12 utilization nurse jobs at 10 companies in Denver, CO
4d
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Utilization Management RN
Aurora, Colorado, United States
$39-$60/hr OnsiteFull Time
3+ YOEBachelor's degree in nursing, Colorado RN licensure, 3 years of relevant experience, and BLS through AHA or CPR for the Professional Rescuer. Utilization or case management experience preferred.
Milliman
21h
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Utilization Review RN Flex
Aurora or Colorado
$51/hr RemotePart Time
3+ YOEBSN, active RN license, BLS/CPR from the American Heart Association, and three years of recent clinical or case management experience including utilization review experience.
Medicare, Medicaid, CMS, Joint Commission
1w
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Remote Utilization Manager - Inpatient
Watkins or Littleton
$75k-$83k/yr RemoteFull Time
2+ YOERequires RN/BSN or master's in human services, clinical license, and 2+ years in behavioral health utilization management, care coordination, or case management.
electronic records
3w
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Utilization Review RN
Aurora, Colorado, United States
$85k-$127k/yr HybridPart Time
3+ YOEBSN required, 3+ years clinical or case management experience including utilization review, active RN license, BLS/CPR required; strong communication and critical thinking.
1mo
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Manager, Medical Utilization and Care Management
Charlotte or Denver or New York
$95k-$130k/yr OnsiteFull Time
5+ YOE2+ MgmtActive unrestricted RN license,5+ years in utilization/care/case management,2+ years leadership,knowledge of medical necessity reviews,care coordination,URAC/NCQA familiarity;CCM/CMGT-BC/HCQM preferred.
3d
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Senior Director, Health Plan Utilization Management - Denver Health Medical Plan (Must Live in Colorado. Weekly On Site Requirement)
Denver, Colorado, United States
$144k-$237k/yr HybridFull Time
7+ YOE5+ MgmtMaster's degree, nursing or physician assistant education, 7 years of managed care or healthcare administration, 5 years of supervisory experience, and health plan and vendor management experience required.
Pharmacy, information systems
3d
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Senior Director, Health Plan Utilization Management - Denver Health Medical Plan (Must Live in Colorado. Weekly On Site Requirement)
Denver, Colorado, United States
$144k-$237k/yr HybridFull Time
7+ YOE5+ MgmtMaster's degree and nursing or physician assistant education required. Requires 7 years of managed care or healthcare administration, 5 years of supervisory experience, health plan line-of-business experience, and vendor management experience.
CMS, Microsoft?
2w
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RN Care Manager PRN
Wheat Ridge, Colorado, United States
$41-$62/hr OnsitePart Time
Active RN license and BSN (or must obtain BSN within 4 years), inpatient clinical nursing experience, case management or utilization experience preferred, proficiency with word processing and Excel, strong assessment and communication skills.
Microsoft Word, Microsoft Excel
1d
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Case Manager II
Denver, Colorado, United States
$44-$56/hr OnsiteFull Time
2+ YOERequires nursing or social work education, RN or social work licensure, and 2+ years in healthcare. Case management, utilization review, or discharge planning experience preferred.
Microsoft Office
3w
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RN Care Manager – Weekends (Sat/Sun)
Parker, Colorado, United States
$35-$65/hr OnsitePart Time
2+ YOEActive RN required, BLS preferred, CCM/ACM preferred, 2+ years hospital nursing experience, care/ utilization management experience preferred, EMR and Outlook proficiency, strong communication and critical thinking.
Outlook, Electronic Medical Records (EMR)
3w
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Region Director Care Coordination-South
Englewood or Texas or Arkansas or Georgia or Tennessee or Kentucky or Ohio or West Virginia
$77-$126/hr RemoteFull Time
10+ YOE5+ MgmtMaster's and BSN education, RN license, ACM, 10+ years acute care management with 5+ years regional leadership, knowledge of utilization management and regulatory compliance.
1w
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Manager I - Clinical Solutions Manager
Las Vegas or Atlanta or Tampa or Indianapolis or Mason or Roanoke or Denver or Colorado Springs or Norfolk
$94k-$162k/yr HybridFull Time
5+ YOEActive unrestricted RN license, minimum 5 years acute care clinical experience, management and escalation resolution experience, knowledge of medical policy and utilization management.