Colorado Licensed Utilization RN

Job Summary

Working remotely on a call-in/on-call basis, the Colorado Licensed Utilization RN will collaborate with physicians to coordinate admissions, assess medical necessity for inpatient care, and develop discharge plans while ensuring compliance with regulatory standards.

Key responsibilities:

• Coordinate and screen admissions and continued stays, making recommendations for bed day management and alternative levels of care
• Plan, assess, and evaluate care provided to members, performing utilization review activities according to departmental policies
• Develop and implement discharge plans in collaboration with interdisciplinary teams, ensuring continuity of care and compliance with guidelines

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 clinical experience
• Current Registered Nurse License in Colorado
• Basic Life Support certification
• Working knowledge of Milliman or Interqual clinical criteria and regulatory requirements