Colorado Licensed Utilization Case Manager
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Job Summary
Working remotely on a call-in/on-call basis, the Colorado Licensed Utilization Case Manager will coordinate patient admissions and discharges, assess medical necessity for care, and collaborate with multidisciplinary teams to ensure effective and cost-efficient patient management.
Key responsibilities
- Reviews and authorizes inpatient admissions, ensuring compliance with clinical criteria and regulatory standards
- Develops and implements discharge plans in collaboration with patients, families, and healthcare teams
- Participates in clinical review rounds and communicates decisions regarding patient care to relevant stakeholders
Required qualifications
- Minimum two (2) years of clinical experience as a Registered Nurse in an acute care setting
- Graduation from a board-approved RN program with at least 750 hours of clinical experience
- Active Colorado Registered Nurse License
- Basic Life Support certification
- Knowledge of utilization review processes and regulatory requirements
Complete Job Description
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