- Evolent Health (Denver, CO)
- …Join Evolent for the mission. Stay for the culture. **What You'll Be Doing:** The ** Coordinator , Intake Utilization Management ** at Evolent will serve as a ... regulatory requirements, and client contractual agreements. **Collaboration Opportunities** : The Coordinator , Intake Utilization Management reports directly… more
- Sunrun (Denver, CO)
- …+ Own and develop partner or branch relationships including weekly/monthly reviews, utilization and workload management , process updates and identification and ... commitment to diversity, inclusion and belonging. **Overview** The Field Service Coordinator is responsible for coordinating effective execution of field service… more
- Highmark Health (Denver, CO)
- …Description :** **JOB SUMMARY** This job captures all inbound phone inquires for utilization management review from providers and pharmacies. The incumbent ... coverage, creation of a prior authorization case in Highmark's Utilization Management system for Prior Authorization clinical review , status research, etc.… more
- Highmark Health (Denver, CO)
- …coverage for the patient, and then creates the case (data entry) in Highmark's utilization management system for clinical review . Ensures all accurate ... **JOB SUMMARY** This job captures all inbound requests for utilization review from providers and pharmacies. The...including verification of benefit eligibility. Build cases in the utilization management system. + Use knowledge of… more
- Xcel Energy (Denver, CO)
- …scheduling conflicts and real-time progress reports from front line leaders. + Review approved incoming designed work that falls outside the normal scheduling ... into the real-time "queue" and assign new tasks to manage exception work. + Review work packet prior to assigning work. Coordinate all equipment to complete the… more
- State of Colorado (Denver, CO)
- Head of Product - Colorado Benefits Management System (CBMS) Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4644770) Apply Head of Product - ... Colorado Benefits Management System (CBMS) Salary $157,000.00 - $185,000.00 Annually Location...they arise, alongside the Product Director + Ensuring effective utilization of technology resources to deliver integrated benefits, reviewing… more
- University of Colorado (Aurora, CO)
- …care in an ambulatory clinical setting. + Participate as needed in chart review and clinical coding compliance activities. + Assist with Advanced Practice Provider ... call schedules, vacation schedules, etc. + Attends monthly Practice Operations Management Committee (POMC). + Attends the bi-weekly UCH Primary Care Communication… more
- University of Colorado (Aurora, CO)
- …create standardized process flows that can be shared with other staff for utilization ; as needed, perform expense report auditing and serve as delegate reviewer ... and/or approver for management . + Assist with contract invoicing and payment tracking...invoicing and payment tracking as well as provide first-pass review of contract language/key aspects to identify potential sections… more
- State of Colorado (Denver, CO)
- …operations, State's laws, rules, regulations, statutes, beginning supervision, and park management techniques. IMPORTANT NOTE: Candidates offered a position must be ... field setting. + Disseminates and communicates information concerning park management , data, regulations, public outreach, and conducts educational and interpretive… more
- University of Colorado (Aurora, CO)
- …implements therapeutic regimens that include both nursing and medical management strategies, including prescription of medications/devices. + Establishes systematic ... needed to make decisions and choices. + Facilitates appropriate utilization of the medical system in a cost-effective manner...quality of care and service. May be involved in management of critical pathway and case management … more
- State of Colorado (Denver, CO)
- …inside the Basins. The position directs, administers, supervises and conducts the review and engineering evaluations of the Water Supply unit in accordance with ... Engineer's Office needs in an efficient and timely manner. + Approves DWR engineers' review of requests for substitute water supply plans and determines whether the … more
- State of Colorado (Denver, CO)
- …subject to change. About this Unit: Administrative Solutions (AdSol) provides management and oversight for critical administrative and technical services, enabling ... impactful as possible. Administrative Solutions comprise Human Resources, Facilities Management , Audit, Emergency Management , Legal, Performance Management… more
- University of Colorado (Aurora, CO)
- …and submit prior authorizations (or within 24 hours of admission) to Utilization Manager to assure authorization. Assure proper documentation for Special Connections ... and submit prior authorizations (or within 24 hours of admission) to Utilization Manager to assure authorization. Assure proper documentation for Special Connections… more
- University of Colorado (Aurora, CO)
- …of College of American Pathologists laboratory accreditation + Policy and procedure review and appraisal + Coordinated leadership/ management with the Department ... Pathology Practice, Administrative/Leadership Service** + Oversight of quality assurance/quality management /quality improvement programs + Advocate for appropriate laboratory test… more
- State of Colorado (Denver, CO)
- …and maintaining relationships with Department policy staff and external contractors (eg utilization management vendor, managed care organizations, dental ASO) to ... strategies, as needed, to adjust provider needs + Ensuring management is kept apprised of any situations with potential...from consideration during the selection process may request a review by the State Personnel Director. As an applicant… more
- State of Colorado (Golden, CO)
- …building a more equitable workplace. CDPS is an equal opportunity employer. See ourEEOD Utilization Report (2020)Why Do I Love My Job at CDPS At CDPS we nurture ... the Colorado Department of Public Safety, providing effective administrative and management services to the Department's five operating divisions. The Logistics… more
- State of Colorado (Denver, CO)
- …(2) years of experience in an occupational field related to the work in utilization management or auditing Special Qualifications: + Degree of Doctor of Medicine ... list or removed from consideration during the selection process may request a review by the State Personnel Director. As an applicant directly affected by the… more
- University of Colorado (Aurora, CO)
- …responsibilities will include all phases of kidney transplantation including review of patient's referrals, pre-transplant consult visits and transplant evaluation, ... waitlist visits and management , perioperative management of new kidney transplant...is also highly sought after; such as clinical trials, utilization of artificial intelligence or big data, equitable care… more
- Ethos Veterinary Health (Parker, CO)
- …professional growth, and a supportive environment with an empathic and positive Management team. *We have multiple openings for this role: Thurs-Mon 6a-2:30p, ... clients waiting, including emotionally challenging and emergent situations. + Management of walk-in euthanasia, including reviewing cremation options. + Collection… more
- University of Colorado (Aurora, CO)
- …implement therapeutic regimens that include both nursing and medical management strategies, including prescription of medications/devices. + Establish systematic ... needed to make decisions and choices. + Facilitate appropriate utilization of the medical system in a cost-effective manner...quality of care and service. May be involved in management of critical pathway and case management … more