Utilization Review Nurse - open to RN or LPN (Locals Only)

Nationwide Therapy - Vail, CO

ContractEstimated: $55,000 - $69,000 a year

Job Description:

Maximizes reimbursement for both patient and hospital through cooperation with third party payers and physicians. Follows up on denials based on resource utilization issues. Provides a smooth transition for the patient from hospital to home or alternative care setting through coordination of services to meet the post discharge needs identified while maintaining a balance among quality outcome, cost, and process. Identifies those patients with significant psychosocial needs and makes referrals to Social Services. Promotes continuous quality improvement by monitoring team processes as well as through communication with other teams impacted by or impacting the processes of this team.


  • One year recent experience in acute care hospital Utilization Review, Discharge Planning or equivalent
  • Must have two years experience in case management if incumbent is a Licensed Practical Nurse (LPN)
  • Licensed as a Registered Nurse in the state of Colorado or from a valid compact state OR licensed as a Licensed Practical Nurse in the state of Colorado required

Job Type: Contract


  • relevant: 1 year (Required)


  • Registered Nurse (RN) (Required)

Work Location:

  • One location


  • Health insurance