- 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
- 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)
- …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
- 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
- Sharecare (Denver, CO)
- …to drive cost effective and appropriate resource utilization and desired clinical outcomes. The Disease Management Nurse is also responsible during their ... to enable individuals with disabilities to perform the essential functions. + Current Registered Nurse multi-state compact license in the state in which they… 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
- AdventHealth (Littleton, CO)
- …and experiences you'll need to succeed:** **Required qualifications:** + Associates of Nursing + Registered Nurse (RN) + Basic Life Support Cert (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
- CommonSpirit Health (Centennial, CO)
- …Experience required: 4 years clinical experience as a Registered Nurse . 3 years with progressive experience in utilization review, preferred. Prior ... to help you flourish and leaders who care about your success. The RN Clinical Denials Appeals Specialist functions as a revenue management liaison for all care sites… more
- HCA Healthcare (Littleton, CO)
- …degree in nursing, required. + Master's Degree, preferred + Currently licensed as a registered professional nurse in the state(s) of practice and/or has an ... Do you want to join an organization that invests in you as a Clinical Director Nursing? At Arapahoe Surgicenter, you come first. HCA Healthcare has committed up… 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
- AdventHealth (Parker, CO)
- …to succeed:** **Required qualifications:** + Associate's of Nursing + 2 Work Experience + Registered Nurse (RN) in state of CO or compact nursing license ... Manager ensures efficient and cost-effective care through appropriate resources monitoring, and clinical care escalations. The RN Care Manager is under the general… more
- Highmark Health (Denver, CO)
- …years of experience in Managed Care **LICENSES or CERTIFICATIONS** **Required** + Registered Nurse **Preferred** + Certified Medical Coder or related **SKILLS** ... itemized bills, and claims data to assure appropriate level of payment and resource utilization . It is also used to identify issues which can be used for education… more
- AdventHealth (Parker, CO)
- …**Required qualifications:** + Associate's of Nursing + 2 Years Work Experience + Registered Nurse (RN) This facility is an equal opportunity employer and ... Manager ensures efficient and cost-effective care through appropriate resources monitoring, and clinical care escalations. The RN Care Manager is under the general… more
- AdventHealth (Denver, CO)
- …+ Bachelor's in nursing + 3 experience with one year in specialty + RN - Registered Nurse - State Licensure and/or Compact State Licensure + BCLS - Basic Life ... the continuum of care. The incumbent promotes effective resource utilization and assumes a leadership role with the multidisciplinary...barriers to care in order to achieve an optimal clinical outcome for the patient and their caregivers. **The… more