- Matrix Providers (Aurora, CO)
- Utilization Review Nurse ( RN ) Location: Aurora, CO, United States Healthcare Provider Type : Nursing START YOUR APPLICATION ... and fair, reliable schedules. Matrix Providers is hiring a Utilization Review Nurse ( RN...Holidays (Outlined in Handbook) + 401(k) Plan Minimum Requirements Registered Nurse ( RN ) Utilization… more
- 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 (HCQM) through American Board of Quality Assurance and Utilization Review Physicians (ABQARP), Certified Informatics Nursing,...full, active, and unrestricted license to practice as a Registered Nurse as required in the TO… more
- Banner Health (Greeley, CO)
- …the completion of a bachelor's degree in case management or health care. Requires current Registered Nurse ( RN ) license in state worked. For assignments in ... satisfaction, wellbeing and fulfilment of their employees. As a RN Case Manager, you will work closely with the...of care and develops, implements, monitors and documents the utilization of resources and progress of the patient through… more
- Fresenius Medical Center (Aurora, CO)
- …all FMS manuals. + Accountable for completion of the Annual Standing Order Review and ICD coding. + Checks correspondence whether electronic, paper or voice mail, ... supporting billing and collection activities. + Responsible for efficient utilization of medication, laboratory, inventory, supplies and equipment to achieve… more
- Fresenius Medical Center (Englewood, CO)
- …auditing activities. + Accountable for completion of the Annual Standing Order Review and Internal Classification of Disease (ICD) coding. + Manages clinic ... financials including efficient utilization of supplies or equipment and regular profits and...of supplies or equipment and regular profits and loss review . + Responsible for all required network reporting and… more
- Sharecare (Denver, CO)
- …cost effective, appropriate resource utilization and quality outcomes. The Clinical Registered Nurse is also responsible for early identification of those ... for everyone. To learn more, visit www.sharecare.com . **Job Summary:** The Clinical Registered Nurse has the responsibility for supporting the goals and… more
- CVS Health (Denver, CO)
- …care. + Perform medical necessity reviews. **Required Qualifications** + 5+ years' experience as a Registered Nurse ( RN ) with at least 1 year of experience ... in a hospital setting. + A Registered Nurse that holds an active, unrestricted...lower levels of care. + 1+ years' experience in Utilization Review . + CCM and/or other URAC… 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 ... basis and will remain on file through 9-30-2025. Initial review will be conducted within two weeks from the...level degree in Nursing may have opportunity to become registered as a nurse with a state… 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 ... setting - A Registered Nurse that holds an active, unrestricted...lower levels of care - 1+ years' experience in Utilization Review - CCM and/or other URAC… more
- Katmai (Fort Carson, CO)
- …Credentialing Specialist, for this position for initial hire. + The registered nurse must possess sufficient initiative, interpersonal relationship skills ... The Registered Nurses report and are accountable to the Nurse Manager. **ESSENTIAL DUTIES & RESPONSIBILITIES** + Collect, interpret, record, and communicate… 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 ... Summary The Spinal Cord Injury (SCI) RN is responsible and accountable for all elements...basis and will remain on file through 9-30-2025. Initial review will be conducted approximately two weeks from the… more
- CVS Health (Denver, CO)
- …and 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)
- …in Utilization Management. + Must possess a current, active, full, and unrestricted Registered Nurses ( RN ) licensed in Colorado, be able to practice using a ... need for inpatient/outpatient precertification. **ESSENTIAL DUTIES & RESPONSIBILITIES** + Review precertification requests for medical necessity, referring to the...nurse compact state license or have a license from… more
- State of Colorado (Denver, CO)
- …NA 01 A requirement of the position is that you possess and maintain a VALID Registered Nurse ( RN ) License issued by the State of Colorado or any ... Rights Minimum Qualifications: Education/Licensure/Certification/Experience: Current, valid licensure as a Registered Nurse from the Colorado Board of Nursing… more
- Highmark Health (Denver, CO)
- …**Job Description :** **JOB SUMMARY** This job implements effective complimentary utilization and case management strategies for an assigned member panel. Provides ... to appropriate resources for additional support. + Implement care management review processes that are consistent with established industry, corporate, state, and… more
- HCA Healthcare (Denver, CO)
- … Case Manager opening and continue to learn! **Job Summary and Qualifications** The Registered Nurse ( RN ) CM is responsible for promoting patient-centered ... qualifications you will need:** + Currently licensed as a Registered Nurse in the state of practice...RN Case Manager opening. Our team will promptly review your application. Highly qualified candidates will be contacted… more
- HCA Healthcare (Englewood, CO)
- …with our Nurses at HCA HealthONE Swedish! **Job Summary and Qualifications** The Registered Nurse ( RN ) CM is responsible for promoting patient-centered ... qualifications you will need:** + Currently licensed as a Registered Nurse in the state of practice...career path, we encourage you to apply for our RN Case Manager PRN opening. We review … more
- AdventHealth (Castle Rock, CO)
- …and experiences you'll need to succeed:** **Required qualifications:** + Associate degree Nursing or RN Diploma degree + Registered Nurse ( RN ) + ... 2350 MEADOWS BLVD, Castle Rock, 80109 **The role you'll contribute:** The RN Care Manager in collaboration with the patient/family, social workers, nurses,… more
- HCA Healthcare (Lone Tree, CO)
- …Cardiac Life Support must be obtained within 30 days of employment start date + ACLS + Registered Nurse within the state of Colorado + Registered Nurse ... Coordinator demonstrates basic and unit specific competencies. The Clinical Nurse Coordinator supervises contract and employee RN ,...path, we encourage you to apply for our Clinical Nurse Coordinator OR opening. We review all… more
- CVS Health (Denver, CO)
- …Management review Managed Care experience Client processing experience **Education** Registered Nurse **Anticipated Weekly Hours** 40 **Time Type** Full time ... 5+ years of clinical experience required 2+ years of experience as a Registered Nurse with current unrestricted state licensure required in state of… more