Top 322 Documentation & utilization review Jobs in Thornton, Co

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
Population Health Specialist
SAH Senior Health Centers —Lakewood, CO
- $20.13 - $34.15 an hour
- Full-time
- Surgery
- Computer literacy
- Mid-level
Director, Pharmacy - Denver Health Medical Plan (* Hybrid Work Schedule *)
Denver Health —Denver, CO
- $150,900 - $249,100 a year
- Full-time
- Hybrid work
- Customer service
- Pass drug screening
- Office
- Paid parental leave
- Paid holidays
Certified Occupational Therapist Assistant (COTA)
Boulder Canyon Health and Rehabilitation —Boulder, CO
- $32 - $41 an hour
- Full-time
- Travel
- US work authorization
- Computer skills
- Health savings account
- Health insurance
Quick Apply
6d
Registered Nurse
Optimal Home Care Inc —Highlands Ranch, CO
- Full-time
- Nursing
- RN License
- Mid-level
- Mileage reimbursement
- 401(k)
Quick Apply
6d
Nurse Practitioner - Centennial, CO
MEDEVAL —Centennial, CO
- $120,000 - $150,000 a year
- Extended hours
- Nursing
- Microsoft Excel
- RN License
Quick Apply
Occupational Therapist
Ridgeview Post Acute —Commerce City, CO
- $41 - $50 an hour
- Full-time
- Background check
- Skilled nursing facility
- Customer service
- Wellness program
- Health savings account
Quick Apply
Occupational Therapist
Boulder Canyon Health and Rehabilitation —Boulder, CO
- $40 - $52 an hour
- Full-time
- Background check
- Writing skills
- Mid-level
- Life insurance
Quick Apply
Part - Time Physician Opportunities
Summit Medical Consultants LLC —Denver, CO
- $35,000 - $160,000 a year
- Part-time
- Medicine
- Skilled nursing facility
- BC/BE
Quick Apply
Physical Therapist ($3,000 Sign-on Bonus)
The Springs at St. Andrew's Village —Aurora, CO
- $46 - $52 an hour
- Weekends as needed
- Background check
- Skilled nursing facility
- Physical & Rehabilitation Medicine
- Health savings account
- Paid holidays
Quick Apply
Nurse Practitioner (NP) – Addiction Medicine
Avenues Recovery —Denver, CO
- $120,000 - $155,000 a year
- Full-time
- Patient monitoring
- Addiction Medicine
- Inpatient
- AD&D insurance
- Loan repayment program
Quick Apply
4d
Licensed Mental Health Clinician
Fidelity Behavioral Health —Westminster, CO
- $75,000 - $85,000 a year
- Full-time
- Hybrid work
- Background check
- LMFT
- Management
- Health insurance
- Dental insurance
Quick Apply
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
12d
Speech Language Pathologist - Pediatric Outpatient
NAPA Center —Centennial, CO
- Full-time
- CPR Certification
- Current TB test
- BLS Certification
- Wellness program
- Dental insurance
Quick Apply
Physical Therapist
Cottonwood Healthcare —Denver, CO
- $45 - $55 an hour
- Part-time
- CPR Certification
- Computer literacy
- Writing skills
- Continuing education credits
- Health savings account
Quick Apply
13d
Physical Therapist Senior Living
Reliant Rehabilitation —Arvada, CO
- $47 - $60 an hour
- Part-time
- Microsoft Excel
- Microsoft Outlook
- Computer literacy
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
Synergy Surgery Center —Englewood, CO
- $34.67 - $50.90 an hour
- Part-time
- Surgery
- Mid-level
- Employee stock purchase plan
- Disability insurance
Quick Apply
Commercial Building Inspector
Bureau Veritas Building Assessments & Project Management —Denver, CO
- $75,000 - $85,000 a year
- Full-time
- Clean driving record
- Engineering
- Mid-level
- Health savings account
- AD&D insurance
Quick Apply
2d
Senior Applications Engineer Irrigation - Aqua Systems
Hire Standard —Denver, CO
- Overtime
- Construction site
- Computer literacy
- Driving
Quick Apply

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Utilization Review Specialist

Denver Springs -
Denver, CO

Quick Apply

Job Details

Full-time
$26 - $33 an hour

Benefits

Disability insurance
Health insurance
Dental insurance
Tuition reimbursement
Paid time off
Family leave
Vision insurance
401(k) matching
Employee discount
Gym membership
Opportunities for advancement
Loan assistance

Qualifications

Bachelor's degree

Full Job Description

Your experience matters

Denver Springs is part of Lifepoint Health, a diversified healthcare delivery network with facilities coast to coast. We are driven by a profound commitment to prioritize your well-being so you can provide exceptional care to others. As a Utilization Review Specialist joining our team, you’re embracing a vital mission dedicated to making communities healthier ®. Join us on this meaningful journey where your skills, compassion and dedication will make a remarkable difference in the lives of those we serve.

