- 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)
- Clinical Registered Nurse **How You'll Make an Impact** DispatchHealth is creating the most advanced and complete in-home care model in the world. As a key ... an alternative to hospitalization. The ideal candidate brings advanced clinical , communication, and leadership skills to our innovative team....Certification/Licensure in the State of CO as a Licensed Registered Nurse or licensure from a state… more
- CVS Health (Denver, CO)
- …good standing Arizona clinical and/or counseling license, specifically RN ( Registered Nurse ), LPC (Licensed Professional Counselor), LAC (Licensed Associate ... skills to coordinate, document, and communicate all aspects of the utilization /benefit management program. + Conduct clinical reviews for adult inpatient… 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)
- …Registered Nurses!** **Introduction** Do you have the career opportunities as a(an) Clinical Nurse Coordinator Inpatient Surgery you want with your current ... of colleagues. Do you want to work as a(an) Clinical Nurse Coordinator Inpatient Surgery where 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
- CVS Health (Denver, CO)
- …a member's overall wellness through integration. - Through the use of clinical tools and information/data review, conducts an evaluation of member's needs and ... functions as well as smooth transition to programs and plans. - Applies clinical judgment to the incorporation of strategies designed to reduce risk factors and… 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
- State of Colorado (Denver, CO)
- …you at risk of practicing without a license. As an example, if you are a registered nurse with a multistate license from Arizona practicing in Colorado and you ... Rights Minimum Qualifications: Education/Licensure/Certification/Experience: Current, valid licensure as a Registered Nurse from the Colorado Board of Nursing… 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
- CenterWell (Denver, CO)
- …+ Graduate of an accredited School of Nursing. + Current state license as a Registered Nurse . + Proof of current CPR. + Valid driver's license, auto insurance ... caring community and help us put health first** The ** Clinical Manager** coordinates and oversees all direct care patient...and reliable transportation. + Two years as a Registered Nurse with at least one-year of… 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
- Deloitte (Denver, CO)
- …certification a plus (CRC, CCA, CCS-P, CCS, CPC, CDIP, CCM) + Experience as clinical registered nurse , physician, physician assistant, case manager, ... or physician assistant required + Current Registered Nurse (RN) license required + Certified Clinical ...clinical documentation specialist, utilization review, informatics RN, Quality, DRG Validation and health… more
- HCA Healthcare (Thornton, CO)
- …Position Requirements: + Current licensure in the State of Colorado as a Registered Nurse , or current active multistate Registered Nurse ... balances the delivery of quality patient care with the cost effective utilization of resources. Performs concurrent clinical review to determine appropriateness… more
- Datavant (Denver, CO)
- …clinical knowledge and expertise successfully. Ideal candidate should be a Licensed Practical Nurse or Registered Nurse well versed in DRG downgrade ... of the Denial Prevention Specialist is to effectively defend utilization of available health services, review of admissions for...by management Ideal candidate should be a Licensed Practical Nurse or Registered Nurse well… more
- AdventHealth (Denver, CO)
- …(Required) **Licensure & Certifications** One of the following is **Required** : + ** Registered Nurse (RN)** **OR** + **Physical Therapist (PT)** Preferred: + ... 24/7 RN availability for patient concerns. + Performs duties of the clinical supervisor, intake, scheduling, quality review, utilization management, and medical… more