Colorado Licensed Utilization RN

Job Summary

Working remotely on a call-in basis, the Colorado Licensed Utilization RN will coordinate and screen admissions, manage discharge planning, and collaborate with multidisciplinary teams to ensure appropriate patient care and resource utilization.

Key responsibilities:

• Collaborates with physicians to assess the appropriateness of admissions and continued stays, making recommendations for alternative levels of care
• Plans and evaluates care for members, conducting utilization reviews and ensuring compliance with clinical criteria and regulatory standards
• Coordinates discharge planning and resources for patients, facilitating communication between healthcare providers and families

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 Registered Nurse License in Colorado
• Basic Life Support certification
• Knowledge of Milliman or Interqual clinical criteria and regulatory requirements