How you’ll contribute

Utilization Review Specialist facilitates clinical reviews on all patient admissions and continued stays. UR analyzes patient records to determine legitimacy of admission, treatment, and length of stay and interfaces with managed care organizations, external reviewers and other payers. UR advocates on behalf of patients with substance abuse, dual diagnosis, psychiatric or emotional disorders to managed care providers for necessary treatment. UR contacts external case managers/managed care organizations for certification of insurance benefits throughout the patient’s stay and assists the treatment team in understanding the insurance company’s requirements for continued stay and discharge planning.

A Utilization Review Specialist who excels in this role:

Displays knowledge of clinical criteria, managed care requirements for inpatient and outpatient authorization and advocates on behalf of the patient to secure coverage for needed services.
Completes pre and re-certifications for inpatient and outpatient services. Reports appropriate denial, and authorization information to designated resource.
Actively communicates with interdisciplinary team to acquire pertinent information and give updates on authorizations.
Participate in treatment teams to ensure staff have knowledge of coverage and to collect information for communication with agencies.
Works with DON to ensure documentation requirements are met.
Ensure appeals are completed thoroughly and on a timely basis.
Interface with managed care organizations, external reviews, and other payers.
Communicate with physicians to schedule peer to peer reviews.
Accurately report denials.

Education

Bachelors required. Masters preferred.

Schedule

FT, On-site, anytime between 7am-6pm MST (8 hours a day)

Why join us

We believe that investing in our employees is the first step to providing excellent patient care. In addition to your base compensation, this position also offers:

Comprehensive Benefits: Multiple levels of medical, dental and vision coverage for full-time and part-time employees.
Financial Protection & PTO: Life, accident, critical illness, hospital indemnity insurance, short- and long-term disability, paid family leave and paid time off.
Financial & Career Growth: Higher education and certification tuition assistance, loan assistance and 401(k) retirement package and company match.
Employee Well-being: Mental, physical, and financial wellness programs (free gym memberships, virtual care appointments, mental health services and discount programs).
Professional Development: Ongoing learning and career advancement opportunities.

More about Denver Springs Hospital

Denver Springs is located in Englewood, CO, and is part of Lifepoint Health, a diversified healthcare delivery network committed to making communities healthier® with acute care, rehabilitation, and behavioral health facilities from coast to coast. From your first day to your next career milestone—your experience matters

Hourly range

$26-$33

EEOC Statement

“Denver Springs is an Equal Opportunity Employer. Denver Springs is committed to Equal Employment Opportunity for all applicants and employees and complies with all applicable laws prohibiting discrimination and harassment in employment.”

We employ and provide care to people from all walks of life. We are committed to promoting healing, providing hope, preserving dignity and producing value with an inclusive workforce in which diversity is leveraged, respected, and reflective of the patients, family members, customers and team members we serve.Lifepoint Health is a leader in community-based care and driven by a mission of Making Communities Healthier. Our diversified healthcare delivery network spans 29 states and includes 63 community hospital campuses, 32 rehabilitation and behavioral health hospitals, and more than 170 additional sites of care across the healthcare continuum, such as acute rehabilitation units, outpatient centers and post-acute care facilities. We believe that success is achieved through talented people. We want to create places where employees want to work, with opportunities to pursue meaningful and satisfying careers that truly make a difference in communities across the country.

Quick Apply

Refine Your Search

documentation & utilization review jobs in thornton, co

Utilization Review Specialist

Population Health Specialist

Director, Pharmacy - Denver Health Medical Plan (* Hybrid Work Schedule *)

Certified Occupational Therapist Assistant (COTA)

Registered Nurse

Nurse Practitioner - Centennial, CO

Occupational Therapist

Occupational Therapist

Part - Time Physician Opportunities

Physical Therapist ($3,000 Sign-on Bonus)

Nurse Practitioner (NP) – Addiction Medicine

Licensed Mental Health Clinician

Registered Nurse - Unit Manager

Speech Language Pathologist - Pediatric Outpatient

Physical Therapist

Physical Therapist Senior Living

Clinical Support Specialist

Operating Room Nurse Part-Time

Commercial Building Inspector

Senior Applications Engineer Irrigation - Aqua Systems

I want to receive the latest job alert for documentation & utilization review in thornton, co

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