Colorado Licensed Utilization Case Manager
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Job Summary
Working remotely on a call-in basis, the Colorado Licensed Utilization Case Manager will coordinate patient admissions and discharges, manage utilization reviews, and collaborate with healthcare teams to ensure appropriate care while adhering to regulatory standards.
Key responsibilities
- Reviews and authorizes medical necessity for inpatient and skilled nursing admissions, applying clinical criteria effectively
- Coordinates discharge planning and collaborates with multidisciplinary teams to ensure continuity of care for patients
- Participates in clinical review activities and documents necessary information in medical management systems timely
Required qualifications
- Minimum two (2) years of clinical experience as an RN in an acute care setting
- Graduate of a board-approved RN program with at least 750 hours of supervised clinical experience
- Current Colorado Registered Nurse License
- Basic Life Support certification
- Knowledge of Utilization review/management principles and regulatory requirements
Complete Job Description
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