Utilization Review Jobs in Colorado
1 - 15 of 17
Search Results - Utilization Review Jobs in Colorado
HexaQuEST Global - Healthcare-Meeker (CO)
Job Description:
Seeking energetic, capable, skilled case manager with knowledge of IMM, MOON, HINN notices and experience with MCG. Must have computer skills
ABOUT: 16 bed Critical Access Hospital with 1 Case Manager located in Meeker, CO
Patient...
resume-library.com -
Denver Springs-Englewood (CO)
team including physicians, utilization review and nursing staff members. Demonstrates active communication with team members.
• Demonstrates the ability to work with the utilization review department. Ensures communication with UR on length of stay...
HexaQuEST Global - Healthcare-Grand Junction (CO)
of case management experience in a hospital setting, and at least two (2) years of Utilization Review experience with knowledge of evidence-based criteria guidelines OR equivalent combination of education and experience.
CERTIFICATES/LICENSES:
Current...
resume-library.com -
Voca-Lakewood
Reviewer. • Involved with identifying LOS and projected discharge date early in admission and communicate this May 06, 2021 Version: 1 Page 3 of 6 to the care team. • Works with third party payers to satisfy utilization review requests and obtain approval...
Resource Logistics, Inc.-Longmont
level WAN networks preferably MPLS
Experience in network infrastructure planning, testing, deployment, operations, and maintenance,
Experience with capacity planning, utilization review, and performance monitoring.
Tier 3 Global/Enterprise Network...
resume-library.com -
Elevancehealth-Denver
to attend a town hall office meeting once a quarter. Position specific details: The successful candidate will have experience with Medicare appeals and/or utilization review experience.The Pharmacist – Clinical Appeals is responsible for managing...
Colorado Springs
and provides recommendations for utilization review, chart reviews, medical necessity, appropriateness of care and return to work, short and long-term disability, Family and Medical Leave Act (FMLA), Group health and workers’ compensation claims.
• Meets (when...
icims.com -
Dane Street, LLC-Colorado
Dane Street is an Independent Review Organization and a national provider of Utilization Review services (among other offerings) and we are expanding our physician panel resulting in opportunities for non-traditional physician work and supplemental...
workable.com -
Colorado Springs
and provides recommendations for utilization review, chart reviews, medical necessity, appropriateness of care and return to work, short and long-term disability, Family and Medical Leave Act (FMLA), Group health and workers’ compensation claims.
• Meets (when...
icims.com -
Englewood (CO)
the discipline.
• Consistently monitors the backlog of work and the sharing of resources within the discipline, maximizing staff utilization. Reviews staff utilization regularly and promptly addresses staff not meeting utilization goals.
• Actively involved...
colliersengineering.com -
Colorado Springs
and provides recommendations for utilization review, chart reviews, medical necessity, appropriateness of care and return to work, short and long-term disability, Family and Medical Leave Act (FMLA), Group health and workers’ compensation claims.
• Meets (when...
icims.com -
Colorado Springs
recommendations for utilization review, chart reviews, medical necessity, appropriateness of care and return to work, short and long-term disability, Family and Medical Leave Act (FMLA), Group health and workers’ compensation claims.
• Meets (when required...
icims.com -
Colorado Springs
files and provides recommendations for utilization review, chart reviews, medical necessity, appropriateness of care and return to work, short and long-term disability, Family and Medical Leave Act (FMLA), Group health and workers’ compensation claims...
icims.com -
Denver
with Concentra Physician Review policies, procedures, and performance standards and URAAC guidelines and state regulations.
Responsibilities:
MAJOR DUTIES AND RESPONSIBILITIES:
• Reviews medical files and provides recommendations for utilization review, chart...
icims.com -
Westminster
reports to monitor trends and determine operational deficiencies and implement corrective action plans as necessary.
• Work closely with Utilization Review and Admissions staff to ensure proper authorization of patient insurance coverage.
• Manage...
icims.com -
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