- 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
- Arapahoe County Government (Aurora, CO)
- …place we're proud to call home .** This position will specifically work in the Nurse Liaison Program, a nurse home visiting program. This position will be ... and home visitation travel. The ideal candidate will have experience in nurse home visitation, pediatric nursing, public health, or case management .… 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
- Veterans Affairs, Veterans Health Administration (Aurora, CO)
- Summary The Infusion Registered Nurse (RN) assumes responsibility for the coordination of care focused on patient education, self- management , and customer ... of the interdisciplinary team. Demonstrate leadership, experience, and creative approaches to management of complex client care. Uses a team approach to identify,… more
- Veterans Affairs, Veterans Health Administration (Grand Junction, CO)
- …Former EDRP participants ineligible to apply. Responsibilities The Advanced Practice Nurse (APN) Ill Psychiatric Mental Health Nurse Practitioner (PMHNP) ... Affairs (VA) mission. The PMHNP provides advanced clinical practice, consultation, and management . The PMHNP practices to the full extent of their education,… 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
- HCA Healthcare (Greenwood Village, CO)
- …in this role:Supervises, monitors, and ensures competencies and performance of assigned home health care team(s)Supervises ongoing case management of all ... have the career opportunities as a Clinical Manager Registered Nurse you want with your current employer? We have...exciting opportunity for you to join HealthONE Healthcare at Home which is part of the nation's leading provider… 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
- 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
- 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
- HCA Healthcare (Lone Tree, CO)
- …passionate about delivering patient-centered care?** Submit your application for Operating Room Nurse position and spend more time at the bedside with the patient. ... protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage,… more
- Banner Health (Greeley, CO)
- … management process. Reviews audit results and presents summary information for management utilization and review. 7. May coordinate the admission process ... care under the direction and supervision of a registered nurse and/or licensed physician, and is accountable for the...LVN in the specialty area. Employees working for Banner Home Care/Hospice or Boswell Skilled Nursing Facility must possess… more
- Banner Health (Brush, CO)
- … management process. Reviews audit results and presents summary information for management utilization and review. 7. May coordinate the admission process ... care under the direction and supervision of a registered nurse and/or licensed physician, and is accountable for the...LVN in the specialty area. Employees working for Banner Home Care AZ must possess an Arizona Fingerprint Clearance… 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 (Lone Tree, CO)
- … Department operations, functions and staff in alignment with the annual Utilization Management Program Description as well as applicable regulations and ... protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage,… more