• Medical Director - Nat'l UM IP (4x10 hr)

    Humana (Denver, CO)
    … care management. The clinical scenarios predominantly arise from inpatient or post - acute care environments. Has discussions with external physicians by ... Sun, Mon)** + 5+ years of direct clinical patient care experience post residency or fellowship, which...management, case management, discharge planning and/or home health or post acute services such as inpatient rehabilitation.… more
    Humana (11/07/25)
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  • PCO Medical Director - UM - Part Time…

    CenterWell (Denver, CO)
    … facilitation with hospitals. The clinical scenarios predominantly arise from inpatient or post - acute care environments. There are discussions with external ... Qualifications** + MD or DO degree. + 5+ years of direct clinical patient care experience post residency or fellowship, which preferably includes some experience… more
    CenterWell (11/06/25)
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  • Care Coordinator RN

    CommonSpirit Health (Lakewood, CO)
    …utilization management, nursing, physicians, ancillary departments, insurers and post acute service providers to progress the care toward optimal outcomes ... with resources to help you flourish and leaders who care about your success. The RN Care ...of Employment required + Minimum two (2) years of acute hospital clinical experience or a Master's degree in… more
    CommonSpirit Health (11/22/25)
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  • Denials Prevention Specialist, Clinician PRN

    Datavant (Denver, CO)
    …BA or BS in Nursing, experience preferred to perform + Minimum Experience: 3 to 5 years acute care experience + 2 years Health Plan or Acute Care ... bring to the table:** + Two (2) years managed care experience in UM /CM/CDI Department preferred +...UR/CM + Preferred Experience: 5 years acute care or health plan UR/CM with 1 year ICU/ER… more
    Datavant (11/12/25)
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  • Utilization Management Nurse - Home Solutions…

    Humana (Denver, CO)
    …many other opportunities. **About us** About OneHome: OneHome coordinates a full range of post - acute care ranging from home health, infusion therapy and ... a Utilization Management RN working on the OneHome/Home Solutions UM Team, you will have the opportunity to use...skills, and independent critical thinking skills to ensure value-based care for members who desire to heal at home.… more
    Humana (09/12/25)
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