Utilization Review Jobs in Denver, CO

This Clinician provides and documents skilled nursing care to pediatric and adult patients reporting to the SNV Clinical Supervisor. This role ensures compliance with MGA State and accrediting agency policies reimbursement guidelines and HIPAA. The Clinician manages patient care plans More...

This Clinician provides and documents skilled nursing care to pediatric and adult patients reporting to the SNV Clinical Supervisor. This role ensures compliance with MGA State and accrediting agency policies reimbursement guidelines and HIPAA. The Clinician manages patient care plans More...

We are actively recruiting for an CAL RNs to join our rapidly growing Population Health team.  The primary role of the Care Manager will be to provide our patients with ondemand telephonebased care management services through a 24/7 Nurse Advice Line (i.e. telephone triage). &#xa More...

General SummaryWork closely with end users source data owners and customers to provide support and maintenance for the performance analytics applications. Accountable for overall system maintenance and functionality for assigned applications and reporting. Develop maintain and ensure More...

AECOM Buildings Places is seeking a Regional Architecture Discipline Lead located in one of our prominent US West Design Studios which include locations such as Los Angeles Chicago Colombus Cleveland Detroit Houston Denver or San Francisco.  The ideal candidate will h More...

Job Description:Care Manager RN at Santa Monica CA.Case Management is a collaborative practice including patients caregivers nurses social workers physicians payers support staff other practitioners and the community. The Case Management process facilitates communication and care coor More...

What you get to do in this role:Ensure SCs demonstrate relevance to customers fully discover customers business and technical problems deliver the highest quality presentations and demonstrations execute proofs of concept successfully and only when needed comprehend and document the b More...

We are seeking a motivated and detailoriented Service Delivery Lead Assistant to support the operations and delivery of occupational health services within our organization. The ideal candidate will have experience in customer service within a healthrelated field or customer account m More...

Job SummaryThe National Account Director GPO Trade and Distribution is responsible for developing and maintaining business relationships with Oncology and Immunology Institutional and Community GPOs and Hospital and Community Immunologists Rheumatologists Endocrinologists and Oncologi More...

The Sales Manager ensures that the dealership meets its unit sales quotas and its gross objectives on a daily monthly and yearly basis. S/he will ensure that the retail and fleet units sold produce sufficient gross to aid the dealership in reaching its profit objective on a monthly an More...

The National Accounts Manager is an expert at leading navigating and selling to large complex organizations.  The candidate is expected to be able to gain access to high level decision makers identify unmet client needs and to exploit insights and trends to create winning value p More...

Team ad Role:On the Customer Service & Support Business Operations & Strategy team our mission is to run and scale our business with relentless focus on the customer 360 alignment and pride in service to protect and drive revenue increase efficiency and embrace new technologie More...

The Client Services Manager (CSM) is responsible for developing and managing relationships with assigned clients and field staff to more quickly resolve challenges and address concerns. The CSM oversees all nonclinical aspects of the provision of care that includes the utilization of More...

Job Title: Senior Learning & Development Specialist Duration: 12 months contract with possible extension Shift Details: 1st Shift Position Details: Lead the standardization and centralization of bestpractice principles of curriculum design Support Learning Strategy Lead in drafti More...

JOB # 63879CODHSWebsite Development PM Max Rate: $75/hr on 1099 or $67/hr on w2. LOCAL CANDIDATE REQUIRED Work is a hybrid environment. Required to be in the office on Wednesdays and Thursday at 1575 Sherman St. between 7.45 am and 5 pm This position is looking f More...

Job Title: Regional Oncology Specialist Rocky Mountain Region Job Location: Denver CO USA Job Location Type: Remote Job Contract Type: Fulltime Job Seniority Level: MidSenior level Help us change livesAt Exact Sciences we’re helping change how the world prevents detects and gu More...

Job Title : Prior Authorization Representative/Customer Service Rep II Client : Medical Device Manufacturing Company Duration : 2 Years with Possible of Extension Location : Virtual CT 06355 Shift : 1st shift Job Description: The Prior Authorization Representative is responsible for More...

This position will manage the design and implementation of the IT accessibility programs for the Colorado Department of Human Services (CDHS). The incumbent will act as a liaison and coordinator for the activities of various parties including the Department the Office of Information T More...

We are seeking a highly skilled and experienced EAP Operations Manager to oversee and manage the operations of the Employee Assistance Program (EAP) within our organization. The ideal candidate will have a deep understanding of workplace behavioral health principles and will be respon More...

You will be primarily responsible for maintaining and improving postlicensure curricula and all processes related to teaching/learning and assessment/evaluation to meet and exceed professional accreditation and regulatory standards based on the best available evidence.  You will More...