- Evolent (Denver, CO)
- …for the mission. Stay for the culture. **What You'll Be Doing:** The Specialty Appeals Team offers candidates the opportunity to make a meaningful impact as part of ... a highly trained dedicated team focusing on appeals and post-determination requests. We maintain the principles of utilization management by adhering to Evolent and… more
- Cognizant (Denver, CO)
- …to Friday - Eastern Time **Location:** Remote **About the role** As a Registered Nurse you will make an impact by performing advanced level work related to clinical ... . Maintain working knowledge of applicable health insurers' internal claims, appeals , and retro-authorization as well as timely filing deadlines and processes.… more
- State of Colorado (Denver, CO)
- Registered Nurse I-Colorado Mental Health Hospital in Fort Logan-Denver Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/5078182) Apply ... Registered Nurse I-Colorado Mental Health Hospital in Fort Logan-Denver Salary...of the department's action. For more information about the appeals process, the official appeal form, and how to… more
- State of Colorado (Jefferson County, CO)
- NURSE II - Wheat Ridge Regional Center *PAY...if your application is eliminated. You will find the appeals process, the official appeal form, and how to ... DIFFERENTIAL* Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/5099348) Apply NURSE II - Wheat Ridge Regional Center *PAY DIFFERENTIAL* Salary… more
- CommonSpirit Health Mountain Region (Westminster, CO)
- …pre-and post-operative care for orthopedic, abdominal, and general surgeries. 5 West appeals to anyone interested in broadening their skillset as we receive overflow ... ways for employees to develop and serve as difference-makers. As an Assistant Nurse Manager (ANM) you will be responsible for developing, achieving and maintaining… more
- CommonSpirit Health Mountain Region (Westminster, CO)
- …pre-and post-operative care for orthopedic, abdominal, and general surgeries. 5 West appeals to anyone interested in broadening their skillset as we receive overflow ... and achieve professional fulfillment united in humankindness. As a Registered Nurse (RN) you will assume responsibility and accountability for: + Facilitating,… more
- Amaze Health (Denver, CO)
- …healthcare in America, one patient at a time. We're seeking a patient-focused Nurse Practitioner (NP) or Physician Assistant (PA) to join our growing team. In ... and communication. + Meaningful results: See your work translate into successful appeals , smoother referrals, and less stress for patients and families. Every… more
- State of Colorado (Denver, CO)
- …occurs, ambulation and feeding; + Obtains and records vital signs for review by staff nurse ; + Provide and assist with patient transfers and turning in bed; + Report ... condition and patient health care complaints to shift registered nurse ; + Empty catheter bags; offer fluids and record...of the department's action. For more information about the appeals process, the official appeal form, and how to… more
- State of Colorado (Denver, CO)
- …QUALIFICATIONS: + Applicant must possess current, valid licensure as an Advanced Practice Nurse / Nurse Practitioner from the Colorado Board of Nursing or ... Applicant must have two years experience as a Registered Nurse , andsix months of gender affirming care experience, which...of the department's action. For more information about the appeals process, the official appeal form, and how to… more
- State of Colorado (Denver, CO)
- …duties. This position works under the supervision and direction of a registered nurse and assists with psychiatric nursing care of mentally ill patients; observes, ... Care: Under the direction and supervision of a registered nurse , engage with patients to establish and maintain a...of the department's action. For more information about the appeals process, the official appeal form, and how to… more
- State of Colorado (Golden, CO)
- …Education/Licensure/Certification/Experience: + Current, valid licensure as an Advanced Practice Nurse from the Colorado Board of Nursing; or current, valid ... Centers). + Current, valid licensure as an Advanced Practice Nurse from the Colorado Board of Nursing; or current,...of the department's action. For more information about the appeals process, the official appeal form, and how to… more
- State of Colorado (Denver, CO)
- …Education/Licensure/Certification/Experience: + Current, valid licensure as an Advanced Practice Nurse from the Colorado Board of Nursing; or current, valid ... Must be able to obtain a Colorado Advanced Practicing Nurse or Physician Assistant license within 1 year after...of the department's action. For more information about the appeals process, the official appeal form, and how to… more
- State of Colorado (Denver, CO)
- …duties. This position works under the supervision and direction of a registered nurse and assists with psychiatric nursing care of mentally ill patients; observes, ... of the department's action. For more information about the appeals process, the official appeal form, and how to...do you address it? + Nothing/ tell the charge nurse or someone else. + Immediately lock the egress… more
- State of Colorado (Denver, CO)
- …unlicensed staff member who operates under the supervision of a licensed nurse within Nursing Services. This position is generally responsible for utilizing ... staff. Assists in the creation of supervisory files for Nurse Managers and Nursing Department Leadership. Assists in the...of the department's action. For more information about the appeals process, the official appeal form, and how to… more
- Sharecare (Denver, CO)
- …enrollment / new hire plan selection, claims issues, ID card issues, grievances/ appeals , utilization management (UM) status, including but not limited to medical, ... 3rd parties for: + Claims adjustments + Grievances and appeals submissions + Utilization management intake or status +...and second opinion. + Referring members to Clinical Advocates ( Nurse ) for conditions that require clinical care and case… more
- State of Colorado (Denver, CO)
- …are performed on-site; + Accountable for the work product of Nurse Practitioners and Physician Assistants. Accountability involves direct line authority, clinical ... of notice or acknowledgement of the department's action. For more information about the appeals process, the official appeal form, and how to deliver it to the State… more
- CommonSpirit Health Mountain Region (Westminster, CO)
- …pre-and post-operative care for orthopedic, abdominal, and general surgeries. 5 West appeals to anyone interested in broadening their skillset as we receive overflow ... you grow and recognize your contributions to clinical excellence! As a Nurse with us you will assume responsibility and accountability for facilitating,… more
- CommonSpirit Health Mountain Region (Westminster, CO)
- …provide excellent patient-centered care with teamwork and compassion. Our department appeals to anyone interested in furthering their skillset, specifically in the ... and achieve professional fulfillment united in humankindness. As a Registered Nurse (RN) you will assume responsibility and accountability for: + Facilitating,… more
- CVS Health (Denver, CO)
- …in non-compact states as needed. + 5+ years of acute experience as a Registered Nurse + 3+ years of Utilization Management experience + 3+ year(s) of Appeals ... experience in Utilization Management + Must have experience using MS Office + Must be willing to work holiday rotation annually, up to 2 per year + Utilization Management work schedules will include weekends, holidays, and evening hours rotation. **Preferred… more