Top 29 Utilization manager inpatient Jobs in Denver, Co

Manager, Care Management Transition of Care Team - Denver Health Medical Plan (Must Live in Colorado. Weekly On-Site Requirement)
Denver Health —Denver, CO
- $101,300 - $162,100 a year
- Full-time
- Hybrid work
- Nursing
- Pass drug screening
- Office
- Paid parental leave
- Paid holidays
Remote Utilization Manager - Inpatient
AllHealth Network —Watkins, CO
- $75,000 - $83,000 a year
- Remote
- Spanish
- Nursing
- RN License
Quick Apply
11d
Senior Consultant - Clinical Documentation Specialist
Deloitte —Denver, CO
- $110,700 - $218,300 a year
- Full-time
- Microsoft Word
- Nursing
- RN License
Intensive Care Coordinator
Colorado Access —Denver, CO
- $78,116 - $85,880 a year
- Full-time
- Hybrid work
- LMFT
- Spanish
- Nursing
- AD&D insurance
- Paid holidays
Case Manager Team Lead
St Anthony Hospital —Lakewood, CO
- $38.43 - $68.92 an hour
- Full-time
- Master of Social Work
- Nursing
- RN License
Inpatient Rehab Liaison
UCHealth —Broomfield, CO
- $41.43 - $62.15 an hour
- PRN
- CPR Certification
- Nursing
- RN License
- 403(b) matching
- Health savings account
Account Manager (Colorado and Northern New Mexico)
Advanced Sterilization Products —Denver, CO
- $140,800 - $235,100 a year
- Hospital
- Mid-level
- Driver's License
10d
CTRC Research Front Desk Scheduling Administrator
University of Colorado —Aurora, CO
- $43,700 - $52,877 a year
- Overtime
- Background check
- Microsoft Excel
- Microsoft Outlook
- Disability insurance
- Health insurance
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 Specialist
Denver Springs —Denver, CO
- $26 - $33 an hour
- 8 hour shift
- Mid-level
- Master's degree
- Bachelor's degree
- Disability insurance
- Health insurance
Quick Apply
Social Worker Care Management Full Time Days Littleton
AdventHealth Littleton —Littleton, CO
- $26.89 - $50.01 an hour
- Full-time
- Microsoft Outlook
- Hospital
- Customer service
- Paid parental leave
- Disability insurance
RN Care Manager PRN
Intermountain Healthcare —Wheat Ridge, CO
- $41.20 - $62.17 an hour
- Part-time
- Hybrid work
- Nursing
- RN License
- Hospital
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
Director of Patient Care Services Inpatient Medical Specialties
Children's Hospital Colorado —Aurora, CO
- $137,944.29 - $229,907.13 a year
- Full-time
- Acute care
- Nursing
- RN License
- Wellness program
- 403(b) matching
Chief Medical Officer
HCA HealthONE Presbyterian St. Luke's —Denver, CO
- $283,296 - $424,944 a year
- Full-time
- Senior level
- Leadership
- 10 years
- Employee stock purchase plan
- Disability insurance
Quick Apply
Clinical Manager
The Denver Hospice —Denver, CO
- $90,272 - $106,080 a year
- Urgently hiring
- CPR Certification
- RN License
- BLS Certification
- 403(b) matching
- Health savings account
Quick Apply
Case Manager FT | Westminster Rehab
PAM Health, LLC —Westminster, CO
- $80,000 - $100,000 a year
- Full-time
- RN License
- BLS Certification
- Physical & Rehabilitation Medicine
- Health savings account
- Disability insurance
Quick Apply
7d
RN Care Manager I - PRN
Intermountain Healthcare —Lafayette, CO
- $41.20 - $62.17 an hour
- Part-time
- Hybrid work
- Nursing
- RN License
- Hospital
RN Care Manager (Some Weekend Requirement)
AdventHealth Littleton —Littleton, CO
- $35.04 - $65.17 an hour
- Weekends as needed
- Nursing
- Microsoft Outlook
- RN License
- Paid parental leave
- Disability insurance
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

