- PharmaCord (Denver, CO)
- … Utilization Management, Call Center Case Management, a plus. Case management or Clinical Trial Nurse experience, a plus. Bachelor's degree preferred. We are ... independently while collaborating to share ideas, support, and resources. As a Nurse Advocate you are responsible for contact with program patients and assessing… more
- Luke Staffing (Glendale, CO)
- ** REGISTERED NURSE ** **SITE OF SERVICE:** Department of Veterans Affairs, Eastern Colorado Healthcare System (ECHCS), 4100 E. Mississippi Ave, Glendale, CO 80246 ... Friday, 7:30 AM - 5:30 PM (excluding federal holidays) **POSITION OVERVIEW:** The Registered Nurse (RN) will provide on-site professional nursing services to… more
- Cognizant (Denver, CO)
- …you need to have to be considered** . Educational background - Registered Nurse (RN) . 2-3 years combined clinical and/or utilization management ... Eastern Time **Location:** Remote **About the role** As a Registered Nurse you will make an impact...care revenue cycle or clinic operations . Experience in utilization management to include Clinical Appeals and… more
- CVS Health (Denver, CO)
- …we do it all with heart, each and every day. **Position Summary:** The ** Utilization Management Clinical Nurse Consultant - Prior Authorization** utilizes ... and external constituents in the coordination and administration of the utilization /benefit management function. + Gathers clinical information and applies… more
- 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 assignments are...+ Minimum of Associate Degree in nursing + Licensed Registered Nurse (RN) in a compact state… more
- CVS Health (Denver, CO)
- …shift times are not permitted. **Required Qualifications** + Active unrestricted state Registered Nurse licensure in state of residence required. + Minimum ... solutions that promote high-quality healthcare for members. We are seeking a dedicated Utilization Management (UM) Nurse Consultant to join our remote team.… more
- Dispatch Health (Denver, CO)
- …**What You Need** + Certification/Licensure in the State of CO as a Licensed Registered Nurse or licensure from a state participating in the multistate privilege ... home as an alternative to hospitalization. The ideal candidate brings advanced clinical , communication, and leadership skills to our innovative team. The Advanced… more
- CVS Health (Denver, CO)
- …good standing Arizona clinical and/or counseling license, specifically RN ( Registered Nurse ), LPC (Licensed Professional Counselor), LAC (Licensed Associate ... and external constituents in the coordination and administration of the utilization /benefit management function. + Gathers clinical information and applies… more
- Fresenius Medical Center (Denver, CO)
- **About this role:** As a Clinical Manager with Fresenius Medical Care, you will ensure that quality patient care is delivered while maintaining clinical ... or chronic kidney disease. **Training and advancement:** You will enter our Clinical Leadership Program that creates and supports a culture of continuous learning… more
- Veterans Affairs, Veterans Health Administration (Aurora, CO)
- Summary Urgent Care/Emergency Department has three Registered Nurse positions to fill. Environment is a high demand atmosphere, in a Tele Emergency Care setting. ... the continuum of care. Responsibilities The primary purpose of the Emergency Department Registered Nurse is to demonstrate leadership in delivering and improving… more
- CVS Health (Denver, CO)
- …+ Perform medical necessity reviews. **Required Qualifications** + 5+ years' experience as a Registered Nurse with at least 1 year of experience in a hospital ... is URAC accredited in Case Management, Disease Management and Utilization Management. AHH delivers flexible medical management services that...setting. + A Registered Nurse that holds an active, unrestricted… 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 ... independent determination of the appropriate courses of action. The Utilization Management Nurse 2 uses clinical...skills to make an impact** **Required Qualifications** + **Licensed Registered Nurse (RN)** in the (appropriate state)… more
- HCA Healthcare (Denver, CO)
- …nurses at 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 ... improve positive outcomes for your patients as a (an) Clinical Nurse Coordinator OR. We want your...Current licensure in the State of Colorado as a Registered Nurse , or current active multistate … more
- HCA Healthcare (Denver, CO)
- …Rose 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 ... gain certifications and job skills. Apply today for our Clinical Nurse Coordinator Medical Oncology opening and...Current licensure in the State of Colorado as a Registered Nurse , or current active multistate … more
- HCA Healthcare (Denver, CO)
- …**Are you passionate about delivering patient-centered care?** Submit your application for Clinical Nurse Coordinator OR position and spend more time at ... at HCA HealthONE Rose! **Job Summary and Qualifications** The Clinical Nurse Coordinator (CNC) exemplifies professional nursing...Current licensure in the State of Colorado as a Registered Nurse , or current active multistate … more
- Evolent (Denver, CO)
- …+ Performs other duties as assigned. **The Experience You'll Need (Required):** + Registered Nurse or Licensed Practical/Vocational Nurse with a current, ... for the mission. Stay for the culture. **What You'll Be Doing:** The Nurse Reviewer is responsible for performing precertification and prior approvals. Tasks are… more
- Sharecare (Denver, CO)
- …to drive cost effective and appropriate resource utilization and desired clinical outcomes. The Disease Management Nurse is also responsible during their ... to enable individuals with disabilities to perform the essential functions. + Current Registered Nurse multi-state compact license in the state in which they… more
- AdventHealth (Denver, CO)
- …**Location:** 2525 S DOWNING ST, Denver, 80210 **The role you'll contribute:** The Charge Registered Nurse (RN) is an experienced RN, who, in addition to ... you'll need to succeed:** **Required qualifications:** + Associate's of Nursing + RN - Registered Nurse - State Licensure and/or Compact State Licensure + BLS -… more
- AdventHealth (Denver, CO)
- …and experiences you'll need to succeed:** **Required qualifications:** + Associates of Nursing + Registered Nurse (RN) + A minimum of 1 year of recent relevant ... patient populations across the continuum of illness. This position promotes effective utilization of healthcare resources and monitors their use to achieve optimal … more
- AdventHealth (Denver, CO)
- …**Location:** 2525 S DOWNING ST, Denver, 80210 **The role you'll contribute:** The Charge Registered Nurse (RN) is an experienced RN, who, in addition to ... to succeed:** + Associate's degree in Nursing + Department specific experience + Registered Nurse license + BLS obtained through the American Heart Association… more
