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1,493 Jobs in Colorado

  • Regional Utilization Management Director

    Kaiser Permanente - Aurora, Colorado
    ... the overall, regionwide utilization management function ensuring the accurate and timely prior authorization of designated healthcare services. Oversees the concurrent, discharge planning and retrospective ...
  • Unit Secretary

    HCA Healthcare - Aurora, Colorado
    ... Center of Aurora today and find out what it truly means to be a part of the HCA Healthcare team ... : Comprehensive medical coverage that covers many common services at no cost or for a low copay. Plans include ...
  • RN Utilization Coordinator - Denver Health Medical Plan (Mus

    Denver Health - Denver, Colorado
    ... and reports on specific cases, and provides information regarding utilization management requirements ... We are recruiting for a motivated RN Utilization Coordinator - Denver Health Medical Plan (Must ...
  • Staff Utilization Management Pharmacist (Contract)

    Humana - Denver, Colorado
    ... comprehensive medication reviews for prescriptions requiring pre-authorization. The Utilization Management ... independent determination of the appropriate courses of action.The Utilization Management Clinical Pharmacist ...
  • Utilization Management RN

    UCHealth - Aurora, Colorado
    ... Department: UCH Utilization Management FTE: PRN, 0.0, 0.00 hours per pay period (2 weeks) Shift ... . Preferred: 3 years of utilization or case management experience. We improve lives. In big ways ...
  • Chief Medical Officer

    HCA Healthcare - Denver, Colorado
    ... ** Executives thrive with us! HCA Healthcare is one of the nation’s leading providers of healthcare services ... management, appropriate documents standards, utilization and quality issues, and quality improvement ...
  • Medical Director - Mid West Region

    Humana - Denver, Colorado
    ... , utilization management, case management, discharge planning and/or home health or post acute services such as ... medical interpretation and determinations whether services provided by other healthcare professionals are ...
  • Utilization Review RN

    Children's Hospital Colorado - Aurora, Colorado
    ... criteria to perform review activities to ensure the proper utilization of hospital services and payment of ... healthcare team to help identify and control inappropriate resource utilization Conducts concurrent ...
  • UR COORDINATOR

    Universal Health Services - COLORADO SPRINGS, Colorado
    ... healthcare and management operations are conducted by subsidiaries of Universal Health Services, Inc. To the ... FILLED. We have a Full Time Utilization Management Care Coordinator opportunity ...
  • System Design Engineer (hybrid) - Colorado Springs, CO

    Kinder Morgan - COLORADO SPRINGS, Colorado
    ... Education Required: Bachelors Degree RC/Department: 0087 -GPL-W-DIR W REGION SYS DESIGN ... The System Design engineer is responsible for capacity management, operational support, and developing ...
  • Cardiovascular Value Analysis Manager

    CommonSpirit Health - Englewood, Colorado
    ... trends in the healthcare industry which may impact product/service selection and utilization ... project management and/or healthcare finance is desirable Minimum of five (5) years experience in ...
  • Clinical Denial Analyst

    Montrose Memorial Hospital - Montrose, Colorado
    ... (3) years' experience working within case management, utilization management or denial management ... About Montrose Regional Health: As the leading healthcare in the Uncompahgre ...
  • Regional Vice President - Mountain Region - 5001043586006

    U.S. Renal Care, Inc. - Denver, Colorado
    ... , operations/administrative management and team building competencies in support and development of USRC ... , clinical, technical regulatory, growth and P&L management consisting of multiple outpatient clinics ...
  • Medical Director - National Medicare Team

    Humana - Denver, Colorado
    ... healthcare providers, clinical group practice management. Utilization management experience in a medical ... medical interpretation and determinations whether services provided by other healthcare professionals are ...
  • Medicare Grievances and Appeals Corporate Medical Director

    Humana - Denver, Colorado
    ... of services provided by other healthcare professionals in compliance with review policies, procedures ... improving consumer experiences Preferred Qualifications Medical utilization management ...
  • Medical Director - South Central

    Humana - Denver, Colorado
    ... medical interpretation and determinations whether services provided by other healthcare professionals are ... participating in teams focusing on quality management, utilization management, case management, discharge ...
  • Medical Director - Gulf South

    Humana - Denver, Colorado
    ... , utilization management, case management, discharge planning and/or home health or post acute services such as ... interpretation and determinations whether services provided by other healthcare professionals are in agreement ...
  • Director Decision Support

    HCA Healthcare - Denver, Colorado
    ... resource utilization reporting to analyze expense management and profitability. Is accountable ... , AND ABILITIES:** Ability to research, understand, and explain healthcare services’ volume ...
  • Medical Director - Southeast Region

    Humana - Denver, Colorado
    ... and determinations whether services provided by other healthcare professionals are in agreement with ... prior experience participating in teams focusing on quality management, utilization management, case ...
  • Manager Behavioral Health Clinical Services

    Elevance Health - DENVER, Colorado
    ... the delivery of quality care management, clinical utilization, and referral services. How you ... **Manager Behavioral Health Clinical Services Location: This position will work in ...
  • Clinical Program Manager, Content Operations

    HealthEdge Software Inc - Denver, Colorado
    ... . About our "Wellframe" Product: With Wellframe, we reimagine healthcare relationships through a ... need it. We call it Digital Health Management. Our comprehensive suite of Digital Health Management ...
  • Patient Care Manager/Clinical Manager (RN)

    LHC Group Inc. - Denver, Colorado
    ... utilization f services, equipment, and supplies through activities such as random patient visits, medical ... , bonus eligible At At Home Healthcare, a part of LHC Group, we embrace a culture of caring, belonging ...
  • Registered Nurse RN Case Manager

    Banner Health - Sterling, Colorado
    ... management or utilization review as normally obtained through the completion of a bachelor's degree in case ... /utilization management. Must demonstrate critical thinking skills, problem-solving abilities, effective ...
  • Consulting Manager, Services Delivery

    Snowflake Inc. - Denver, Colorado
    ... vertical expertise (Media, Financial Services, Healthcare, etc.) Project Management background and/or ... Build the future of data. Join the Snowflake team. Snowflake Professional Services is the ...
  • Unit Secretary- Same Day Surgery

    HCA Healthcare - Aurora, Colorado
    ... Healthcare has committed up to $300 million in programs to support our incredible team members over the ... programs include: Comprehensive medical coverage that covers many common services at no cost or ...
  • Clinical Education Simulation Specialist

    HCA Healthcare - Denver, Colorado
    ... programs include: Comprehensive medical coverage that covers many common services at no cost or ... telemedicine services and free AirMed medical transportation. Additional options for dental and vision ...
  • Customer Success Manager

    CSG International - Denver, Colorado
    ... enterprise SaaS customers in Healthcare, Financial Services, Retail and/or Cable & Telco. Has a proven ... . You will serve as the primary services point of contact, building and maintaining strong relationships ...
  • Clinical Sales Specialist - IBD (Sacramento - Florin)

    Takeda Pharmaceuticals - Denver, Colorado
    ... services including Gastroenterologists HCPs and professional or patient groups. Use insight and ... . Collaborate with partners on routing and resource utilization to maximize overall footprint performance ...
  • Care Navigator

    Solvista Health - Canon City, Colorado
    ... General Purpose The Care Navigator provides a partnership approach to healthcare and community-based services, to support medical, social, developmental, behavioral, educational, and financial needs ...
  • Customer Success Manager

    CSG International - Englewood, Colorado
    ... enterprise SaaS customers in Healthcare, Financial Services, Retail and/or Cable & Telco. Has a proven ... . You will serve as the primary services point of contact, building and maintaining strong relationships ...
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