- Evolent (Denver, CO)
- …for the mission. Stay for the culture. **What You'll Be Doing:** The Evolent Appeals Nurse team offers candidates the opportunity to make a meaningful impact ... as part of a highly trained dedicated team focusing on appeals and post-determination requests. We maintain the principles of utilization management by adhering to… more
- Evolent (Denver, CO)
- …for the mission. Stay for the culture. **What You'll Be Doing:** The Specialty Appeals Team offers candidates the opportunity to make a meaningful impact as part of ... a highly trained dedicated team focusing on appeals and post-determination requests. We maintain the principles of utilization management by adhering to Evolent and… more
- State of Colorado (Denver, CO)
- Registered Nurse I - Gilliam Youth Services Center Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4931436) Apply Registered Nurse I - ... health care to detained and committed youth within the nurse 's scope of practice. Primary care is provided by...of the department's action. For more information about the appeals process, the official appeal form, and how to… more
- State of Colorado (Denver, CO)
- Registered Nurse I-Colorado Mental Health Hospital in Fort Logan-Denver Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4942901) Apply ... Registered Nurse I-Colorado Mental Health Hospital in Fort Logan-Denver Salary...of the department's action. For more information about the appeals process, the official appeal form, and how to… more
- State of Colorado (Aurora, CO)
- Full-time/Part-time LICENSED PRACTICAL NURSE III - Fitzsimmons Veterans Community Living Center Print ... (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4924988) Apply Full-time/Part-time LICENSED PRACTICAL NURSE III - Fitzsimmons Veterans Community Living Center Salary… more
- State of Colorado (Denver, CO)
- …occurs, ambulation and feeding; + Obtains and records vital signs for review by staff nurse ; + Provide and assist with patient transfers and turning in bed; + Report ... condition and patient health care complaints to shift registered nurse ; + Empty catheter bags; offer fluids and record...of the department's action. For more information about the appeals process, the official appeal form, and how to… more
- State of Colorado (Denver, CO)
- …Qualifications: Education/Licensure/Certification/Experience: + Current, valid licensure as a Registered Nurse from the Colorado Board of Nursing or any state ... participating in the Enhanced Nurse Licensure Compact (eNLC) + And four (4) years...of the department's action. For more information about the appeals process, the official appeal form, and how to… more
- State of Colorado (Denver, CO)
- …and Emergency Medical Services Division and Current, valid licensure as a Registered Nurse from the Colorado Board of Nursing or any state participating in the ... Enhanced Nurse Licensure Compact (eNLC). OR Education & Experience: Two...Procedures, 4 CCR 801, for more information about the appeals process. The State Personnel Board Rules and Personnel… more
- State of Colorado (Denver, CO)
- …Education/Licensure/Certification/Experience: + Current, valid licensure as an Advanced Practice Nurse from the Colorado Board of Nursing; or current, valid ... Must be able to obtain a Colorado Advanced Practicing Nurse or Physician Assistant license within 1 year after...of the department's action. For more information about the appeals process, the official appeal form, and how to… more
- State of Colorado (Aurora, CO)
- …care needs + Updating noted resident changes, reporting information to the charge nurse and recommending routines and schedules to IDT Team + Performing basic ... for this education requirement. Substitutions: + Current, valid licensure as a Practical Nurse (LPN) from the Colorado Department of Regulatory Agencies or any state… more
- State of Colorado (Denver, CO)
- …deadline using Kronos. + Provides random checks of employees' hours to Nurse Manager for review, ensuring accurate timekeeping practices and facilitate any ... filing for Team employees. Prints reports weekly for the Nurse Manager to review and track staff members timekeeping...of the department's action. For more information about the appeals process, the official appeal form, and how to… more
- State of Colorado (Denver, CO)
- …cooperative and close working relationship between the Staffing Office and the nurse managers/staff of the CMHHIFL nursing units. + Develops and fosters ... of notice or acknowledgement of the department's action. For more information about the appeals process, the official appeal form, and how to deliver it to the State… more
- State of Colorado (Denver, CO)
- …route prescriptions to the proper destinations under the supervision of a Nurse III; + Assist with prescription and medication inventory reorder (continuous ... of notice or acknowledgement of the department's action. For more information about the appeals process, the official appeal form, and how to deliver it to the State… more
- State of Colorado (Denver, CO)
- …are performed on-site; + Accountable for the work product of Nurse Practitioners and Physician Assistants. Accountability involves direct line authority, clinical ... of notice or acknowledgement of the department's action. For more information about the appeals process, the official appeal form, and how to deliver it to the State… more
- Sharecare (Denver, CO)
- …enrollment / new hire plan selection, claims issues, ID card issues, grievances/ appeals , utilization management (UM) status, including but not limited to medical, ... 3rd parties for: + Claims adjustments + Grievances and appeals submissions + Utilization management intake or status +...and second opinion. + Referring members to Clinical Advocates ( Nurse ) for conditions that require clinical care and case… more
- State of Colorado (Jefferson County, CO)
- …+ After the employee completes this coursework and passes a competency check with a nurse , the employee will be promoted to a Health Care Service Trainee II and paid ... of notice or acknowledgement of the department's action. For more information about the appeals process, the official appeal form, and how to deliver it to the State… more
- State of Colorado (Jefferson County, CO)
- …Within the scope of QMAP training provided and the delegation of a nurse , administers medications and treatments to the individuals served in accordance with the ... of notice or acknowledgement of the department's action. For more information about the appeals process, the official appeal form, and how to deliver it to the State… more
- HCA Healthcare (Greenwood Village, CO)
- …program including chart audits and oversight of adverse events. Assists with processing appeals and denials as requested. + Provides a lead role regarding oversight ... of five (5) years of experience as a professional nurse with two (2) years administrative/supervisory experience preferred. +...life care experience preferred. + Licensed as a Registered Nurse in the state(s) in which he/she will be… more
- State of Colorado (Denver, CO)
- …and direction of upper-level Health Professionals, Training Specialists, and/or Nurse Consultants in gathering data, analyzing information, and ensuring compliance ... and Personnel Director's Administrative Procedures, Chapter 8, Resolution of Appeals and Disputes, at spb.colorado.gov/board-rules . Supplemental Information A… more
- Prime Therapeutics (Denver, CO)
- …leads cross functional committees that review FWA member lock in appeals . **Responsibilities** + Leverage clinical judgement to evaluate members for potential ... years of work experience in case management or professional practice + Current Registered Nurse (RN) license in good standing with the Board of Nursing as required… more