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utilization manager inpatient jobs near denver, co

Manager, Care Management Transition of Care Team - Denver Health Medical Plan (Must Live in Colorado. Weekly On-Site Requirement)

Denver Health -
Denver, CO

Apply Now

Job Details

Full-time
$101,300 - $162,100 a year

Benefits

Paid parental leave
Paid holidays
Disability insurance
Health insurance
On-site gym
Dental insurance
Tuition reimbursement
Paid time off
Parental leave
Vision insurance
Employee discount
Loan forgiveness
Life insurance
Childcare
Retirement plan

Qualifications

Staff supervision
Managing patients as a nurse case manager
Associate's degree
Associate Degree in Nursing
Hospital experience

Full Job Description

We are recruiting for a mission-driven Manager, Care Management Transition of Care Team - Denver Health Medical Plan (Must Live in Colorado. Weekly On-Site Requirement) to join our team!

We're with you for life’s journey. At Denver Health, purpose isn’t just something we believe in—it’s something we live every day, for life’s journey.

Our Values

Respect | Belonging | Accountability | Transparency

Department

Managed Care Administration

* Must Live in Colorado

* This a hybrid role located in Denver, Colorado with a requirement of being in the office 3 days per week.

Job Summary

The Care Management Transition of Care Team Manager is a pivotal leadership role within the Denver Health Medical Plan driving excellence in the seamless transition of members from acute care settings (hospitals, emergency departments, skilled nursing facilities) to home, outpatient, or post-acute care. This role ensures coordinated, evidence-based care during high-risk transitions to reduce readmissions, improve outcomes, and align with value-based care models. As a leader, you will mentor clinical staff, optimize TOC protocols, and collaborate with providers to create a member-centered continuum of care. Core responsibilities include development, implementation and continuous refinement of TOC workflow. This role with lead a team of nurse care managers specializing in TOC providing coaching, performance feedback and quality assurance. Key metric monitoring includes timely post-discharge follow up and enrollment in the TOC program. Workflows are outcomes oriented, and work will prioritize identification of high-risk members, proactive coordination of care with inpatient teams and health plan utilization management to meet member needs.

Essential Functions :

Transition of Care Leadership & Strategy:
- Delegation of TOC nurse care managers caseloads providing supervision and oversight of KPIs for productivity and outcomes
- Analysis of clinical data to identify gaps, cost-drivers and lead process improvements
- Partner with hospital systems, ACOs and post-acute care providers to establish standardized communication pathways (15%)
Clinical Coordination & Quality Improvement:
- Oversee proactive identification of high-risk members (e.g., chronic conditions, frequent ED utilizers, at risk for readmissions) and implement mitigation strategies
- Ensure timely post-discharge follow-up which may include appointment scheduling, program enrollment, coordination with home health, rehabilitation or social services and provide member education related to self-management and warning signs
- Assist with root-cause analysis of readmissions and adverse events related to TOC failures
- Monitor and report key metrics including: 30-day readmission rates, time-to-first follow up, member satisfaction and provider satisfaction (30%)
Compliance & Regulatory Alignment:
- Ensure all TOC activities comply with CMS requirements, MAC guidelines and plan-specific policies
- Stay current with evolving TOC regulations and innovations to ensure compliance and enhance team practices
- Support audits (internal/external) related to TOC processes and documentation (30%)
Stakeholder Engagement:
- Build and maintain strategic relationships with hospital discharge planners, care managers, emergency department leadership and post-acute care facilities
- Be a spokesperson for TOC best practices and socialize health plan TOC and other care management programs and resources
- Collaborate with utilization management, pharmacy and health outcomes teams to address barriers to care (25%)

Education :

Associate's Degree Nursing required

Work Experience :

1-3 years Health plan or hospital-based care management required
1-3 years leading a team of nurses or care managers (supervisor or leadership experience mandatory) required

Licenses :

Preferred Certifications:
APRN-Certified Nursing Administration - AONL - American Organization for Nursing Leadership OR
AMBRNBC-Ambulatory Care Certification RN - ANCC - American Nurses Credentialing Center OR

Knowledge, Skills and Abilities :

Deep understanding of the safety net populations with complex care needs
Skills navigating acute, post-acute and community-based resources to support transitions of care
Proficiency reviewing clinical information from EHRs and care management software systems
Familiarity with CMS regulations
Facile data analytic skills and quality improvement (e.g., PDSA, root-cause analysis)
Strong mentorship and team development capabilities
Ability to collaborate with cross-functional teams on organizational initiatives with shared goals

* Must Live in Colorado

* This a hybrid role located in Denver, Colorado with a requirement of being in the office 3 days per week.

