- 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
- 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 ... 7pm EST approximately 3-4 Thursday and Friday's annually. The Utilization Management Nurse 2 uses clinical...Qualifications** + Minimum of an Associate's degree + Licensed Registered Nurse (RN) with no disciplinary action… 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 (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
- HCA Healthcare (Thornton, CO)
- …you to be a part of our team. **Job Summary and Qualifications** The Registered Nurse (RN) CM is responsible for promoting patient-centered care by coordinating ... supporting a balance of optimal care and appropriate resource utilization . What qualifications you will need: + Associate Degree...Diploma Required Bachelor's Degree in Nursing Preferred + RN) Registered Nurse + 2+ years experience in… 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
- Intermountain Health (Brighton, CO)
- …Education + Communication + Prioritization **Physical Requirements:** **Minimum Qualifications** + Current Registered Nurse (RN) license in state of practice. + ... delivers comprehensive care management services to designated patients, leveraging clinical expertise for screenings, assessments, and evaluations. This role… more