- Humana (Denver, CO)
- …and communicate with providers, members, or other parties to facilitate optimal member care and treatment. The Utilization Management Nurse 2 helps to ensure ... put health first** Full-Time, Remote Telephonic opportunity The Utilization Management Nurse 2 utilizes clinical nursing skills to support the coordination,… more
- Highmark Health (Denver, CO)
- …in a clinical setting **Preferred** + 1-3 years of experience in Managed Care **LICENSES or CERTIFICATIONS** **Required** + Registered Nurse **Preferred** + ... and measurable outcomes. Will monitor and analyze the delivery of health care services in accordance with claims submitted, and analyzes qualitative and quantitative… more
- Humana (Denver, CO)
- …This team partners with Segment leaders to deliver personalized and integrated care that improves experience, quality, and outcomes. + This individual will engage ... and for continuous improvement and evolution of the coordinated care model. + In addition to partnering with each...degree and have a clinical background working as a nurse , social worker, counselor, or other patient-facing role. This… more
- HCA Healthcare (Aurora, CO)
- …is hired below midpoint of the range. **You Can Change the Life of One to Care for the Lives of Many!** At Galen College of Nursing, we educate and empower nurses ... programs. + Ensures that the number, utilization, and credentials of staff and non- nurse faculty are sufficient to achieve the program goals and outcomes. + Provides… more
- Sedgwick (Denver, CO)
- …with their injured workers and medical providers to facilitate; though advocacy, progressive medical treatment, and timely return-to-work; while acting as a liaison ... and providing communication between all involved parties. While frequent travel is required, you will maintain a home-based office. **ARE YOU AN IDEAL CANDIDATE?**… more