Colorado Licensed Utilization RN

Job Summary

Working remotely on a call-in basis, the Colorado Licensed Utilization RN will collaborate with physicians to assess patient admissions, manage care transitions, and coordinate discharge planning while ensuring compliance with medical necessity criteria.

Key responsibilities:

• Evaluate and authorize the medical necessity of inpatient and post-acute admissions, applying clinical criteria
• Develop and implement discharge plans in collaboration with multidisciplinary teams to ensure continuity of care
• Conduct clinical reviews and participate in care planning rounds, documenting all necessary information accurately and timely

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 utilization review principles and regulatory requirements