14 utilization review case manager jobs at 12 companies in Colorado
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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
2w
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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
1mo
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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.
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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
1mo
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Supervisor, Utilization Management
Phoenix or Alaska or Arkansas or Arizona or Colorado or Florida or Hawaii or Iowa or Idaho or Illinois or Kansas or Louisiana or Maryland or Minnesota or Missouri or Montana or Nebraska or Nevada or New Mexico or North Carolina or North Dakota or Oklahoma or Oregon or South Carolina or South Dakota or Tennessee or Texas or Utah or Virginia or District of Columbia or Washington or Wisconsin or Wyoming
$91k-$107k/yr RemoteFull Time
3+ YOE3+ MgmtCurrent RN license, 3+ years healthcare experience, 3+ years supervisory experience, 2+ years utilization review/case management, U.S. citizenship and favorable DoD background investigation required.
InterQual, ICD, DSM, CPT, HCPCS, American Dental codes, Microsoft Office, Microsoft Word, Microsoft Outlook, TriWest Intranet
1d
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RN Case Manager
New Orleans or Colorado or California or Hawaii or Illinois or Maine or Maryland or Massachusetts or Minnesota or New Jersey or New York or Vermont or Washington or District of Columbia
OnsiteFull Time
Graduate of an accredited nursing school with a current RN license and American Heart Association BLS. Hospital discharge planning, case management, or utilization review experience and CCM or ACM certification are preferred.
1mo
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Supervisor, Utilization Management
Phoenix or Alaska or Arkansas or Arizona or Colorado or Florida or Hawaii or Iowa or Idaho or Illinois or Kansas or Louisiana or Maryland or Minnesota or Missouri or Montana or Nebraska or Nevada or New Mexico or North Carolina or North Dakota or Oklahoma or Oregon or South Carolina or South Dakota or Tennessee or Texas or Utah or Virginia or District of Columbia or Washington or Wisconsin or Wyoming
$91k-$107k/yr RemoteFull Time
3+ YOE3+ MgmtActive RN license, 3+ years healthcare experience, 3+ years supervisory experience, 2+ years utilization review/case management, U.S. citizenship and favorable DoD background investigation required; CCM/HCQM preferred.
Microsoft Office, Microsoft Word, Microsoft Outlook, InterQual, International Classification of Diseases, Diagnostic and Statistical Manual of Mental Disorders, Current Procedural Terminology, Healthcare Common Procedural Coding System
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.
1mo
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Admissions/ Discharge Case Manager (RN)
Rifle, Colorado, United States
$29-$42/hr OnsiteFull Time
5+ YOECurrent Colorado RN license and BLS required, 5+ years nursing experience preferred, case management/discharge planning experience preferred, proficient with electronic health records, utilization review systems and Microsoft Office.
Electronic Health Records, Utilization Review Systems, Microsoft Office
1w
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Case Manager - Discharge Planning
Edwards, Colorado, United States
$96k-$132k/yr OnsiteFull Time
1+ YOERequires one year of acute-care hospital utilization review or discharge planning experience, Colorado or compact-state RN or Colorado social work licensure, and an associate or bachelor's nursing degree.
HIPAA
1mo
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RN Care Manager
Grand Junction, Colorado, United States
$41-$62/hr OnsitePart Time
Active RN license in state of practice, BSN required (or to obtain within 4 years), clinical inpatient nursing experience, case management and utilization review familiarity preferred, proficiency with word processing and Excel.
Electronic Medical Records (EMR), Microsoft Excel
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Clinical Appeals Coordinator
Oregon or Kansas or Wisconsin or Arizona or South Dakota or North Dakota or Washington or Nevada or Montana or Idaho or New Mexico or Utah or Iowa or Wyoming or Colorado or Missouri or Texas or Minnesota
$34-$61/hr RemoteFull Time
4+ YOERN with 4+ years of clinical nursing or case management experience, or LPN/LVN with 5+ years; applicable state license required. Managed care or utilization review experience preferred.
NCQA
2mo
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Transitional Care Unit Coordinator (TCU)
Leadville, Colorado, United States
$85k-$125k/yr OnsiteFull Time
2+ YOEBachelors in Nursing and active Colorado RN (or ability to obtain); 2+ years case management/patient navigation; knowledge of utilization review, Microsoft Office, basic computer skills; valid driver's license and regional travel ability.
Microsoft Office, Google Chrome, Microsoft Edge
2mo
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Clinical Document Integrity Specialist - Part Time - Remote (Mooresville, NC, US, 28117)
Mooresville or Alabama or Arizona or California or Colorado or Connecticut or Delaware or Florida or Georgia or Hawaii or Illinois or Indiana or Iowa or Kentucky or Louisiana or Maine or Maryland or Massachusetts or Michigan or Missouri or Montana or New Hampshire or New Jersey or New York or North Carolina or Ohio or Oregon or Pennsylvania or South Carolina or Tennessee or Texas or Virginia or Washington or District of Columbia
RemotePart Time
3+ YOEBSN/PA/NP/Doctorate in a medically related field required; 3+ years progressive acute care experience; prior case management/utilization review preferred; licensed as RN/PA/NP/MD preferred; CCDS/CCS/CDIP preferred; strong communication, critical thinking, and computer skills.
ICD-9, ICD-10, PCS, DRG, SOI/ROM, CDI database, AHIMA Practice Brief