Colorado Licensed Utilization Management RN

Job Summary

A company is looking for a Utilization Management RN.

Key Responsibilities

• Review admissions and service requests for medical necessity and compliance, providing case management for complex cases
• Assist staff with Milliman guidelines, medical records, precertification, and concurrent denials appeals
• Collaborate with case managers on patient status and discharge planning needs

Required Qualifications

• Bachelor's degree in Nursing
• State licensure as a Registered Nurse (RN)
• 3 years of relevant experience