2 jobs found in Lone Tree, CO

Description You Must Reside In Colorado For This Fully Remote Position Location: UCHealth UCHlth Admin 2450 Peoria, US:CO:Aurora Department: UCHlth Patient Line Referrals Work Schedule: Full Time, 80.00 hours per pay period (2 weeks) Shift: Days Pay: $38.91 - $60.31 / hour. Pay is dependent on applicant's relevant experience Summary: Ensures that services are delivered and documented in a manner that balances quality of care with efficiency, cost-containment and compliance. Responsibilities: Reviews admissions and service requests within assigned unit for prospective, concurrent, and retrospective medical necessity and/or compliance with reimbursement policy criteria. Provides case management and/or consultation for complex cases. Assists departmental staff with issues related to Milliman (or similar) guidelines, status determination, medical records/documentation, precertification, reimbursement and concurrent denials appeals. Collaborates closely...

Description The Opportunity The Director, Behavioral Health Services provides strategic leadership and operational oversight for behavioral health nursing services. Reporting to executive leadership, this role is responsible for advancing a comprehensive behavioral health service line that supports inpatient, and interventional programs while ensuring exceptional patient outcomes, high-quality care delivery, operational excellence, and sustainable growth. The Director partners with executive, physician, nursing, therapy, and operational leaders to drive service line strategy, standardization, workforce development, quality improvement, operational performance, and access initiatives across multiple hospitals and care settings. This role serves as a key leader in expanding behavioral health services across the continuum of care, improving patient access and capacity, strengthening community partnerships, advancing evidence-based practices, and ensuring behavioral health...