Colorado Licensed Utilization Case Manager

Job Summary

Working remotely on a call-in/on-call basis, the Colorado Licensed Utilization Case Manager will coordinate and screen admissions, manage patient care plans, and collaborate with interdisciplinary teams to ensure appropriate discharge planning and compliance with regulatory standards.

Key responsibilities

• Coordinates and screens for the appropriateness of admissions and continued stays, making recommendations for bed day management
• Plans, develops, and evaluates care provided to members while conducting utilization review activities in accordance with established policies
• Acts as a liaison between facilities and manages discharge planning, ensuring continuity of care and compliance with regulatory requirements

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 a minimum of 750 clock hours of clinical experience
• Current Registered Nurse License in Colorado
• Basic Life Support certification
• Demonstrated knowledge of utilization review/management principles and regulatory requirements