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Utilization Review Jobs in Denver

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Search Results - Utilization Review Jobs in Denver
MGA Homecare-Denver
clinical and departmental meetings. Ensuring compliance and contributing to quality improvement and utilization review efforts. Train newly hired clinicians in field visits, EMR documentation, and skills competencies. Assist with staff supervisory visits...
resume-library.com -
Concentra, Inc.-Denver
with Concentra Physician Review policies, procedures, and performance standards and URAAC guidelines and state regulations. Responsibilities MAJOR DUTIES AND RESPONSIBILITIES:   1.  Reviews medical files and provides recommendations for utilization review, chart...
appcast.io -
MGA Homecare-Denver
and contributing to quality improvement and utilization review efforts. Train newly hired clinicians in field visits, EMR documentation, and skills competencies. Assist with staff supervisory visits and complete annual clinical and operational competencies on time...
Encompass Health-Denver
a minimum of a bachelor's degree; a graduate degree is preferred.  •  Three years of hospital-based Case Management experience, including Utilization Review and Discharge Planning experience.  •  May be required to work weekdays and/or weekends, evenings...
Denver
Qualifications/Experience:  •  1+ years of utilization management experience.  •  Experience with commercial health plans and/or clinical programs.  •  Knowledge of Utilization Review Accreditation Commission (URAC), National Committee for Quality Assurance (NCQA...
acentra.com -
Encompass Health-Denver
of hospital plans, including the Provision of Care/Scope of Services, Leadership, Information Management, Utilization Review, Infection Control, and Patient Safety plans. Oversee risk management activities, including completion of incident reports, notice...
Denver
Reviews medical 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...
icims.com -
J. Edward Staffing LLC-Aurora, 8 mi from Denver
Job Title: Registered Nurse - Utilization Review Location: Colorado Military Health System ? Buckley AFB and Peterson AFB. Labor Category: Registered Nurse ? Utilization Management Current POP ends 11/30/25. TO POP ends 11/30/27. This assignment...
resume-library.com -
Denver
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) with Concentra...
icims.com -
VieMed Healthcare Staffing-Aurora, 8 mi from Denver
Quality and Management (HCQM) through American Board of Quality Assurance and Utilization Review Physicians (ABQARP) Certified Informatics Nursing, Ambulatory Care Nursing, Medical-Surgical Nursing or Nursing Case Management through the American Nurses...

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