- 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
- Katmai (Fort Carson, CO)
- …or American Red Cross. + Three (3) years within the last four (4) years as a registered nurse in utilization management. + One (1) year of experience in ... **SUMMARY** Provide a comprehensive utilization review (UR) and utilization management...full, active, and unrestricted license to practice as a registered nurse . + Must be a graduate… 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
- HCA Healthcare (Greenwood Village, CO)
- …midpoint of the range. **Introduction** Do you have the career opportunities as a Clinical Manager Registered Nurse you want with your current employer? ... of colleagues. Do you want to work as a Clinical Manager Registered Nurse where...records reflect compliance with medical necessity, homebound status, visit utilization , and documentation of individualized patient assessment and transition… more
- Katmai (Fort Carson, CO)
- …referring to the Medical Director those that require additional expertise. + Review clinical information for concurrent reviews. + As part of the UMRN program, ... conduct ongoing availability, monitoring and oversight of non- clinical staff activities. + Establish effective rapport with other...Minimum of two (2) years of prior experience in Utilization Management. + Must possess a current, active, full,… more
- Arapahoe County Government (Aurora, CO)
- …public health nursing or related community or clinical work + Additional Senior Registered Nurse Job Duties: + Serves in a Lead capacity while performing ... Registered Nurse /Senior Registered ...approval and implementation. + Coordinates the organization, assignment, and utilization of nursing personnel with adjacent program areas to… more
- Vighter Medical Group (Glendale, CO)
- …$44.00 - $48.00 Hourly Position Type Full Time Job Shift Any Education Level Registered Nurse (RN) Travel Percentage None Category Health Care Description Serve ... (OCC) in Glendale, Colorado. As a Case Manager / Utilization Review Nurse , you'll play a key...required. What You'll Do As a Case Manager / Utilization Review RN, you will: + Conduct clinical… more
- Veterans Affairs, Veterans Health Administration (Glendale, CO)
- …documentation skills Possesses intimate knowledge of the internal referral care process, clinical review criteria, utilization management standards, clinical ... Shares educational findings, experiences, and ideas with peers. Questions clinical practices for the purpose of providing evidence-based care....level degree in Nursing may have opportunity to become registered as a nurse with a state… 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
- Veterans Affairs, Veterans Health Administration (Grand Junction, CO)
- Summary The Intensive Community Mental Health Recovery (ICMHR) Registered Nurse (RN) is responsible for providing competent, evidence-based care to patients. ... 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
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