Utilization Review Nurse Jobs

About The Position

Requirements

• Current Colorado or Compact State Registered Nurse (RN) license.
• Associate’s Degree in Nursing (ADN) from an accredited nursing school.
• Basic Life Support (BLS) certification.

Nice To Haves

• Bachelor of Science in Nursing (BSN).
• ACLS certification; must be obtained within 30 days of hire.
• PALS certification; must be obtained within 30 days of hire.
• Handle with Care certification; must be obtained within 30 days of hire.

Responsibilities

• Receive inquiry calls and assist callers with scheduling face-to-face, phone, or tele-assessments; triage individuals based on safety risk.
• Assess patients presenting for assessment or ensure that a qualified mental health professional completes the assessment.
• Screen for medical and behavioral emergency conditions.
• Provide comprehensive assessment and quality therapeutic care to patients seeking treatment for substance abuse, dual diagnosis, or psychiatric or emotional disorders.
• Coordinate with the clinical team and on-call physician to ensure patient needs are met at the facility or through appropriate community providers.
• Explain treatment to patients and families to help reduce fear and other attitudes that may obstruct acceptance or continuation of care.
• Complete admission administrative processes and precertification of care with external payers as necessary.
• Assist in caring for ill or injured persons by providing direct nursing care.
• Coordinate and deliver quality general and psychiatric nursing care to hospitalized patients.
• Ensure the safety and well-being of each patient.
• Ensure medical orders are followed, initiate and follow treatment planning, and act as a patient advocate.

Benefits

• Multiple levels of medical, dental, and vision coverage for full-time and part-time employees.
• Life, accident, critical illness, and hospital indemnity insurance.
• Short- and long-term disability coverage.
• Paid family leave and paid time off.
• Higher education and certification tuition assistance.
• Loan assistance.
• 401(k) retirement package with company match.
• Wellness programs, including free gym memberships, virtual care appointments, mental health services, and discount programs.
• Ongoing learning and career advancement opportunities.