5 utilization review case manager jobs at 4 companies in Denver, CO
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Utilization Review RN Flex
Aurora or Colorado
$51/hrRemotePart Time
Children's Hospital Colorado: Provides comprehensive pediatric medical and surgical healthcare services.
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.
AllHealth Network: Provides behavioral health and substance use treatment services.
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.
Children's Hospital Colorado: Provides comprehensive pediatric medical and surgical healthcare services.
3+ YOEBSN required, 3+ years clinical or case management experience including utilization review, active RN license, BLS/CPR required; strong communication and critical thinking.
ScionHealth: Operates community and specialty hospitals providing acute healthcare services.
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.
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.