Shift

Days (United States of America)

Work Type

Regular

Salary

$101,300.00 - $162,100.00 / yr

Benefits

At Denver Health, we take care of the people who take care of our community. Our benefits are built to support your life, your family, and your future — with generous paid time off, fully paid parental leave, exceptional retirement contributions, comprehensive health coverage, and nationally recognized well-being programs. We invest in your growth through tuition assistance, career advancement pathways, and professional development — while also offering meaningful financial advantages through loan forgiveness eligibility and employer contributions. When you join Denver Health, you’re joining a mission-driven organization that invests in you.

Here is a small list of our benefit programs:

Paid time off starting at 28 days per year, inclusive of vacation, personal/sick, and 7 Holidays
100% paid parental leave up to 6 weeks
Immediate eligibility for retirement plans with employer contribution up to 9.5%
Generous medical, dental, vision plans in addition to employer paid disability and life insurance.
Comprehensive well-being programs including on-site employee fitness center located on Denver Health main campus and nationally recognized RESTORE Center
Free RTD EcoPass (public transportation)
Childcare discount programs & exclusive perks on large brands, travel, and more
Tuition reimbursement & assistance
Education, coaching, and professional development opportunities through the Workforce Development Center (WFDC) that support internal career growth and advancement pathways
Professional clinical advancement program & shared governance
Public Service Loan Forgiveness (PSLF) eligible employer+ free student loan coaching and assistance navigating the PSLF program
National Health Service Corps (NHCS) and Colorado Health Service Corps (CHSC) eligible employer

About Denver Health

Denver Health is an integrated, high-quality academic health care system considered a model for the nation that includes a Level I Trauma Center, a 555-bed acute care medical center, Denver’s 911 emergency medical response system, 10 family health centers, 19 school-based health centers, Rocky Mountain Poison & Drug Safety, the Public Health Institute at Denver Health, Denver Health Medical Plan and Denver Health Foundation.

As Colorado’s primary, and essential, safety-net health care system, Denver Health is a mission-driven organization that has provided millions in uncompensated care for the uninsured each year.

Located near downtown Denver, Denver Health is just minutes away from many of the cultural and recreational activities Denver has to offer.

Denver Health is an equal opportunity employer (EOE). We value the unique ideas, talents and contributions reflective of the needs of our community. All job applicants for safety-sensitive positions must pass a pre-employment drug test, once a conditional offer of employment has been made. Applicants will be considered until the position is filled.

Apply Now

Refine Your Search

utilization manager inpatient jobs in denver, co

Manager, Care Management Transition of Care Team - Denver Health Medical Plan (Must Live in Colorado. Weekly On-Site Requirement)

Remote Utilization Manager - Inpatient

Senior Consultant - Clinical Documentation Specialist

Intensive Care Coordinator

Case Manager Team Lead

Inpatient Rehab Liaison

Account Manager (Colorado and Northern New Mexico)

CTRC Research Front Desk Scheduling Administrator

Utilization Review RN

Utilization Review Specialist

Social Worker Care Management Full Time Days Littleton

RN Care Manager PRN

Utilization Review RN Flex

Director of Patient Care Services Inpatient Medical Specialties

Chief Medical Officer

Clinical Manager

Case Manager FT | Westminster Rehab

RN Care Manager I - PRN

RN Care Manager (Some Weekend Requirement)

RN Care Manager – Weekends (Sat/Sun)

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* Must Live in Colorado

Preferred Certifications:

* Must Live in Colorado

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