- Universal Health Services (Highlands Ranch, CO)
- …acute care, partial hospitalization, and intensive outpatient programs. www.highlandsbhs.com The Utilization Review Coordinator possesses knowledge of ... and advocates for patient length of stay and level of care. Oversees utilization review activities with other departments to ensure reimbursement for services… more
- Universal Health Services (Louisville, CO)
- …services. centennialpeaks.com Centennial Peaks Hospital is seeking a dynamic and talented Utilization Management Coordinator join our team of compassionate, ... dedicated professionals. The UM coordinator evaluates patient medical records to determine severity of...stay and level of care. They will also coordinate utilization review activities with other departments to… more
- HCA Healthcare (Englewood, CO)
- …you find this opportunity compelling, we encourage you to apply for our Materials Management Coordinator opening. We promptly review all applications. Highly ... where diversity and inclusion thrive? Submit your application for our Materials Management Coordinator opening with Rocky Mountain Surgery Center today and… more
- State of Colorado (Denver, CO)
- …diagnostic equipment, medication formulary, quality assurance program, and hospitalization utilization review . This position works collaboratively with Agency ... Youth Corrections Medical Operations Coordinator (Nurse V) - $7,000 Sign on Incentive!...pre-adjudicated youth, the Division is also responsible for the management and oversight of Colorado Youth Detention Continuum, a… more
- Humana (Denver, CO)
- …first** The UM Administration Coordinator 2 contributes to administration of utilization management . The UM Administration Coordinator 2 performs varied ... member service or customer service telephone experience desired + Experience with Utilization Review and/or Prior Authorization, preferably within a managed care… more
- Merck (Denver, CO)
- …the individual is responsible to manage/oversee a team of CTCs(Clinical Trial Coordinator ). As line manager the role is critical to continuously develop future ... reports are compliant to the timelines and key business metrics. + Review and approve timesheets, GTT compliance, expense reports, time‐off requests and provide… more
- Highmark Health (Denver, CO)
- …coverage for the patient, and then creates the case (data entry) in Highmark's utilization management system for clinical review . Ensures all accurate ... late** **availability This job captures all inbound requests for utilization review from providers and pharmacies. The...including verification of benefit eligibility. Build cases in the utilization management system. + Use knowledge of… more
- Kanaan Communications, LLC (Denver, CO)
- …of deliverables to the regulatory agencies and back to the field for utilization . A strong candidate will be familiar with local permitting protocols and procedures ... hand drawn drawings depicting pickup locations and proposed routings . + Review , coordinate, process, and verify compliance with rules, regulations, and legal… more
- State of Colorado (Denver, CO)
- Learning Management Systems Lead - Administrator IV Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4508775) Apply Learning Management ... evaluation and classification; organizational development; New Employee Orientation; performance management ; progressive discipline; interpretation of CDHS HR policy, State… more
- University of Colorado (Denver, CO)
- …and crisis, policy review , and program evaluation. The Director of Case Management is responsible for managing budgets for the Office of Case Management , ... **Director of Case Management and Associate Dean of Students** **University of...for seeking help; create avenues for increased awareness and utilization ; and advise campus leaders on population health-related issues.… more
- University of Colorado (Aurora, CO)
- …care in an ambulatory clinical setting. + Participate as needed in chart review and clinical coding compliance activities. + Assist with Advanced Practice Provider ... call schedules, vacation schedules, etc. + Attends monthly Practice Operations Management Committee (POMC). + Attends the bi-weekly UCH Primary Care Communication… more
- State of Colorado (Arapahoe County, CO)
- …building a more equitable workplace. CDPS is an equal opportunity employer. See ourEEOD Utilization Report (2020)Why Do I Love My Job at CDPS At CDPS we nurture ... and Life Safety, Professional Qualifications and Training, and Wildland Fire Management . Colorado's structure for managing wildland fires is a cooperative,… more
- University of Colorado (Aurora, CO)
- …and submit prior authorizations (or within 24 hours of admission) to Utilization Manager to assure authorization. Assure proper documentation for Special Connections ... and submit prior authorizations (or within 24 hours of admission) to Utilization Manager to assure authorization. Assure proper documentation for Special Connections… more
- State of Colorado (Denver, CO)
- …test file retention and tracking, assisting the Forensic Unit Clinical Services management team with scheduling and other logistics, student record and previous ... employee record retention, shared drive management and support, supports managers schedules as needed, and...of the respective budgets. This includes the development and utilization of organized and efficient tracking systems to support… more
- University of Colorado (Aurora, CO)
- …of College of American Pathologists laboratory accreditation + Policy and procedure review and appraisal + Coordinated leadership/ management with the Department ... Pathology Practice, Administrative/Leadership Service** + Oversight of quality assurance/quality management /quality improvement programs + Advocate for appropriate laboratory test… more
- University of Colorado (Aurora, CO)
- …responsibilities will include all phases of kidney transplantation including review of patient's referrals, pre-transplant consult visits and transplant evaluation, ... waitlist visits and management , perioperative management of new kidney transplant...is also highly sought after; such as clinical trials, utilization of artificial intelligence or big data, equitable care… more
- HCA Healthcare (Aurora, CO)
- …and community relations activities which will support awareness and utilization of the rehabilitation program's services. They demonstrate accountability for ... expect to do is: Your role acts as a coordinator between internal and external referral sources, and acute...screenings and assessments in collaboration with both hospital Case Management and the Rehab Medical Director. You will work… more
- HCA Healthcare (Aurora, CO)
- …and community relations activities which will support awareness and utilization of the rehabilitation program's services. They demonstrate accountability for ... to do is: + Your role acts as a coordinator between internal and external referral sources, and acute...screenings and assessments in collaboration with both hospital Case Management and the Rehab Medical Director. + You will… more
- University of Colorado (Aurora, CO)
- …implement therapeutic regimens that include both nursing and medical management strategies, including prescription of medications/devices. + Establish systematic ... needed to make decisions and choices. + Facilitate appropriate utilization of the medical system in a cost-effective manner...quality of care and service. May be involved in management of critical pathway and case management … more
- HCA Healthcare (Denver, CO)
- …Medical Center! **Job Summary and Qualifications** The Clinical Nurse Coordinator (CNC) exemplifies professional nursing practice through expert clinical practice, ... strong leadership skills, and management activities. The CNC provides clinical management ...and staff performance issues needing attention. + Maintains effective utilization and maintenance of manpower, equipment, and supplies. +… more