Current jobs related to RN Utilization Manager - Aurora, Colorado - Kaiser Permanente
-
RN Case Manager
3 weeks ago
Aurora, Colorado, United States HCA Full timeRN Case Manager Job SummaryWe are seeking a skilled RN Case Manager to join our team at The Medical Center of Aurora, a part of HCA Healthcare. As a RN Case Manager, you will play a critical role in promoting patient-centered care by coordinating the plan of care for patient stays, managing length of stay, ensuring appropriate resource management, and...
-
Utilities Controls Engineer
3 weeks ago
Aurora, Colorado, United States Paladin Consulting Full timeWe are seeking a Utilities Controls Engineer to join our team at Paladin Consulting. This role will involve working onsite at our client's office, where you will be responsible for creating and developing functional specifications, including SOO and BOMs. You will also support electrical designers in developing project drawing packages and develop, test, and...
-
RN Case Manager
1 month ago
Aurora, Colorado, United States Jet Health Inc Full timeJob Title: RN Case ManagerAurora, COJob Type: Full-time, Part-timeDescription:Jet Health, Inc / Klarus Home Health is seeking a compassionate and dedicated Registered Nurse (RN) Case Manager to provide quality home health care to our community-based patients in Aurora, Centennial, Glendale, Englewood, and the surrounding areas.Responsibilities:Current State...
-
Care Manager RN
1 week ago
Aurora, Colorado, United States UCHealth Full timeAbout the Role:Care for patients and their families as a skilled and compassionate Care Manager RN. Collaborate with healthcare teams to coordinate care, promote positive outcomes, and advocate for patients' needs. Work in a supportive environment that values teamwork, education, and innovation.Key Responsibilities:Utilize the nursing process to assess,...
-
RN Case Manager PRN
3 weeks ago
Aurora, Colorado, United States HCA HealthONE Aurora Full timeJob SummaryThe Registered Nurse (RN) Case Manager PRN is responsible for coordinating patient care through an interdisciplinary process, ensuring a clinical, financial, and psychosocial approach throughout the continuum of care.Key ResponsibilitiesCoordinate services through an interdisciplinary process to provide a clinical, financial, and psychosocial...
-
RN Case Manager
1 month ago
Aurora, Colorado, United States University of Colorado Full timeJob Title: RN Case ManagerUniversity of Colorado Anschutz Medical Campus - College of Nursing is seeking a highly skilled RN Case Manager to join our team. As a RN Case Manager, you will be responsible for providing patient care coordination, helping patients connect with specialty care, and providing clinical care for adults.Responsibilities:Provide patient...
-
Aurora, Colorado, United States Brink Constructors Full timeAbout Us:Brink Constructors, Inc. is a leading electrical contractor with a rich history of over 75 years in high-voltage transmission line and substation erection. Our experienced team continues to power the nation's future with a strong commitment to Safety First.About this Role:As a key member of our team, you will provide professional assistance to...
-
Civil Field Service Engineer
3 weeks ago
Aurora, Colorado, United States Rn Civil Construction LLC Full timeAbout Rn Civil Construction LLCRn Civil Construction LLC is a well-established construction company that invests in the success of its employees. We are seeking a highly skilled Civil Field Service Engineer to join our team in Centennial, CO.Key ResponsibilitiesAssist the superintendent in construction layout, safety implementation, daily reports, and task...
-
Senior Electrical Engineer
2 weeks ago
Aurora, Colorado, United States Primoris Full timeJob OverviewThe Senior Electrical Engineer will play a key role in leading the internal PV & Battery Energy Storage System (BESS) electrical engineering process for assigned projects at Primoris Services Corporation. This position involves oversight of electrical design and studies, consideration of field construction and installation means & methods in...
-
Travel Nurse RN Position
2 weeks ago
Aurora, Colorado, United States Infojini Healthcare Full timeJob Title: Travel Nurse RN PositionJob Summary: We are seeking a skilled Travel Nurse RN to join our team at Infojini Healthcare.Responsibilities:* Provide high-quality patient care in a Pediatric Intensive Care Unit (PICU) setting* Collaborate with interdisciplinary teams to develop and implement patient care plans* Utilize advanced clinical skills to...
-
Nurse Manager
1 month ago
Aurora, Colorado, United States UCHealth Full timeJob SummaryWe are seeking an experienced Nurse Manager to join our team at the UCHealth Anschutz Inpatient Pavilion. As a Nurse Manager, you will be responsible for providing top-notch patient care and leading a team of healthcare professionals in a dynamic and innovative clinical environment.ResponsibilitiesProvide direct patient care utilizing the nursing...
-
Nurse Manager
3 weeks ago
Aurora, Colorado, United States UCHealth Full timeJob SummaryWe are seeking a highly skilled and experienced Nurse Manager to join our team in the Progressive Care Unit at UCHealth. As a Nurse Manager, you will be responsible for providing top-notch patient care, leading a multidisciplinary team, and prioritizing wellness and evidence-based practice.ResponsibilitiesProvide direct patient care utilizing the...
-
RN Case Manager, Hospice Care Specialist
3 weeks ago
Aurora, Colorado, United States Strong Force Staffing Full timeStrong Force Staffing is seeking a compassionate and skilled RN Case Manager to join our team in delivering exceptional in-home hospice care to patients in the Greater Denver area. As a RN Case Manager, you will be responsible for designing and implementing personalized care plans, collaborating with healthcare professionals, and advocating for patients and...
