Top 13 Utilization management nurse Jobs in Idaho Springs, Co

Case Manager Team Lead
St Anthony Hospital —Lakewood, CO
- $38.43 - $68.92 an hour
- Full-time
- Master of Social Work
- Nursing
- RN License
Registered Nurse - Unit Manager
Boulder Canyon Health and Rehabilitation —Boulder, CO
- $89,000 - $110,000 a year
- Full-time
- Experience working with individuals with developmental disabilities
- Patient monitoring
- HIPAA
- Health savings account
- Disability insurance
Quick Apply
RN Care Manager PRN
Intermountain Healthcare —Wheat Ridge, CO
- $41.20 - $62.17 an hour
- Part-time
- Hybrid work
- Nursing
- RN License
- Hospital
Patient Admissions Officer
Command Health —Boulder, CO
- $55,000 - $60,000 a year
- Full-time
- Nursing
- RN License
- Mid-level
Quick Apply
Case Manager - Per Diem
Optum —Boulder, CO
- $29 - $52 an hour
- Full-time
- Master of Social Work
- Nursing
- RN License
Virtual Nurse Practitioner - CA License
One Medical —Idaho Springs, CO
- $59.10 - $65.50 an hour
- Weekends as needed
- Remote
- Mid-level
- Outpatient experience
- Experience working with children
- Commuter assistance
- Paid parental leave
Quick Apply
8d
Registered Nurse - Operating Room (Boulder Surgery Center)
BoulderCentre for Orthopedics and Spine —Boulder, CO
- $38 - $51 an hour
- Full-time
- Nursing
- Anatomy knowledge
- Surgery
- Health savings account
- AD&D insurance
Quick Apply
Part Time Nurse, Youth Crisis
Jefferson Center for Mental Health —Lakewood, CO
- $27.50 - $29.50 an hour
- 12 hour shift
- Spanish
- Nursing
- Psychiatry
Quick Apply
3d
Nurse Practitioner or Physician Assistant - Lakewood, CA
Planned Parenthood Los Angeles —Lakewood, CO
- $75 - $80 an hour
- Weekends as needed
- Nursing
- BLS Certification
- Mid-level
- AD&D insurance
- Paid holidays

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RN Case Manager - Care Management (Days) FT
Adena Health System —Chillicothe, OH
The RN Case Manager ensures compliance with state and federal regulations and CMS Conditions of Participation. Tuition assistance and education support.
7d

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utilization management nurse jobs near idaho springs, co

Case Manager Team Lead

St Anthony Hospital -
Lakewood, CO

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Job Details

Full-time
$38.43 - $68.92 an hour

Qualifications

BLS Certification

Full Job Description

Job Summary and Responsibilities

As our Case Manager Team Lead, you will direct, plan, organize, and lead all activities of the Department staff during a shift, ensuring timely, efficient processes, and the highest quality of professional care.

Every day you will ensure high standards are met to serve the needs of patients, physicians, regulatory agencies, community agencies, and all hospital departments, fostering exceptional service and compliance.

To be successful in this role, you will possess strong leadership and organizational skills, a deep understanding of case management processes, and the ability to drive quality and efficiency while maintaining professional standards and compliance.

Obtains, reviews, and analyzes admission information per hospital policy, documenting assessments, proactively reviewing medical records for compliance, assessing and coordinating resource use, communicating plan modifications, facilitating family conferences, and prioritizing observation patient throughput.
Daily review of all clinic bed, observation, 1-day inpatient stays, and same-day discharge charts for appropriate status, orders, and calculated observation hours, proactively managing length of stay, participating in Utilization Review meetings, and obtaining required regulatory documentation.
Facilitates discharge planning using ECIN, working with patients, families, and the treatment team to make referrals/arrangements and document actions.
Identifies and tracks variances in the anticipated plan of care for process improvement, referring to CMO or PA for peer review, and uses established criteria for level of care, medical necessity, and continued stay, enlisting Physician Advisor involvement as needed.
Assesses/reassesses patient's clinical and psychosocial status, diagnosis, and treatment plan, involving and communicating with physicians as needed, and documents Case Management actions and discharge planning promptly in the electronic health record.
Assists in directing, organizing, and prioritizing all shift activities, ensuring patient, physician, and staff needs are met, problem-solving immediate issues, demonstrating a positive role model, and assisting in staff hiring, orientation, development, and performance recommendations.

Job Requirements

Required

Graduate of accredited school of nursing or Master's of Social Work
Four (4) years as a registered nurse or four (4) years as a social worker
If Registered Nurse, current state RN license
BLS certification from the American Heart Association

Where You'll Work

At CommonSpirit Mountain Region, we believe in the healing power of humanity and serving the common good through our dedicated work and shared mission to celebrate humankindness.

Located in Lakewood, Colorado, St. Anthony Hospital is a Level I Trauma Center where we provide a full range of medical specialties and health care services to Denver and the
surrounding region through our state-of-the-art medical campus and home base for Flight For Life® Colorado. With four trauma rooms including the T-10 room, a dedicated field-to-surgery suite ready 24/7 for trauma surgeons and specially trained teams, our staff can provide life-saving care to the most severely ill and injured patients. In 2023, we received our exciting Magnet® designation! We are so proud of our staff for this achievement, which is awarded to only 10 percent of hospitals around the world.
Numerous other awards, certifications, and accreditations have been granted to us from the American Heart Association; Chest Pain Center (CPC); American College of Cardiology; The Joint Commission’s National Quality Approval; the Emergency Nurses Association Lantern Award; NAPBC Accreditation; American College of Radiology and many others. At St. Anthony Hospital. we combine a heritage of expert care with the latest in technology and innovation. If you’re looking to be part of a fast-paced environment where you can practice to the top of your profession in trauma, cardiology, stroke, neurosciences, breast imaging, cancer/oncology care, surgery and more, we invite you to apply.

Pay Range
$38.43 - $68.92 /hour

Apply Now

Refine Your Search

utilization management nurse jobs in idaho springs, co

Case Manager Team Lead

Registered Nurse - Unit Manager

RN Care Manager PRN

Patient Admissions Officer

Case Manager - Per Diem

Virtual Nurse Practitioner - CA License

Registered Nurse - Operating Room (Boulder Surgery Center)

Part Time Nurse, Youth Crisis

Nurse Practitioner or Physician Assistant - Lakewood, CA

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