• Utilization Management Nurse

    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 ... documentation and communication of medical services and/or benefit administration determinations. The Utilization Management Nurse 2 work assignments are… more
    Humana (09/12/25)
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  • Utilization Management Nurse

    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 ... documentation and communication of medical services and/or benefit administration determinations. The Utilization Management Nurse 2 work assignments are… more
    Humana (11/16/25)
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  • Utilization Management Nurse

    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 ... documentation and communication of medical services and/or benefit administration determinations. The Utilization Management Nurse 2 work assignments are… more
    Humana (11/18/25)
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  • SNF Utilization Management RN…

    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 ... documentation and communication of medical services and/or benefit administration determinations. The Utilization Management Nurse 2 work assignments are… more
    Humana (09/12/25)
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  • Clinical Registered Nurse

    Cognizant (Denver, CO)
    …background - Registered Nurse (RN) . 2-3 years combined clinical and/or utilization management experience with managed health care plan . 3 years' experience ... Time **Location:** Remote **About the role** As a Registered Nurse you will make an impact by performing advanced...care revenue cycle or clinic operations . Experience in utilization management to include Clinical Appeals and… more
    Cognizant (11/15/25)
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  • UM Behavioral Health Nurse

    Humana (Denver, CO)
    **Become a part of our caring community and help us put health first** The Utilization Management Behavioral Health Nurse 2 utilizes clinical nursing skills ... and communication of behavioral health services and/or benefit administration determinations. The Utilization Management Behavioral Health Nurse 2 work… more
    Humana (11/15/25)
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  • Utilization Management Clinical…

    CVS Health (Denver, CO)
    …experience working within the mental health system. + Previous experience with utilization management . + Ability to collaborate with various internal ... clinical skills to coordinate, document, and communicate all aspects of the utilization /benefit management program. + Conduct clinical reviews for adult… more
    CVS Health (11/19/25)
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  • Medical Management Nurse

    Elevance Health (Denver, CO)
    **Medical Management Nurse ** **Location Virtual: This role enables associates to work virtually full-time, with the exception of required in-person training ... members in different states; therefore, Multi-State Licensure will be required.** The **Medical Management Nurse ** is responsible for review of the most complex… more
    Elevance Health (11/19/25)
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  • Disease Management Nurse - Remote

    Sharecare (Denver, CO)
    …appropriate resource utilization and desired clinical outcomes. The Disease Management Nurse is also responsible during their interactions with participants ... for everyone. To learn more, visit www.sharecare.com . **Job Summary:** The Disease Management Nurse has the responsibility for supporting the goals and… more
    Sharecare (10/22/25)
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  • Registered Nurse (RN)

    Vighter Medical Group (Glendale, CO)
    …our team at theOffice of Community Care (OCC)in Glendale, Colorado.As aCase Manager / Utilization Review Nurse , you'll play a key role in coordinating and ... Registered Nurse (RN) Glendale, CO Job Details Job Location...of RN experiencewithin the past 3 years - Case Management , Utilization Review, or Primary Care preferred.… more
    Vighter Medical Group (11/13/25)
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  • Assistant Nurse Manager - Nurse III…

    State of Colorado (Denver, CO)
    Assistant Nurse Manager - Nurse III (Internal Pool) - Colorado Mental Health Hospital in Fort Logan Print ... (https://www.governmentjobs.com/careers/colorado/jobs/newprint/5132944) Apply  Assistant Nurse Manager - Nurse III (Internal Pool) - Colorado Mental Health… more
    State of Colorado (11/04/25)
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  • Case Manager, Registered Nurse - Fully…

    CVS Health (Denver, CO)
    …Founded in 1993, AHH is URAC accredited in Case Management , Disease Management and Utilization Management . AHH delivers flexible medical management ... Abuse or Maternity/ Obstetrics experience. **Preferred Qualifications** + 1+ years' Case Management experience or discharge planning, nurse navigator or nurse more
    CVS Health (11/19/25)
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  • Registered Nurse (Employee Occupational…

    Veterans Affairs, Veterans Health Administration (Aurora, CO)
    Summary The Employee Occupational Health Registered Nurse supports worker-centered occupational safety and health procedures while also promoting worker health, ... education, orientation, competencies and provide quality improvement and outcomes utilization consultations. Contribute to the development of care delivery models,… more
    Veterans Affairs, Veterans Health Administration (11/15/25)
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  • Resource Pool Nurse Manager

    Intermountain Health (Broomfield, CO)
    **Job Description:** Resource Pool Nurse Manager blends tactical, operational, and strategic responsibilities to ensure optimal patient outcomes and staff ... engagement. Intermountain Health is hiring a **Resource Pool Nurse Manager** to lead clinical operations and champion excellence in patient care. This leadership… more
    Intermountain Health (11/14/25)
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  • Clinical Nurse Coordinator Operating Room

    HCA Healthcare (Denver, CO)
    …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 HealthONE Rose, ... location._** It is an exciting time to be a nurse at HCA Healthcare! Come unlock your career potential...practice through expert clinical practice, strong leadership skills, and management activities. + The CNC provides clinical management more
    HCA Healthcare (11/10/25)
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  • Clinical Nurse Coordinator Medical Oncology

    HCA Healthcare (Denver, CO)
    …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 stage of ... affordable to gain certifications and job skills. Apply today for our Clinical Nurse Coordinator Medical Oncology opening and continue to learn! **Job Summary and… more
    HCA Healthcare (11/10/25)
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  • Operating Room Nurse Part-Time

    HCA Healthcare (Denver, CO)
    …Center have the opportunity to make a real impact. As an Operating Room Registered Nurse PT you can be a part of change. **Benefits** Rose Surgical Center, offers a ... location._** It is an exciting time to be a nurse at HCA Healthcare! Come unlock your career potential...the instrument and equipment set-up for your OR, including utilization of preference cards and ability to anticipate your… more
    HCA Healthcare (10/03/25)
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  • Operating Room Nurse

    HCA Healthcare (Thornton, CO)
    …from any other healthcare provider. We are seeking an Operating Room Nurse to join our healthcare family. **Benefits** Muscular-Skeletal Ambulatory Surgery Center, ... nurses play a vital part. We know that every nurse 's path and purpose is unique. Do you want...the instrument and equipment set-up for your OR, including utilization of preference cards and ability to anticipate your… more
    HCA Healthcare (11/14/25)
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  • Operating Room Nurse

    HCA Healthcare (Thornton, CO)
    …Center have the opportunity to make a real impact. As an Operating Room Nurse you can be a part of change. **Benefits** Muscular-Skeletal Ambulatory Surgery Center, ... location._** It is an exciting time to be a nurse at HCA Healthcare! Come unlock your career potential...the instrument and equipment set-up for your OR, including utilization of preference cards and ability to anticipate your… more
    HCA Healthcare (10/02/25)
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  • Operating Room Nurse PRN

    HCA Healthcare (Denver, CO)
    …range. **Introduction** Do you have the PRN career opportunities as an Operating Room Nurse PRN you want with your current employer? We have an exciting opportunity ... Do you want to work as an Operating Room Nurse PRN where your passion for creating positive patient...the instrument and equipment set-up for your OR, including utilization of preference cards and ability to anticipate your… more
    HCA Healthcare (09/24/25)
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