- Humana (Denver, CO)
- **Become a part of our caring community and help us put health first** The Manager , Utilization Management Nursing (LTSS Utilization Management ... and communication of medical services and/or benefit administration determinations. The Manager , Utilization Management Nursing works within specific… more
- AdventHealth (Parker, CO)
- …need to succeed:** **Required qualifications:** + Associate's of Nursing + 2 Work Experience + Registered Nurse ( RN ) in state of CO or compact nursing ... satisfaction, patient safety, readmission prevention and length of stay management . The RN Care Manager ...Accredited Case Manager (ACM) + Experience in utilization management or case management … 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 operations. ... leading your business, and advanced leadership. As a Clinical Manager , you may advance your career into an Area...Disease (ICD) coding. + Manages clinic financials including efficient utilization of supplies or equipment and regular profits and… more
- Banner Health (Sterling, CO)
- …admiring unique public art. Sterling Regional MedCenter is looking for a full-time Registered Nurse Associate Director to lead the Emergency Department in ... to ensure excellent patient care. Actively develops leadership of entry level nurse manager (s) while leading clinical improvement initiatives. Internal customers… more
- CVS Health (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 with at least 1 year...or Specialty Pharmacy. **Preferred Qualifications** + 1+ years' Case Management experience or discharge planning, nurse navigator… more
- Fresenius Medical Center (Denver, CO)
- …the direction of the Facility Manager , Director of Nursing and/or Charge Registered Nurse , utilizing standard nursing techniques to assist the physician in ... This is a per diem RN role in our Denver, CO surgery center....adverse events and action thresholds in collaboration with facility management . + Maintains integrity of medical records and other… more
- AdventHealth (Denver, CO)
- …experiences you'll need to succeed:** **Required qualifications:** + Associates Degree Nursing + Registered Nurse ( RN ) License + Two years of ... satisfaction, patient safety, readmission prevention and length of stay management . The RN Care Manager ...physicians and the interdisciplinary team on issues related to utilization of resources, medical necessity, CMS CoP for Discharge… more
- CommonSpirit Health Mountain Region (Lakewood, CO)
- …you flourish and leaders who care about your success. As a Registered Nurse , RN Case Manager you'll advocate for patients while collaborating closely ... and build on positive outcomes. In the role of RN Case Manager , you will also: +...discretion, and independent judgment in assessing/reassessing, facilitating care coordination, utilization management , and patient advocacy. + Assure… more
- UCHealth (Aurora, CO)
- …Preferred: Bachelor's degree in Nursing. + State licensure as a Registered Nurse ( RN ). Preferred: Certified Case Manager (CCM). + Minimum Experience: ... cost-effective outcomes. Provides focused support to various areas such as utilization management , emergency department, acute, ambulatory and specialty care.… more
- Gentiva (Castle Rock, CO)
- …Hospice Administrator to join our leadership team. This role is ideal for a licensed Registered Nurse ( RN ) with strong leadership experience in hospice care, ... while driving branch revenue growth through census development, referral management , and efficient resource utilization + Maintain...Short Term Incentive (for eligible roles) + Tuition Reimbursement RN Branch Director, RN Branch Manager… more