• Utilization Management…

    Katmai (Fort Carson, CO)
    …Red Cross. + Three (3) years within the last four (4) years as a registered nurse in utilization management . + One (1) year of experience in UR/UM and ... Provide a comprehensive utilization review (UR) and utilization management (UM) program for all TRICARE...full, active, and unrestricted license to practice as a registered nurse . + Must be a graduate… more
    Katmai (11/26/25)
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  • Utilization Management Nurse…

    Humana (Denver, CO)
    …community and help us put health first** Full-Time, Remote Telephonic opportunity The Utilization Management Nurse 2 utilizes clinical nursing skills to ... communication of medical services and/or benefit administration determinations. The Utilization Management Nurse 2 work...+ Minimum of Associate Degree in nursing + Licensed Registered Nurse ( RN ) in a… more
    Humana (09/12/25)
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  • Utilization Management Clinical…

    CVS Health (Denver, CO)
    …+ Active and good standing Arizona clinical and/or counseling license, specifically RN ( Registered Nurse ), LPC (Licensed Professional Counselor), LAC ... experience working within the mental health system. + Previous experience with utilization management . + Ability to collaborate with various internal… more
    CVS Health (11/19/25)
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  • SNF Utilization Management RN…

    Humana (Denver, CO)
    **Become a part of our caring community and help us put health first** The Utilization Management Nurse 2 utilizes clinical nursing skills to support the ... communication of medical services and/or benefit administration determinations. The Utilization Management Nurse 2 work...skills to make an impact** **Required Qualifications** + **​Licensed Registered Nurse ( RN )** in the… more
    Humana (09/12/25)
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  • Utilization Management Nurse

    Humana (Denver, CO)
    **Become a part of our caring community and help us put health first** The Utilization Management Nurse 2 utilizes clinical nursing skills to support the ... communication of medical services and/or benefit administration determinations. The Utilization Management Nurse 2 work...skills to make an impact** **Required Qualifications** + Licensed Registered Nurse ( RN ) in the… more
    Humana (11/24/25)
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  • Clinical Registered Nurse…

    Cognizant (Denver, CO)
    …have to be considered** . Educational background - Registered Nurse ( RN ) . 2-3 years combined clinical and/or utilization management experience with ... 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
    Cognizant (11/25/25)
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  • Utilization Management RN

    CenterWell (Denver, CO)
    …clinical experience. + Prior clinical experience, managed care experience, **OR** utilization management experience + Demonstrates Emotional Intelligence + ... put health first** Conviva Care Solutions is seeking a RN who will collaborate with other health care givers...Experience with Home Health preferred + Previous experience in utilization management within Insurance industry a plus… more
    CenterWell (11/26/25)
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  • Registered Nurse ( RN )

    Vighter Medical Group (Glendale, CO)
    Registered Nurse ( RN ) Glendale, CO Job... RN experiencewithin the past 3 years - Case Management , Utilization Review, or Primary Care preferred. + ... - Glendale, CO Position Type Full Time Education Level Registered Nurse ( RN ) Salary Range...of Community Care (OCC)in Glendale, Colorado.As aCase Manager / Utilization Review Nurse , you'll play a key… more
    Vighter Medical Group (11/13/25)
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  • Case Manager, Registered Nurse…

    CVS Health (Denver, CO)
    …Founded in 1993, AHH is URAC accredited in Case Management , Disease Management and Utilization Management . AHH delivers flexible medical management ... + Perform medical necessity reviews. **Required Qualifications** + 5+ years' experience as a Registered Nurse with at least 1 year of experience in a hospital… more
    CVS Health (11/27/25)
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  • Referral Coordination Team Registered…

    Veterans Affairs, Veterans Health Administration (Aurora, CO)
    …satisfaction throughout the continuum of care. Responsibilities The Referral Coordination Team (RCT) Registered Nurse ( RN ) is responsible for executing a ... Summary The Referral Coordination Team Registered Nurse is responsible and accountable...of the internal referral care process, clinical review criteria, utilization management standards, clinical documentation requirements, community… more
    Veterans Affairs, Veterans Health Administration (11/21/25)
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