Colorado Licensed Utilization Nurse

A company is looking for a Utilization Management Nurse to manage complex members with behavioral health and substance use disorders remotely. Key Responsibilities Provide consultation to providers and consumers regarding benefit information, prior authorizations, and care evaluations Manage behavioral health services, including crisis assessment, treatment plan reviews, and care transitions Conduct patient assessments to determine appropriate levels of care and handle escalated calls to resolve complex issues Required Qualifications Current, unrestricted independent licensure as a Registered Nurse in Colorado 3+ years of clinical experience 1+ years of experience serving individuals with behavioral health conditions 1+ years of utilization management experience Ability to work 9:30am - 6pm Mountain Standard Time

Mar 28, 2025 - 23:55

A company is looking for a Utilization Management Nurse to manage complex members with behavioral health and substance use disorders remotely. Key Responsibilities Provide consultation to providers and consumers regarding benefit information, prior authorizations, and care evaluations Manage behavioral health services, including crisis assessment, treatment plan reviews, and care transitions Conduct patient assessments to determine appropriate levels of care and handle escalated calls to resolve complex issues Required Qualifications Current, unrestricted independent licensure as a Registered Nurse in Colorado 3+ years of clinical experience 1+ years of experience serving individuals with behavioral health conditions 1+ years of utilization management experience Ability to work 9:30am - 6pm Mountain Standard Time