Registered Nurse (Utilization Review) – RN, Veterans Care Coordination, $46/hr, Mon–Fri

Ref#: IC-RN-0510

Location: Glendale, CO
Facility: Healthcare Coordination Office
Schedule: Mon–Fri, 7:30 AM–4:30 PM
Rate: $46/hr
Type: Potential long-term contract

Position summary:
Provide clinical coordination and utilization review for veteran care, including reviewing consults and medical records, facilitating community-based care authorizations, and documenting care in the EHR.

Minimum requirements:

• Graduate of an accredited professional nursing program (e.g., ACEN or CCNE)
• Active, unrestricted RN license in any U.S. state or territory
• At least 2 years of direct patient care experience within the past 3 years
• Current BLS certification

Key responsibilities:

• Clinically review consults/requests for completeness, appropriateness, and utilization
• Determine and disposition community care per utilization guidelines
• Review incoming medical records and document communication with ordering providers and PCPs
• Communicate with veterans, community providers, internal clinical staff, and administrative teams to process care authorizations
• Explain care options to veterans and assist them in informed decision-making about community-based care
• Document all communication and care coordination activities in the EHR
• Perform other duties as assigned