• Katmai (Fort Carson, CO)
    …as needed to provide direction in care management. + Plan and prioritize utilization review (UR) activities to ensure identified patient needs are addressed ... analyze, update and record data. + Facilitate the development and integration of utilization management (UM) review policies and procedures into operations. +… more
    DirectEmployers Association (11/26/25)
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  • Licensed Practical Nurse Physicians Practice

    Banner Health (Brush, CO)
    …management process. Reviews audit results and presents summary information for management utilization and review . 7. May coordinate the admission process ... MINIMUM QUALIFICATIONS Must possess a current, valid LPN or LVN license in state of practice, temporary LPN or... license in state of practice, temporary LPN or LVN license in state of practice, or compact LPN… more
    Banner Health (10/17/25)
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  • Licensed Practical Nurse LPN Medical Oncology…

    Banner Health (Greeley, CO)
    …management process. Reviews audit results and presents summary information for management utilization and review . 7. May coordinate the admission process ... MINIMUM QUALIFICATIONS Must possess a current, valid LPN or LVN license in state of practice, temporary LPN or... license in state of practice, temporary LPN or LVN license in state of practice, or compact LPN… more
    Banner Health (09/26/25)
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  • Clinical Reviewer, Nurse (Medical Oncology)

    Evolent (Denver, CO)
    …the mission. Stay for the culture. **What You'll Be Doing:** The Clinical Review Nurse is responsible for performing precertification and prior approvals. Tasks are ... performed within the **RN/ LVN /LPN** scope of practice, under the Medical Director's direction,...medical policies, and clinical decision-making criteria sets. The Clinical Review Nurse serves as a member advocate, expediting care… more
    Evolent (12/10/25)
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  • Denials Prevention Specialist, Clinician PRN

    Datavant (Denver, CO)
    …healthcare. The purpose of the Denial Prevention Specialist is to effectively defend utilization of available health services, review of admissions for medical ... author appeal letter Identification of referrals to the medical director for review + Select appropriate preferred and contracted providers + Provide proper… more
    Datavant (11/12/25)
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