Colorado Licensed Utilization RN Case Manager

Job Summary

Working remotely on a call-in/on-call basis, the Colorado Licensed Utilization RN Case Manager will coordinate admissions and discharge planning, assess medical necessity for inpatient care, and collaborate with multidisciplinary teams to ensure effective patient management.

Key responsibilities:

• Collaborate with physicians to evaluate admissions and discharges, ensuring compliance with medical necessity criteria
• Conduct clinical reviews and document necessary information in medical management systems
• Coordinate interdisciplinary care and facilitate transitions to appropriate healthcare facilities

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
• Valid Registered Nurse License in Colorado
• Basic Life Support certification
• Knowledge of utilization review/management principles and regulatory requirements