- Aspen Medical (Aurora, CO)
- JOB AD: Registered Nurse - Utilization Management Introduction : Aspen Medical has an exciting opportunity for Registered Nurses to partner with us in ... Management through the American Nurses Credentialing Center or Utilization Management Accreditation through National Committee for...full, active, and unrestricted license to practice as a Registered Nurse as required in the TO… more
- Matrix Providers (Aurora, CO)
- …Holidays (Outlined in Handbook) + 401(k) Plan Minimum Requirements Registered Nurse (RN) Utilization Management : Degree/Education: Bachelor-s degree in ... Management through the American Nurses Credentialing Center + Utilization Management Accreditation through National Committee for...full, active, and unrestricted license to practice as a Registered Nurse . Overview: Serve as a key… more
- CVS Health (Denver, CO)
- …both verbal and written **Required Qualifications** + 2+ years of experience as a Registered Nurse in adult acute care/critical care setting. + Must have active ... current and unrestricted RN licensure in state of residence. + Utilization Management is a 24/7 operation and work schedules will include weekends, holidays, and… 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,...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 (Castle Rock, CO)
- Summary Patient Aligned Care Team (PACT) Outpatient Staff Registered Nurse (RN) demonstrates proficiency in practice based on conscious and deliberate planning. ... and instruction. Responsible for being self--directed in the delivery by a registered nurse , physician or other provider. Responsible for being self-directed… more
- Veterans Affairs, Veterans Health Administration (Aurora, CO)
- Summary This is an OPEN-CONTINOUS ANNOUNCEMENT. The Outpatient Mental Health Registered Nurse is responsible and accountable for all elements of the nursing ... for the coordination of care focused on patient education, self- management , and customer satisfaction throughout the continuum of care....level degree in Nursing may have opportunity to become registered as a nurse with a state… more
- Veterans Affairs, Veterans Health Administration (Aurora, CO)
- …team, or workgroup) that impacts operations or resources. Responsibilities The Registered Nurse (RN) is responsible for providing competent, evidence-based ... equivalent to a bachelor's level degree in Nursing may have opportunity to become registered as a nurse with a state licensing board prior to completion… more
- Veterans Affairs, Veterans Health Administration (Aurora, CO)
- Summary The Eastern Colorado VA Healthcare System is recruiting for an Registered Nurse in the Cardiac Catheterization/Electrophysiology Lab. The RN is ... education, orientation, competencies, and providing quality improvement and outcomes utilization . The CCL/EP RN delivers and manages the care...level degree in Nursing may have opportunity to become registered as a nurse with a state… 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 ... reviews. **Required Qualifications** + 5+ years' experience as a Registered Nurse (RN) with at least 1...in **Oncology** **.** **Preferred Qualifications** + 1+ years' Case Management experience or discharge planning, nurse navigator… 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 ... reviews. **Required Qualifications** - 5+ years' experience as a Registered Nurse (RN) with at least 1...using a keyboard. **Preferred Qualifications** - 1+ years' Case Management experience or discharge planning, nurse navigator… more
- Veterans Affairs, Veterans Health Administration (Aurora, CO)
- …equivalent to a bachelor's level degree in Nursing may have opportunity to become registered as a nurse with a state licensing board prior to completion ... responsibility for the coordination of care focused on patient education, self- management , and customer satisfaction throughout the continuum of care. This is… more
- Sharecare (Denver, CO)
- …cost effective, appropriate resource utilization and quality outcomes. The Clinical Registered Nurse is also responsible for early identification of those ... learn more, visit www.sharecare.com . **Job Summary:** The Clinical Registered Nurse has the responsibility for supporting...disease management program intervention guidelines. A Clinical Registered Nurse is supervised by an Operations… more
- AdventHealth (Denver, CO)
- …qualifications:** + Two years of Hospital experience. A minimum of 1 year in Case Management + Registered Nurse - State Licensure and/or Compact State ... State specific license **Preferred qualifications:** + Bachelor's Degree BSN + Prior Utilization Management experience + Accredited Case Manager (ACM) /CCM… more
- Fresenius Medical Center (Denver, CO)
- …under the direction of the Facility Manager, Director of Nursing and/or Charge Registered Nurse , utilizing standard nursing techniques to assist the physician in ... on adverse events and action thresholds in collaboration with facility management . + Maintains integrity of medical records and other organization administrative… more
- Humana (Denver, CO)
- …+ Minimum 3 years of experience in NCQA Health Plan Accreditation and/or Utilization Management + Exceptional attention to detail. + Demonstrated excellent time ... + Expertise on NCQA accreditation standards, especially related to Utilization Management and/or Behavioral Health; MED-Deeming accreditation standards… more
- Fresenius Medical Center (Aurora, CO)
- …and acts as the liaison for patient care as per the disease management agreement, including initial and ongoing validation of member eligibility. Facilitate timely ... workup of patients for access management , dialysis services, patient education, hospitalizations, and kidney transplantation as appropriate, and ensures coordination… more
- Intermountain Health (Denver, CO)
- …the RN position description. + Embraces technology. Demonstrates competency in the utilization of the EMR. Utilizes technology to enhance efficiency. Competent in ... department/unit engagement in the work. + Demonstrates understanding of Emergency Management principles and understanding of the hospital Emergency Operations Plan.… more
- Fresenius Medical Center (Englewood, CO)
- …Classification of Disease (ICD) coding. + Manages clinic financials including efficient utilization of supplies or equipment and regular profits and loss review. + ... + Preferred but not required: + 3+ years supervisory or project/program management experience. + Med/surg or ICU/CCU experience. **PHYSICAL DEMANDS AND WORKING… more
- State of Colorado (Denver, CO)
- …Rights Minimum Qualifications: Education/Licensure/Certification/Experience: Current, valid licensure as a Registered Nurse from the Colorado Board of Nursing ... a year-for-year basis Special Qualification: Maintains active and unencumbered Colorado Registered Nurse License Preferred qualifications: + Experience in… more
- Evolent (Denver, CO)
- …As a Clinical Reviewer, Nurse , you will be a key member of the utilization management team. We can offer you a meaningful way to make a difference ... Clinical Reviewers are supported by Field Medical Directors (MDs) in the utilization management determination process. + Reviews charts and analyzes clinical… more