Top 71 Utilization review rn Jobs in Aurora, Co

RN Care Manager - Denver Market
ArchWell Health —Denver, CO
- $85,000 - $100,000 a year
- Full-time
- Nursing
- RN License
- Mid-level
Utilization Review RN
Children's Hospital Colorado —Aurora, CO
- $87,095.44 - $130,643.16 a year
- Part-time
- CPR Certification
- Nursing
- RN License
- Wellness program
- 403(b) matching
Utilization Review RN Flex
Children's Hospital Colorado —Aurora, CO
- $52.26 an hour
- Evenings as needed
- CPR Certification
- Nursing
- RN License
- Wellness program
- Paid sick time
3d
RN Care Manager PRN
Intermountain Healthcare —Lafayette, CO
- $41.20 - $62.17 an hour
- Part-time
- Hybrid work
- Nursing
- RN License
- Hospital
Remote Utilization Manager - Inpatient
AllHealth Network —Watkins, CO
- $75,000 - $83,000 a year
- Remote
- Spanish
- Nursing
- RN License
Quick Apply
11d
RN Care Manager I - PRN
Intermountain Healthcare —Lafayette, CO
- $41.20 - $62.17 an hour
- Part-time
- Hybrid work
- Nursing
- RN License
- Hospital
Utilization Review Coordinator - Behavioral Health Setting
Highlands Behavioral Health System —Highlands Ranch, CO
- $33.33 - $49.99 an hour
- Full-time
- Acute care
- RN License
- Computer literacy
- Loan repayment program
- Health insurance
Nurse Practitioner - Centennial, CO
MEDEVAL —Centennial, CO
- $120,000 - $150,000 a year
- Extended hours
- Nursing
- Microsoft Excel
- RN License
Quick Apply
Operating Room Nurse Part-Time
Synergy Surgery Center —Englewood, CO
- $34.67 - $50.90 an hour
- Part-time
- Surgery
- Mid-level
- Employee stock purchase plan
- Disability insurance
Quick Apply
Nurse Manager - Substance Abuse
Red Rock Recovery Center —Morrison, CO
- $87,000 - $114,000 a year
- Weekends as needed
- Nursing
- Vital signs
- Addiction Medicine
- Health insurance
- Dental insurance
Quick Apply
Clinical Support Specialist
Team Select Home Care —Denver, CO
- $38 - $40 an hour
- Full-time
- Background check
- RN License
- Computer literacy
- Health savings account
- Disability insurance
Quick Apply
11d
Operating Room Nurse Part-Time
Muscular-Skeletal Ambulatory Surgery Center —Thornton, CO
- $34.67 - $50.90 an hour
- Part-time
- Surgery
- Mid-level
- Employee stock purchase plan
- Disability insurance
Quick Apply
Operating Room Nurse
Clear Creek Surgery Center —Wheat Ridge, CO
- $34.67 - $50.90 an hour
- Full-time
- Surgery
- Mid-level
- Employee stock purchase plan
- Disability insurance
Quick Apply
Operating Room Nurse
Sky Ridge Surgical Center —Lone Tree, CO
- $34.67 - $50.90 an hour
- Full-time
- Surgery
- Mid-level
- Employee stock purchase plan
- Disability insurance
Quick Apply
Registered Nurse Triage and Transitions Team
Intermountain Healthcare —Broomfield, CO
- $35.22 - $53.29 an hour
- Full-time
- Hybrid work
- Nursing
- RN License
- Customer service
RN Case Manager PRN
HCA HealthONE Rose —Denver, CO
- $40.35 - $58.87 an hour
- PRN
- Bachelor of Science
- Mid-level
- 2 years
- Employee stock purchase plan
- Disability insurance
Quick Apply
Inpatient Rehab Liaison
UCHealth —Broomfield, CO
- $41.43 - $62.15 an hour
- PRN
- CPR Certification
- Nursing
- RN License
- 403(b) matching
- Health savings account
Case Manager Team Lead
St Anthony Hospital —Lakewood, CO
- $38.43 - $68.92 an hour
- Full-time
- Master of Social Work
- Nursing
- RN License
RN Care Manager – Weekends (Sat/Sun)
AdventHealth Parker —Parker, CO
- $35.04 - $65.17 an hour
- Weekends as needed
- Nursing
- Microsoft Outlook
- RN License
- Paid parental leave
- Disability insurance
Case Manager II
Kindred Hospital Denver —Denver, CO
- $43.82 - $55.57 an hour
- Master of Social Work
- Nursing
- RN License
- Health savings account
- Health insurance
4d

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RN Care Manager - Denver Market

ArchWell Health -
Denver, CO

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Job Details

Full-time
$85,000 - $100,000 a year

Qualifications

Collaborate with healthcare professionals
Care plan evaluation
Patient progress tracking
RN License
Multidisciplinary team collaboration for treatment planning
Patient progress monitoring
Care plan implementation
Associate's degree
Associate Degree in Nursing

Full Job Description

ArchWell Health is re-imagining the practice of primary care. We are putting the relationship between patient and physician at the center of a value-based model focused on outstanding patient experience, improved access, and better outcomes. In our medical clinics, we provide comprehensive primary care for senior adults with traditional Medicare and Medicare Advantage plans, focused on delivering improved quality, better patient experience and lower total cost of care.