-
Travel Nurse RN
3 weeks ago
Aurora, Colorado, United States Cross Country Nurses Full timeJob Title: Travel Nurse RNCross Country Nurses is seeking a skilled travel nurse RN to join our team in Aurora, Colorado.Job SummaryWe are looking for a dedicated and compassionate Registered Nurse to provide high-quality care to patients in the Post Anesthesia Care Unit (PACU). As a travel nurse RN, you will have the opportunity to work in a dynamic and...
-
RN Fellowship Neuro ICU
1 month ago
Aurora, Colorado, United States UCHealth Full timeJob Title: RN Fellowship Neuro ICULocation: UCHealth Anschutz Inpatient Pavilion, COAbout the Role:We are seeking a highly skilled and dedicated Registered Nurse (RN) to join our Neuro ICU team as a Critical Care RN Fellowship. As a Critical Care RN, you will provide top-notch patient care, utilizing the nursing process to prioritize wellness, patient...
-
RN Case Manager Hospice Care Specialist
3 weeks ago
Aurora, Colorado, United States Strong Force Staffing Full timeAbout the JobRN Case Manager, HospiceWelcome to Strong Force Staffing, where we specialize in matching exceptional talent with their dream roles within the healthcare sector. We are thrilled to partner with a premier National LTC provider to offer a direct hire opportunity for an RN Case Manager in the Greater Denver Area.This role focuses on delivering...
-
Electrical Commissioning Manager
3 weeks ago
Aurora, Colorado, United States Primoris Full timeJob Overview:As an Electrical Commissioning Manager at Primoris, you will provide technical expertise for power-generating commissioning projects. Your responsibilities will include supporting engineering review, procurement, construction, and start-up of high or medium voltage electrical systems and associated substations. You will also provide technical...
-
Electrical Project Manager
4 weeks ago
Aurora, Colorado, United States Primoris Services Corporation Full timeJob Overview:The Electrical General Foreman provides technical expertise for power-generating commissioning projects. This role involves supporting engineering review, procurement, construction, and start-up of high or medium voltage electrical systems and associated substations. The successful candidate will provide technical owner correspondence support,...
-
Electrical Commissioning Manager
3 weeks ago
Aurora, Colorado, United States Primoris Services Corporation Full timeJob Overview:The Electrical Commissioning Manager provides technical expertise for power-generating commissioning projects. This role involves supporting engineering review, procurement, construction, and start-up of high or medium voltage electrical systems and associated substations. The manager will also provide technical owner correspondence support and...
-
Home Health RN Case Manager
3 weeks ago
Aurora, Colorado, United States AdventHealth Full timeAbout the RoleWe are seeking a skilled and compassionate Registered Nurse (RN) to join our Home Health team as a Case Manager. As a key member of our team, you will play a vital role in coordinating and directing the care of our patients in their homes.ResponsibilitiesEvaluate patients for appropriateness of home health care and develop individualized care...
RN Utilization Manager
2 months ago
We are seeking a skilled RN to join our team as a Utilization Manager. In this role, you will work collaboratively with physicians to coordinate and screen for the appropriateness of admissions and continued stays. Your expertise will be essential in making recommendations for bed day management and alternative levels of care when patients do not meet the medical necessity for inpatient hospitalization, skilled nursing, or post-acute benefits.
Key Responsibilities- Transfer stable non-members to planned healthcare facilities, ensuring compliance with AB 1203, Post Stabilization notification.
- Comply with other duties as described, including working collaboratively with peers, multidisciplinary teams, and multitasking in a fast-paced environment.
- Plan, develop, assess, and evaluate care provided to members, reviewing, monitoring, and authorizing the medical necessity of inpatient, skilled, or sub-acute admissions.
- Perform all utilization review activities according to Resource Stewardship department policies and procedures.
- Participate in clinical review rounds, preparing case presentations and documentation, and notifying facilities and others of review decisions in a timely manner.
- Identify high-risk/high utilizers of services, monitor their intensity and level of services, and report potential high-dollar cases appropriately.
- Recommend alternative levels of care and ensure compliance with federal, state, and local requirements.
- Assess high-risk patients in need of post-hospital care planning, developing and coordinating the implementation of a discharge plan to meet patients' identified needs.
- Document all necessary information timely into medical management systems, ensuring complete and accurate data.
- Participate in Bed Huddles and/or telephonic concurrent review calls, carrying out recommendations congruent with patients' needs.
- Minimum two (2) years of clinical experience as an RN in an acute care setting.
- Graduate of a board-approved RN program and completed a minimum of 750 clock hours of faculty-planned clinical experience and guided learning activities.
- Registered Nurse License (Colorado) and Basic Life Support certification.
- Demonstrated ability to utilize/apply the general and specialized principles, practices, techniques, and methods of utilization review/management, discharge planning, or case management.
- Working knowledge or application of Milliman or Interqual clinical criteria.
- Working knowledge of regulatory requirements and accreditation standards (TJC, Medicare, Medi-Cal, etc.).
- Demonstrated ability to utilize written and verbal communication, interpersonal, critical thinking, and problem-solving skills.
- Demonstrated ability in planning, organizing, conflict resolution, and negotiating skills.
- Computer literacy skills required.
- Utilization Management experience highly preferred.
Kaiser Permanente is an equal opportunity employer committed to a diverse and inclusive workforce. We strive to create an inclusive work environment focused on a sense of belonging and well-being. If you are passionate about delivering high-quality patient care and have a strong commitment to excellence, we encourage you to apply for this exciting opportunity.
