resources to help you flourish and leaders who care about your success. As a Registered Nurse , RN Case Manager you'll advocate for patients while ... **Job Summary and Responsibilities** ** RN Case Managers may be eligible for a...discretion, and independent judgment in assessing/reassessing, facilitating care coordination, utilization management , and patient advocacy. + Assure… more
- Intermountain Health (Denver, CO)
- …of Intermountain Health, and abide by service behavior standards. **Minimum Qualifications** + Current Registered Nurse ( RN ) license in state of practice. + ... **Job Description:** The RN Ambulatory Care Manager I delivers comprehensive ambulatory... Management Certification + Demonstrated experience in case management , utilization review, or discharge planning. +… more
- CommonSpirit Health (Lakewood, CO)
- …emphasis will be on care coordination, communication and collaboration with utilization management , nursing, physicians, ancillary departments, insurers and post ... external applicants with at least six months of direct RN experience are eligible for a $20,000 sign-on bonus!**...hospital clinical experience or a Master's degree in Case Management or Nursing field in lieu of acute experience.… more
- CommonSpirit Health (Lakewood, CO)
- …discretion, and independent judgment in assessing/reassessing, facilitating care coordination, utilization management , and patient advocacy. + Assure medical ... you flourish and leaders who care about your success. RN Case Manager you'll advocate for patients while collaborating...Employment required + 1 year of nursing or case management experience required. + Experience working with EMR preferred.… more
- Intermountain Health (Wheat Ridge, CO)
- …Education + Communication + Prioritization **Physical Requirements:** **Minimum Qualifications** + Current Registered Nurse ( RN ) license in state of ... The RN Hospital Care Manager I delivers comprehensive care management services to designated patients, leveraging clinical expertise for screenings, assessments,… more
- Highmark Health (Denver, CO)
- …and education or if necessary involve Special Investigation Unit or the Utilization Management area. **ESSENTIAL RESPONSIBILITIES** + Implement the pre-payment ... data to assure appropriate level of payment and resource utilization . It is also used to identify issues which...experience in Managed Care **LICENSES or CERTIFICATIONS** **Required** + Registered Nurse **Preferred** + Certified Medical Coder… more
- HCA Healthcare (Denver, CO)
- …of optimal care and appropriate resource utilization . **What qualifications you will need:** + ( RN ) Registered Nurse license + Registered Nurse ... want you to apply! **Job Summary and Qualifications** The Registered Nurse ( RN ) CM is...stay, managing the length of stay, ensuring appropriate resource management , and developing a safe appropriate discharge plan in… 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 role enables...claims or service issues. + Assists with development of utilization /care management policies and procedures. **Minimum Requirements:**… more
