Registered Nurse- Utilization Review

Job Description
Adelphi is seeking qualified Registered Nurses to provide services at a facility in Glendale, Colorado. The RNs will assist in the coordination and review of healthcare services for veterans, including clinical consultations and community-based care referrals, as well as ensuring the quality and effectiveness of medical services provided.

Job Quick Facts:
• Ref#: IC-RN-0510
• Profession: Registered Nurse (RN)
• Location: Glendale, CO
• Facility Type: Healthcare Coordination Office
• Job Type: Potential for a long term contract
• Schedule: Mon-Fri, 7:30am - 4:30pm
• Rate: $46/hr

Requirements:
• Graduation from a professional nursing program accredited by a recognized nursing body (e.g., ACEN or CCNE).
• Active and unrestricted Registered Nurse (RN) license in any State or U.S. territory
• Minimum of two (2) years of direct patient care experience within the last three (3) years.
• Current BLS certification.

Responsibilities:
• Clinically review consults/requests for completeness and appropriateness/utilization review.
• Dispositioning care in the community per utilization review and guidelines.
• Clinical review of incoming medical records documenting communication with ordering providers and PCP.
• Communicate with veterans, community providers, internal staff, and administrative teams to facilitate and process care authorizations.
• Explain care options to veterans and assist in making informed decisions regarding community-based care.
• Document communication and care coordination efforts in the electronic health record (EHR).
• Any other duties assigned.