- Aspen Medical (Aurora, CO)
- JOB AD: Registered Nurse - Utilization Management Introduction : Aspen Medical has an exciting opportunity for Registered Nurses to partner with us in ... Management through the American Nurses Credentialing Center or Utilization Management Accreditation through National Committee for...full, active, and unrestricted license to practice as a Registered Nurse as required in the TO… more
- Matrix Providers (Aurora, CO)
- …Holidays (Outlined in Handbook) + 401(k) Plan Minimum Requirements Registered Nurse (RN) Utilization Management : Degree/Education: Bachelor-s degree in ... Management through the American Nurses Credentialing Center + Utilization Management Accreditation through National Committee for...full, active, and unrestricted license to practice as a Registered Nurse . Overview: Serve as a key… more
- CVS Health (Denver, CO)
- …administration of the utilization /benefit management function. Required Qualifications + Registered Nurse in state of residence. + 3+ years of Nursing ... experience. Preferred Qualifications + Prior authorization utilization management /review experience preferred Outpatient Clinical experience. + Knowledge of… more
- Katmai (Fort Carson, CO)
- …Nursing (BSN) is required. + Minimum of two (2) years of prior experience in Utilization Management . + Must possess a current, active, full, and unrestricted ... Registered Nurses (RN) licensed in Colorado, be able to...checks. **DESIRED QUALIFICATIONS & SKILLS** + Certification by a Utilization Management -specific program such as Certified Professional… more
- Veterans Affairs, Veterans Health Administration (Aurora, CO)
- Summary The Inpatient Acute Care Registered Nurse is responsible and accountable for all elements of the nursing process when providing and/or supervising direct ... patient care. The Registered Nurse is responsible for providing competent,...for the coordination of care focused on patient education, self- management , and customer satisfaction throughout the continuum of care.… more
- Veterans Affairs, Veterans Health Administration (Castle Rock, CO)
- Summary Patient Aligned Care Team (PACT) Outpatient Staff Registered Nurse (RN) demonstrates proficiency in practice based on conscious and deliberate planning. ... and instruction. Responsible for being self--directed in the delivery by a registered nurse , physician or other provider. Responsible for being self-directed… more
- Veterans Affairs, Veterans Health Administration (Aurora, CO)
- Summary This is an OPEN-CONTINOUS ANNOUNCEMENT. The Outpatient Mental Health Registered Nurse is responsible and accountable for all elements of the nursing ... for the coordination of care focused on patient education, self- management , and customer satisfaction throughout the continuum of care....level degree in Nursing may have opportunity to become registered as a nurse with a state… more
- CVS Health (Denver, CO)
- …Founded in 1993, AHH is URAC accredited in Case Management , Disease Management and Utilization Management . AHH delivers flexible medical management ... reviews. **Required Qualifications** + 5+ years' experience as a Registered Nurse (RN) with at least 1...in **Oncology** **.** **Preferred Qualifications** + 1+ years' Case Management experience or discharge planning, nurse navigator… more
- CVS Health (Denver, CO)
- …Founded in 1993, AHH is URAC accredited in Case Management , Disease Management and Utilization Management . AHH delivers flexible medical management ... reviews **Required Qualifications** - 5+ years' experience as a Registered Nurse with at least 1 year...using a keyboard **Preferred Qualifications** - 1+ years' Case Management experience or discharge planning, nurse navigator… more
- Veterans Affairs, Veterans Health Administration (Aurora, CO)
- …equivalent to a bachelor's level degree in Nursing may have opportunity to become registered as a nurse with a state licensing board prior to completion ... responsibility for the coordination of care focused on patient education, self- management , and customer satisfaction throughout the continuum of care. This is… more
- Sharecare (Denver, CO)
- …cost effective, appropriate resource utilization and quality outcomes. The Clinical Registered Nurse is also responsible for early identification of those ... learn more, visit www.sharecare.com . **Job Summary:** The Clinical Registered Nurse has the responsibility for supporting...disease management program intervention guidelines. A Clinical Registered Nurse is supervised by an Operations… more
- Katmai (Fort Carson, CO)
- …all levels of health care management to include outside agencies. Performs utilization management activities to optimize cost, quality, and access to care. ... and employ safe work habits. + Utilize available information management systems in daily practice for patient care and...Specialist, for this position for initial hire. + The registered nurse must possess sufficient initiative, interpersonal… more
- Banner Health (Greeley, CO)
- …of a bachelor's degree in case management or health care. Requires current Registered Nurse (RN) license in state worked. For assignments in an acute care ... , acute care and/or home care environments, community resources and resource/ utilization management . Must demonstrate critical thinking skills, problem-solving… more
- Banner Health (Brush, CO)
- …pool, and a roller-skating rink. East Morgan County Hospital is looking for a full-time Registered Nurse Shift Lead to work in Brush, Colorado. In this ... Registered Nurse position, you will care for...This position provides operational supervision of campus workflow, resource utilization and management , and operations for all… more
- Banner Health (Sterling, CO)
- …sports or admiring unique public art. Sterling Regional MedCenter is looking for a full-time Registered Nurse to work as a shift lead in Sterling, Colorado. In ... clinical teams at the facility. One year prior charge nurse experience is desired. This position is 36-hours per...This position provides operational supervision of campus workflow, resource utilization and management , and operations for all… more
- Humana (Denver, CO)
- …+ Minimum 3 years of experience in NCQA Health Plan Accreditation and/or Utilization Management + Exceptional attention to detail. + Demonstrated excellent time ... + Expertise on NCQA accreditation standards, especially related to Utilization Management and/or Behavioral Health; MED-Deeming accreditation standards… more
- Fresenius Medical Center (Denver, CO)
- …under the direction of the Facility Manager, Director of Nursing and/or Charge Registered Nurse , utilizing standard nursing techniques to assist the physician in ... on adverse events and action thresholds in collaboration with facility management . + Maintains integrity of medical records and other organization administrative… more
- Banner Health (Greeley, CO)
- …the operations of the unit to ensure smooth and efficient patient care management and resource utilization . 2. Leads change by developing, implementing and ... or at ###@bannerhealth.com. **_If you are a New Graduate Nurse with less than 12 months of experience, please...patients and staff. Uses depth and breadth of clinical management knowledge to ensure the provision of high quality,… more
- Fresenius Medical Center (Aurora, CO)
- …and acts as the liaison for patient care as per the disease management agreement, including initial and ongoing validation of member eligibility. Facilitate timely ... workup of patients for access management , dialysis services, patient education, hospitalizations, and kidney transplantation as appropriate, and ensures coordination… more
- Intermountain Health (Denver, CO)
- …the RN position description. + Embraces technology. Demonstrates competency in the utilization of the EMR. Utilizes technology to enhance efficiency. Competent in ... department/unit engagement in the work. + Demonstrates understanding of Emergency Management principles and understanding of the hospital Emergency Operations Plan.… more