- Cognizant (Denver, CO)
- …you need to have to be considered** . Educational background - Registered Nurse (RN) . 2-3 years combined clinical and/or utilization management ... Eastern Time **Location:** Remote **About the role** As a Registered Nurse you will make an impact...care revenue cycle or clinic operations . Experience in utilization management to include Clinical Appeals and… more
- Humana (Denver, CO)
- …community and help us put health first** Full-Time, Remote Telephonic opportunity The Utilization Management Nurse 2 utilizes clinical nursing skills to ... communication of medical services and/or benefit administration determinations. The Utilization Management Nurse 2 work assignments are...+ Minimum of Associate Degree in nursing + Licensed Registered Nurse (RN) in a compact state… 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 ... independent determination of the appropriate courses of action. The Utilization Management Nurse 2 uses clinical...skills to make an impact** **Required Qualifications** + Licensed Registered Nurse (RN) in the (appropriate state)… more
- Dispatch Health (Denver, CO)
- …**What You Need** + Certification/Licensure in the State of CO as a Licensed Registered Nurse or licensure from a state participating in the multistate privilege ... home as an alternative to hospitalization. The ideal candidate brings advanced clinical , communication, and leadership skills to our innovative team. The Advanced… more
- CVS Health (Denver, CO)
- …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 ... of utilization management services for assigned area + Implements clinical policies & procedures in accordance with applicable regulatory and accreditation… more
- Fresenius Medical Center (Denver, CO)
- **About this role:** As a Clinical Manager with Fresenius Medical Care, you will ensure that quality patient care is delivered while maintaining clinical ... or chronic kidney disease. **Training and advancement:** You will enter our Clinical Leadership Program that creates and supports a culture of continuous learning… more
- CVS Health (Denver, CO)
- …+ Perform medical necessity reviews. **Required Qualifications** + 5+ years' experience as a Registered Nurse with at least 1 year of experience in a hospital ... is URAC accredited in Case Management, Disease Management and Utilization Management. AHH delivers flexible medical management services that...setting. + A Registered Nurse that holds an active, unrestricted… more
- Veterans Affairs, Veterans Health Administration (Loveland, CO)
- …is provided in the veteran's home. Responsibilities Specialty Care Outpatient Staff Registered Nurse (RN) is responsible for providing competent, evidence-based ... orientation, competencies and providing quality improvement and enhance outcomes utilization . This nurse integrates specialty care knowledge,...level degree in Nursing may have opportunity to become registered as a nurse with a state… 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 ... independent determination of the appropriate courses of action. The Utilization Management Nurse 2 uses clinical...skills to make an impact** **Required Qualifications** + **Licensed Registered Nurse (RN)** in the (appropriate state)… more
- HCA Healthcare (Denver, CO)
- …nurses at HCA HealthONE Rose have the opportunity to make a real impact. As a(an) Clinical Nurse Coordinator OR you can be a part of change. **Benefits** HCA ... improve positive outcomes for your patients as a (an) Clinical Nurse Coordinator OR. We want your...Current licensure in the State of Colorado as a Registered Nurse , or current active multistate … more
- HCA Healthcare (Denver, CO)
- …Rose we support our colleagues in their positions. Join our Team as a(an) Clinical Nurse Coordinator Medical Oncology and access programs to assist with every ... gain certifications and job skills. Apply today for our Clinical Nurse Coordinator Medical Oncology opening and...Current licensure in the State of Colorado as a Registered Nurse , or current active multistate … more
- HCA Healthcare (Denver, CO)
- …**Are you passionate about delivering patient-centered care?** Submit your application for Clinical Nurse Coordinator OR position and spend more time at ... at HCA HealthONE Rose! **Job Summary and Qualifications** The Clinical Nurse Coordinator (CNC) exemplifies professional nursing...Current licensure in the State of Colorado as a Registered Nurse , or current active multistate … more
- UCHealth (Longmont, CO)
- …or state board of nursing approved nursing program. + State licensure as a Registered Nurse (RN). Basic Life Support + (BLS) Healthcare Provider. BLS through ... applicant's relevant experience Summary: Serves as critical care liaison and clinical resource. Conducts interventions focused on care coordination and … more
- Lincoln Financial (Denver, CO)
- …**What we're looking for** Education * 4 Year/Bachelor's Degree in Nursing * Registered Nurse License - Current, unrestricted license in the state where ... Role at a Glance** We are excited to bring on a highly motivated Nurse Disability Consultant to our clinical organization. This position will be responsible… more
- AdventHealth (Denver, CO)
- …and experiences you'll need to succeed:** **Required qualifications:** + Associates of Nursing + Registered Nurse (RN) + A minimum of 1 year of recent relevant ... patient populations across the continuum of illness. This position promotes effective utilization of healthcare resources and monitors their use to achieve optimal … more
- AdventHealth (Denver, CO)
- …**Location:** 2525 S DOWNING ST, Denver, 80210 **The role you'll contribute:** The Charge Registered Nurse (RN) is an experienced RN, who, in addition to ... to succeed:** + Associate's degree in Nursing + Department specific experience + Registered Nurse license + BLS obtained through the American Heart Association… more
- AdventHealth (Denver, CO)
- …and experiences you'll need to succeed:** **Required qualifications:** + Associates of Nursing + Registered Nurse (RN) + Basic Life Support (BLS) - from the ... patient populations across the continuum of illness. This position promotes effective utilization of healthcare resources and monitors their use to achieve optimal … more
- UCHealth (Broomfield, CO)
- …action. Requirements: + Bachelor's degree. + CO State licensure as a Registered Nurse (RN), or Physical, Occupational or Speech-Language Therapist. Relevant ... on utilization review activities. Coordinates admissions with shift Charge Nurse ; provides information to staff to ensure continuity of care. Helps monitor… more
- AdventHealth (Denver, CO)
- …+ Bachelor's in Nursing + 3 experience with one year in specialty + RN - Registered Nurse - State Licensure and/or Compact State Licensure + BLS - Basic Life ... Support (American Heart Association) **Preferred qualifications:** + RN - Registered Nurse - State Licensure and/or Compact State Licensure American Nurse … more
- AdventHealth (Denver, CO)
- …+ Bachelor's in nursing + 3 experience with one year in specialty + RN - Registered Nurse - State Licensure and/or Compact State Licensure + BCLS - Basic Life ... the continuum of care. The incumbent promotes effective resource utilization and assumes a leadership role with the multidisciplinary...barriers to care in order to achieve an optimal clinical outcome for the patient and their caregivers. **The… more