- 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 ... documentation and communication of medical services and/or benefit administration determinations. The Utilization Management Nurse 2 work assignments are… 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
- 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
- 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
- Cognizant (Denver, CO)
- …background - Registered Nurse (RN) . 2-3 years combined clinical and/or utilization management experience with managed health care plan . 3 years' experience ... Time **Location:** Remote **About the role** As a Registered Nurse you will make an impact by performing advanced...care revenue cycle or clinic operations . Experience in utilization management to include Clinical Appeals and… more
- CVS Health (Denver, CO)
- …experience working within the mental health system. + Previous experience with utilization management . + Ability to collaborate with various internal ... clinical skills to coordinate, document, and communicate all aspects of the utilization /benefit management program. + Conduct clinical reviews for adult… more
- Elevance Health (Denver, CO)
- **Medical Management Nurse ** **Location Virtual: This role enables associates to work virtually full-time, with the exception of required in-person training ... members in different states; therefore, Multi-State Licensure will be required.** The **Medical Management Nurse ** is responsible for review of the most complex… more
- Sharecare (Denver, CO)
- …appropriate resource utilization and desired clinical outcomes. The Disease Management Nurse is also responsible during their interactions with participants ... for everyone. To learn more, visit www.sharecare.com . **Job Summary:** The Disease Management Nurse has the responsibility for supporting the goals and… more
- Vighter Medical Group (Glendale, CO)
- …our team at theOffice of Community Care (OCC)in Glendale, Colorado.As aCase Manager / Utilization Review Nurse , you'll play a key role in coordinating and ... Registered Nurse (RN) Glendale, CO Job Details Job Location...of RN experiencewithin the past 3 years - Case Management , Utilization Review, or Primary Care preferred.… more
- Veterans Affairs, Veterans Health Administration (Aurora, CO)
- …Knowledge of the internal referral care process, clinical review criteria, utilization management standards, clinical documentation requirements, community care ... Summary The Referral Coordination Team Registered Nurse is responsible and accountable for all elements...for the coordination of care focused on patient education, self- management , and customer satisfaction throughout the continuum of care.… more
- State of Colorado (Denver, CO)
- Assistant Nurse Manager - Nurse III (Internal Pool) - Colorado Mental Health Hospital in Fort Logan Print ... (https://www.governmentjobs.com/careers/colorado/jobs/newprint/5132944) Apply Assistant Nurse Manager - Nurse III (Internal Pool) - Colorado Mental Health… 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
- Battelle Memorial Institute (Colorado Springs, CO)
- …as a case manager by a recognized certifying organization, ie, Commission for Case Management Certification or American Nurse Credentialing Center + At least two ... Research and Analytics (HRA) business line is seeking a highly motivated, full-time ** Nurse Case Manager** to join our team in support of our government customer,… more
- Veterans Affairs, Veterans Health Administration (Aurora, CO)
- Summary The Inpatient Acute Care Registered Nurse is responsible and accountable for all elements of the nursing process when providing and/or supervising direct ... patient care. The Registered Nurse is responsible for providing competent, evidence-based care to...for the coordination of care focused on patient education, self- management , and customer satisfaction throughout the continuum of care.… more
- Veterans Affairs, Veterans Health Administration (Grand Junction, CO)
- Summary The Intensive Community Mental Health Recovery (ICMHR) Registered Nurse (RN) is responsible for providing competent, evidence-based care to patients. They ... orientation, competencies and providing quality improvement and enhance outcomes utilization . Responsibilities This is an OPEN CONTINUOUS ANNOUNCEMENT and will… more
- HCA Healthcare (Denver, CO)
- …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 HealthONE Rose, ... location._** It is an exciting time to be a nurse at HCA Healthcare! Come unlock your career potential...practice through expert clinical practice, strong leadership skills, and management activities. + The CNC provides clinical management… 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 ... affordable to gain certifications and job skills. Apply today for our Clinical Nurse Coordinator Medical Oncology opening and continue to learn! **Job Summary and… more
- HCA Healthcare (Denver, CO)
- …Center have the opportunity to make a real impact. As an Operating Room Registered Nurse PT you can be a part of change. **Benefits** Rose Surgical Center, offers a ... location._** It is an exciting time to be a nurse at HCA Healthcare! Come unlock your career potential...the instrument and equipment set-up for your OR, including utilization of preference cards and ability to anticipate your… more
- Banner Health (CO)
- … management process. Reviews audit results and presents summary information for management utilization and review. 7. May coordinate the admission process ... including remote and hybrid opportunities. As a **Licensed Practical Nurse (LPN)** for **Banner Health Plans** , you will...be an integral part of the **Health Plan Medical Management Team** . This assignment-based role focuses on independent… 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, ... nurses play a vital part. We know that every nurse 's path and purpose is unique. Do you want...the instrument and equipment set-up for your OR, including utilization of preference cards and ability to anticipate your… more