- 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...appropriate courses of action. As a Utilization Management RN working on the OneHome/ Home Solutions… 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 ... documentation and communication of medical services and/or benefit administration determinations. The Utilization Management Nurse 2 work assignments are… more
- Adams County Government (Westminster, CO)
- …a culture of health, resilience, and well-being. The Program Manager for ACHD's nurse home visitation program Nurse -Family Partnership (NFP) provides program ... development, to provide primary support and appropriate oversight to nurse home visitors, and to build and...Oversee and ensure timely and accurate data input and utilization of the reports available through Nurse -Family… more
- CVS Health (Denver, CO)
- …Founded in 1993, AHH is URAC accredited in Case Management , Disease Management and Utilization Management . AHH delivers flexible medical management ... Abuse or Maternity/ Obstetrics experience. **Preferred Qualifications** + 1+ years' Case Management experience or discharge planning, nurse navigator or nurse… more
- CenterWell (Denver, CO)
- **Become a part of our caring community and help us put health first** The Utilization Management Nurse 2 uses clinical knowledge, communication skills, and ... **Required Qualifications** + Must be a licensed Registered Compact Nurse license (RN) with no disciplinary action and ability...volume and fast paced environment + Previous experience in utilization management + Education: BSN or bachelor's… more
- HCA Healthcare (Denver, CO)
- …Nurses!** **Introduction** Do you have the career opportunities as a(an) Clinical Nurse Coordinator Inpatient Surgery you want with your current employer? We have ... protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage,… more
- HCA Healthcare (Denver, CO)
- …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 stage of ... protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage,… more
- HCA Healthcare (Thornton, CO)
- …from any other healthcare provider. We are seeking an Operating Room Nurse to join our healthcare family. **Benefits** Muscular-Skeletal Ambulatory Surgery Center, ... protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care...nurses play a vital part. We know that every nurse 's path and purpose is unique. Do you want… more
- Evolent (Denver, CO)
- …Stay for the culture. **What You'll Be Doing:** The Clinical Review Nurse is responsible for performing precertification and prior approvals. Tasks are performed ... medical policies, and clinical decision-making criteria sets. The Clinical Review Nurse serves as a member advocate, expediting care across the continuum… more
- HCA Healthcare (Denver, CO)
- …range. **Introduction** Do you have the PRN career opportunities as an Operating Room Nurse PRN you want with your current employer? We have an exciting opportunity ... protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage,… more
- Evolent (Denver, CO)
- …team focusing on appeals and post-determination requests. We maintain the principles of utilization management by adhering to Evolent and Client policies and ... Be Doing:** + Practices and maintains the principles of utilization management and appeals management ...all employees have the following technical capability at their home : High speed internet over 10 Mbps and, specifically… more
- UCHealth (Longmont, CO)
- …and clinical resource. Conducts interventions focused on care coordination and utilization . Responsibilities: Makes frequent rounds to nursing units and ancillary ... patient and family. Coordinates care across departments to meet outcomes management and system improvement goals. Educates staff by reinforcing appropriate methods… more
- CenterWell (Denver, CO)
- …+ Two years as a Registered Nurse with at least one-year of management experience in a home care, hospice or equivalent environment. **Scheduled Weekly ... patient information related to the case, including disciplines required, to determine home health or hospice needs. Accountable to ensure patients meet admission… more
- HCA Healthcare (Denver, CO)
- …School of Nursing. Bachelor of Science Nursing preferred. Certification in case management or utilization review preferred + Threeyears' clinical, hospital ... protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage,… more
- BrightSpring Health Services (Denver, CO)
- … utilization and hospital admission reduction + Provides survey management support/ follow-up/and coordination of corrective actions plans related to care ... and direction in performance improvement, provision of clinical services, survey management , documentation management , incident management , EMR/EHR… more
- UCHealth (Loveland, CO)
- …cost-effective outcomes. Provides focused support to various areas such as utilization management , emergency department, acute, ambulatory and specialty care. ... Med Ctr of the Rockies, US:CO:Loveland Department: MCR Care Management Work Schedule: Full Time, 80.00 hours per pay...patterns of health care needs, decisions, lifestyle choices, and utilization of resources that affect their health. + Advocates,… more
- HCA Healthcare (Denver, CO)
- …resource utilization . . What qualifications you will need: + (RN) Registered Nurse + 2+ years experience in case management OR 3+ years experience ... protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage,… more
- Humana (Denver, CO)
- …others. **Essential Duties and Responsibilities:** + Review PA requests for home health services, durable medical equipment, outpatient therapies, skilled nursing ... inpatient and subacute activity daily for outcomes related to readmission, utilization , quality of care and provider performance in compliance with Humana/iCare… more
- HCA Healthcare (Denver, CO)
- …protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, ... + Referral services for child, elder and pet care, home and auto repair, event planning and more +...rules, operating manuals, and maintenance manuals. + Performs intra-operative management of assigned procedures. + Initiates and maintains a… more
- HCA Healthcare (Denver, CO)
- …protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, ... + Referral services for child, elder and pet care, home and auto repair, event planning and more +...rules, operating manuals, and maintenance manuals. + Performs intra-operative management of assigned procedures. + Initiates and maintains a… more