Job Summary:
The Nurse Care Manager is responsible for helping coordinate and evaluate the management of patients with acute and chronic conditions, across the care continuum, to achieve high quality care measured by positive patient outcomes. This position will work closely with members of the care team to follow the patient from our centers into acute and post-acute facilities, as well as their home environments. The Nurse Care Manager plays a pivotal role in developing the care plan alongside the care team and then executing to achieve goals/objectives, standards of performance, regulatory compliance, and quality patient care.

Duties/Responsibilities:

Establish a trusting relationship with patients, their families, and/or caregivers.
Collaborate with clinical staff and other care team members to achieve patient goals.
Reduce network costs by driving referrals to preferred groups and identifying excessive referral requests.
Identify high-risk/complex patients.
Assess physical, functional, social, psychosocial, environmental, learning, and financial needs and develop a comprehensive, individualized care plan based upon identified needs.
Perform case management following the nursing process and standards of practice established by the Case Management Society of America (CMSA).
Provide patient education, care coordination, and other interventions needed to help patients a achieve their health goals.
Utilize Motivational Interviewing to build patient engagement.
Evaluate progress toward patient’s goal achievement.
Communicate telephonically with hospital case managers, physical therapists (PT), social workers, patients, and families/caregivers to facilitate a safe discharge plan.
Manage and plan for transitions of care.
Conduct transitions of care assessment/screening, medication reconciliation, and care coordination following discharge to home.

Required Skills/Abilities:

Ability to plan, implement and evaluate patient specific care plans.
Experience with monitoring, assessing, recording, and adjusting plan accordingly.
Working knowledge of patient medical records.
Working knowledge of community-based organizations and social services support agencies/network.
Strong interpersonal communication skills with exceptional active listening abilities.
Highly empathetic, non-judgmental, and open-minded.
Experience in a collaborative team environment.
Self-starter, critical thinker, and owner.
Demonstrated ability to work independently in a remote setting.

Education and Experience:

Associate degree in Nursing required.
Bachelor’s Degree in Nursing (BSN) or RN with bachelor’s degree in a related clinical field preferred.
A valid, active, unrestricted Registered Nurse (RN) license in State of employment required.
Willingness to obtain an RN license in other states with an ArchWell Health center (compact and non-compact locations).
A minimum of 2 years’ clinical work experience required.
A minimum of 1 year of utilization review, home health, discharge planning experience highly desired.
A minimum of 1 year of case management experience in acute case management or ambulatory case management experience highly desired
Certified Case Manager certification is preferred. Certification through the Commission for Case Manager Certification (CCMC) or the American Association of Managed Care Nurses (CMCN) or willingness to obtain certification within a specified time.
ICD-10, CPT codes, HCPCS knowledge preferred.
Managed care experience including knowledge of HEDIS and CMS guidelines preferred.
Mission driven and motivated to join an organization that will transform the way we deliver accessible, clinically excellent care to seniors.
Proficient computer skills including Microsoft Office.
Fluency in Spanish or other languages spoken by people in the communities we serve (where necessary)
Embodies and serves as a role model of ArchWell Health’s Values:
Be compassionate
Strive for excellence
Earn trust
Show respect
Stay resilient
Always do the right thing

ArchWell Health is an equal opportunity employer. Qualified applicants will receive consideration for employment without regard to their race, color, religion, age, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other protected classification.

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Refine Your Search

utilization review rn jobs in aurora, co

RN Care Manager - Denver Market

Utilization Review RN

Utilization Review RN Flex

RN Care Manager PRN

Remote Utilization Manager - Inpatient

RN Care Manager I - PRN

Utilization Review Coordinator - Behavioral Health Setting

Nurse Practitioner - Centennial, CO

Operating Room Nurse Part-Time

Nurse Manager - Substance Abuse

Clinical Support Specialist

Operating Room Nurse Part-Time

Operating Room Nurse

Operating Room Nurse

Registered Nurse Triage and Transitions Team

RN Case Manager PRN

Inpatient Rehab Liaison

Case Manager Team Lead

RN Care Manager – Weekends (Sat/Sun)

Case Manager II

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