Top 4 Utilization management nurse Jobs in Edwards, Co

Case Manager – Discharge Planning
Vail Health Hospital —Edwards, CO
- $41.72 - $57.56 an hour
- Full-time
- Master of Social Work
- Nursing
- RN License
- 403(b) matching
- Loan repayment program
7d
Case Manager - Discharge Planning
Vail Health Hospital —Edwards, CO
- $41.72 - $57.56 an hour
- Full-time
- Nursing
- RN License
- Hospital
- 403(b) matching
- Loan repayment program
Quick Apply
7d
Utilization Management Reviewer
Amerihealth Caritas —United States
- Full-time
- Hybrid work
- Nursing
- Microsoft Outlook
- RN License
- Paid holidays
- Health insurance

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Case Manager – Discharge Planning
Vail Health Hospital —Edwards, CO
Licensed as a Registered Nurse in the state of Colorado or from a valid compact state OR a Licensed Social Worker/Licensed Clinical Social Worker in the state…
$41.72 - $57.56 an hour
7d
Case Manager - Discharge Planning
Vail Health Hospital —Edwards, CO
Licensed as a Registered Nurse in the state of Colorado or from a valid compact state OR a Licensed Social Worker/Licensed Clinical Social Worker in the state…
$41.72 - $57.56 an hour
Quick Apply
7d

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utilization management nurse jobs near edwards, co

Case Manager – Discharge Planning

Vail Health Hospital -
Edwards, CO

Apply Now

Job Details

Full-time
$41.72 - $57.56 an hour
7 days ago

Benefits

403(b) matching
Loan repayment program
Disability insurance
Health insurance
Dental insurance
Tuition reimbursement
Paid time off
Paid housing
Parental leave
Vision insurance
403(b)
Life insurance
Pet insurance

Qualifications

Computer operation
HIPAA compliance
Utilization review
Computer literacy
HIPAA
English
Acute care facility experience
Utilization management
Computer skills

Full Job Description

Schedule
Schedule
Full-time year-round
Shift
Days
Details
Company
Behavioral Health
Location
Edwards, CO
Category
Risk, Quality, Safety
Clinical
Yes
Close Date
August 28, 2026
Pay
Hourly
$41.72 – $57.56 USD

Vail Health has become the world’s most advanced mountain healthcare system. Vail Health consists of an updated 520,000-square-foot, 56-bed hospital. This state-of-the-art facility provides exceptional care to all of our patients, with the most beautiful views in the area, located centrally in Vail. Learn more about Vail Health here.

About the opportunity:
Provides a smooth transition for the patient from hospital to home or alternative care setting through coordination of services to meet the post discharge needs identified while maintaining a balance among quality outcome, cost, and process. Collaborates with clinical care team in navigating transition of care and acts as a leader in care coordination establishing a discharge plan which promotes the most optimal health outcome. Champions the right care, at the right place, at the right time.

What you will do:
Assesses assigned patient cases to identify case management needs and collaborates with the physician and the patient/family to identify desired outcomes and develop a plan of care.
Leads the coordination of patient care with other disciplines within the care team, monitoring the appropriateness and timeliness of care.
Ensures the interdisciplinary care plan is consistent with the patient’s clinical course, continuing care needs, covered services and estimated length of stay by monitoring diagnostic testing, treatments and procedures throughout the continuum of care.
Screens and completes admission assessment within 24 hours of admission on all newly admitted patients. Identifies at risk patients/families and partners with clinical care team to meet patient’s needs.
Develops and implements discharge plans for assigned patients, in collaboration with the interdisciplinary team, patient/family, payor, and external resources.
Actively contributes, participates, and follows through on interventions identified in Interdisciplinary Care Rounds.
Maintains compliance with Centers for Medicare & Medicaid Services regulations.
Supports the needs of the Case Management department and the organization within scope of practice, as needed.
Role models the principals of a Just Culture and Organizational Values.
Must be HIPAA compliant.

This description is not intended and should not be construed to be an exhaustive list of all responsibilities, skills and efforts or work conditions associated with the job. It is intended to be an accurate reflection of the general nature and level of the job.

What you will need:
Experience:
One-year recent experience in acute care hospital Utilization Review, Discharge Planning or equivalent, required.

License(s):
Licensed as a Registered Nurse in the state of Colorado or from a valid compact state OR a Licensed Social Worker/Licensed Clinical Social Worker in the state of Colorado, required

Certification(s):
N/A

Computer / Typing:
Must possess, or be able to obtain within 90 days, the computers skills necessary to complete online learning requirements for job-specific competencies, access online forms and policies, complete online benefits enrollment, etc
Must have working knowledge of the English language, including reading, writing, and speaking English.

Education:
Associate’s or Bachelor’s degree in nursing, required.
Master’s degree in Social Work, preferred.

Benefits at Vail Health (Full Time) Include:
Competitive Wages & Family Benefits:
Competitive wages
Parental leave (4 weeks paid)
Housing programs
Childcare reimbursement

Comprehensive Health Benefits:
Medical
Dental
Vision

Educational Programs:
Tuition Assistance
Existing Student Loan Repayment
Specialty Certification Reimbursement
Annual Supplemental Educational Funds

Paid Time Off:
Up to five weeks in your first year of employment and continues to grow each year.

Retirement & Supplemental Insurance:
403(b) Retirement plan with immediate matching
Life insurance
Short and long-term disability

Recreation Benefits, Wellness & More:
Up to $1,000 annual wellbeing reimbursement
Recreation discounts
Pet insurance

Pay is based upon relevant education and experience per hour.

Hourly Pay:
$41.72—$57.56 USD

Apply Now

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utilization management nurse jobs in edwards, co

Case Manager – Discharge Planning

Case Manager - Discharge Planning

Utilization Management Reviewer

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