Utilization review nurse [h1.location_city]

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Utilization review nurse • lakewood co

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Illinois Licensed Utilization Review Nurse

VirtualVocationsArvada, Colorado, United States

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A company is looking for a Clinical Care Manager- Utilization Review Nurse.Key Responsibilities Conduct timely reviews of healthcare services and document clinical findings in compliance with reg...[show_more][last_updated.last_updated_variable_days]

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Nurse for Utilization Management

CenterWellDenver, CO, United States

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Join our compassionate team and champion health care for all!.At Conviva, a subsidiary of Humana, Inc.We are dedicated to creating an environment where our team members can thrive personally and pr...[show_more][last_updated.last_updated_1_day]

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Accountant - Internal Review HQ

Denver StaffingDenver, CO, US

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Turner is an Affirmative Action and Equal Opportunity Employer minorities females veterans individuals with disabilities sexual orientation gender identity VEVRAA Federal Contractor.[show_more][last_updated.last_updated_variable_days]

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Sr. Commercial Review Appraiser

City National BankDenver, CO, United States

[job_card.full_time]

The Commercial Real Estate Review Appraiser is responsible for the engagement of third-party vendors and review of appraisal reports for the Bank's real estate secured loans and related supporting ...[show_more][last_updated.last_updated_1_day]

Senior Director of Medical Review

Colorado AccessDenver, CO, United States

[job_card.full_time]

The vision of Colorado Access is to have healthy communities transformed by the care that people want at a cost we can all afford. Our mission is to partner with communities and empower people throu...[show_more][last_updated.last_updated_variable_days]

Registered Nurse- Utilization Review

Adelphi Medical StaffingGlendale, Colorado, United States

[job_card.temporary]

Adelphi is seeking qualified Registered Nurses to provide services at a facility in Glendale, Colorado.The RNs will assist in the coordination and review of healthcare services for veterans, includ...[show_more][last_updated.last_updated_variable_days]

Registered Nurse- Utilization Review

Adelphi StaffingGlendale, CO, us

[job_card.temporary]

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Value Based Care Cost and Utilization Analyst

Carina Health NetworkDenver, CO, US

[job_card.full_time]

Value Based Care Cost and Utilization Analyst.Remote with ability to travel occasionally in State of Colorado].Join Carina Health Network and help us make Colorado communities healthier!.Are you pa...[show_more][last_updated.last_updated_30]

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Utilization Review Nurse

Public Consulting GroupDenver, CO, United States

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Public Consulting Group LLC (PCG) is a leading public sector solutions implementation and operations improvement firm that partners with health, education, and human services agencies to improve li...[show_more][last_updated.last_updated_1_day]

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Formulary Strategy & Utilization Review Pharmacist

Pharmacy CareersDenver, CO, United States

[job_card.full_time]

Formulary Strategy & Utilization Review Pharmacist.Shape the drug benefit landscape-analyze and optimize medication use.Review prescribing trends and propose cost-saving alternatives.Maintain evide...[show_more][last_updated.last_updated_variable_days]

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Behavioral Health Utilization Management Nurse

HumanaDenver, CO, United States

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Join our compassionate community and prioritize health like never before!.The Behavioral Health Utilization Management Nurse plays a crucial role in utilizing clinical nursing expertise to enhance ...[show_more][last_updated.last_updated_1_day]

Loan Review Analyst

Colorado Housing And Finance AuthorityDenver, Colorado, USA

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Asset Management / Asset Quality.This position will be a key part of a team responsible for the independent evaluation of CHFAs commercial loan portfolio to assess and manage portfolio risk.The Loa...[show_more][last_updated.last_updated_variable_days]

Credit Review Officer III

First InterstateDenver, CO, United States

[job_card.full_time]

If you are a current FIB employee, please apply through the Career Worklet in the Employee Portal.This position may be located at First Interstate Bank's offices in Colorado, Idaho, Iowa, Missouri,...[show_more][last_updated.last_updated_variable_days]

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Life Review and Companionship

elevation hospice of coloradoArvada, CO, United States

[job_card.full_time]

Elevation Hospice is a small hospice agency committed to serving our patients and families throughout the end of life experience. We are looking for a few committed volunteers to support our patient...[show_more][last_updated.last_updated_variable_days]

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Registered Nurse- Utilization Review

Adelphi Medical Staffing, LLCGlendale, CO, United States

[job_card.temporary]

Credit Review - Officer II

NBH BankGreenwood Village, CO, United States

[job_card.full_time]

At our Bank, we believe common sense is more than just banking.We believe in finding financial solutions that cater specifically to our client's needs. We are looking for talented associates who und...[show_more][last_updated.last_updated_variable_days]

Registered Nurse (RN), Utilization Management - Adolescent Psych - PRN

Denver HealthDenver, Colorado

[job_card.full_time]

We are recruiting for a Registered Nurse (RN), Utilization Management - Adolescent Psych - PRN to join our team!.We are here for life's journey. Where is your life journey taking you?.Being the hear...[show_more][last_updated.last_updated_30]

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Travel Case Management (Utilization Review) Social Worker in Englewood, CO

Medical SolutionsEnglewood, CO, US

[job_card.full_time]

A facility in Englewood, CO is seeking its next amazing Social Worker.Read on if this sounds like your perfect fit!Nurses and allied healthcare professionals are in high demand nationwide, and our ...[show_more][last_updated.last_updated_variable_days]

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Senior Behavioral Health Utilization Management Clinician

Blue Shield of CADenver, CO, United States

[job_card.full_time]

Join our dedicated Behavioral Health Utilization Management team, where you will play a vital role in conducting comprehensive prospective and concurrent utilization reviews.As a Senior Behavioral ...[show_more][last_updated.last_updated_variable_days]

Illinois Licensed Utilization Review Nurse

VirtualVocationsArvada, Colorado, United States

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[job_card.full_time]

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A company is looking for a Clinical Care Manager- Utilization Review Nurse.

Key Responsibilities

Conduct timely reviews of healthcare services and document clinical findings in compliance with regulations

Collaborate with medical professionals for evaluations of medical necessity and treatment appropriateness

Coordinate care and support for members, including referrals to disease management programs

Required Qualifications

Active, unrestricted Registered Nurse (RN) license in Illinois

5+ years of experience in various healthcare settings

Knowledge of utilization review and managed care processes

Meets Illinois CE requirement of 20 hours per 2-year RN license renewal cycle

Strong proficiency in Microsoft 365 applications