Utilization Review Nurse Coordinator (40 Hour)

Are you a dedicated Registered Nurse seeking a fulfilling role where you can truly impact the lives of individuals with disabilities? If so, we invite you to read more and apply today!

NEW: Check out our Applicant Tips on How to Apply! 

Need more resources? Visit our Applicant Toolkit for additional support throughout the recruitment process. 

FOR THOSE WHO HOLD AN RN LICENSE IN A STATE OTHER THAN CONNECTICUT AND DO NOT HOLD A MULTISTATE OR COMPACT REGISTERED NURSING LICENSE, AND WISH TO APPLY FOR A CONNECTICUT LICENSE, PLEASE:

1. Review the eligibility and documentation requirements for CT license by endorsement of an out-of-state license;
2. Complete a CT DPH online application online (expand the ‘Public Health Practitioners’ grouping, select ‘Registered Nurse’ and then ‘Start’;
3. Request verification of your out-of-state license(s) electronically through the National Council of State Boards of Nursing’s :  Nursys® System.  To send verification of your license(s) to CT, read and agree to the terms, enter your biographic information, select your license type and select ‘SEARCH’.  Review the results and select the ‘Next’ button.  Check the box next to  ‘Connecticut’ and complete the transaction.   Once the transaction is completed, you will receive a confirmation email from Nursys and the verification will be available to the DPH.  Note that PA and MI verifications are not provided through Nursys.  Please contact those state boards for information on obtaining verification.

Check out our Applicant Tips on How to Apply! Need more resources? Visit our Applicant Reference Library for additional support throughout the recruitment process.

BEFORE YOU APPLY:

• Meet Minimum Qualifications: Ensure you meet the Minimum Qualifications listed on the job opening by the job closing date. You must specify your qualifications on your application. The minimum experience and training requirements listed must be met by the close date on the job opening, unless otherwise specified.
• Educational Credits: List your earned credits and degrees from accredited institutions accurately on your application. To receive educational credits towards qualification, the institution must be accredited. If the institution of higher learning is located outside of the U.S., you are responsible for providing documentation from a recognized USA accrediting service which specializes in determining foreign education equivalencies to the contact listed below.
• Resume Policy: Per Public Act 21-69, resumes are not accepted during the initial application process. As the recruitment process progresses, candidates may be required to submit additional documentation to support their qualification(s) for this position. This documentation may include: a cover letter, resume, transcripts, diplomas, performance reviews, attendance records, supervisory references, licensure, etc., at the request and discretion of the hiring agency.
• Preferred Shift/Location: Select all location(s) and shift(s) you are willing to work on your application. Failure to do so may result in not being considered for vacancies in that specific location or shift.
• Timely Submission: All application materials must be received by the job posting deadline. You will be unable to make revisions once you officially submit your application to the State. Late submissions are rarely accepted, with exceptions only for documented events that incapacitate individuals during the entire duration of the job posting. Request exceptions by emailing DAS.SHRM@ct.gov.
• Salary Calculations: For current state employees, salary calculations are not necessarily comparable from one of the three branches of state government (i.e., Executive, Legislative, Judicial) to the other.

• Note: The only way to apply to this posting is via the ‘Apply’ or ‘Apply Online’ buttons on the official State of Connecticut Online Employment Center job posting.

AFTER YOU APPLY:

• Some email providers may experience delays or issues delivering messages. To avoid missing important updates—such as referral questionnaires or interview scheduling links—please check your Personal Status Board regularly. For added convenience, you can also enable text (SMS) notifications. To do this, log in to your Personal Status Board and select “Update My Contact Information.”
• Referral Questions: This posting may require completion of additional Referral Questions (RQs), which must be completed by the questionnaire’s expiration date. If requested, RQs can be accessed via an email sent to you after the job close date or by visiting your JobAps Personal Status Board (Certification Questionnaires section).
• Prepare For An Interview: Interviews are limited to those whose experience and training are most aligned with the role. To prepare, review this helpful Interview Preparation Guide to make the best impression!
• Stay connected! Log in daily to your JobAps Personal Status Board to track your status and check email (including spam/junk folders) for updates and tasks.
• The immediate vacancy is listed above, however, applications to this recruitment may be used for future vacancies in this job class.
• Note: This position will be filled in accordance with contractual language, reemployment, SEBAC, transfer, promotion and merit employment rules. Candidates who are offered and accept a position with the State of Connecticut are bound by the State Code of Ethics for Public Officials and State employees, available at www.ct.gov/ethics.
• This employer may participate in E‑Verify and will provide the federal government with your Form I‑9 information to confirm work authorization.

QUESTIONS? WE’RE HERE TO HELP:

Due to high volume, we are unable to confirm receipt or provide status updates directly. For recruitment updates, please check your Personal Status Board and review our Frequently Asked Questions. If you have additional questions about the recruitment process, reach out to at Samantha.Rivera@ct.gov.

Join the State of Connecticut and take your next career step with confidence!

In a state agency this class is accountable for coordinating a utilization review program which promotes effective cost recovery, quality of care and/or compliance with relevant federal and state laws, regulations and standards.

In the Department of Developmental Services this class is accountable for performing investigations of abuse, neglect and death in individuals with an intellectual disability including individuals under the care of the Department of Developmental Services.

WORKING LEAD (REGULATORY):

• Considerable knowledge of
  • principles, practices and current trends of nursing;
  • standards of medical care
• Considerable
  • interpersonal skills;
  • oral and written communication skills;
• Considerable ability to analyze individual profiles and progress charts;
• Supervisory ability.

REGULATORY:

Five (5) years of experience as a Registered Nurse.

REGULATORY: Two (2) years of the General Experience must have been in the assessment of the quality and propriety of health care services as required by Joint Commission on Accreditation of Healthcare Organizations (JCAH) and/or Medicare and Medicaid standards and regulations at the level of Utilization Review Nurse.

INVESTIGATORY: Two (2) years of the General Experience must have been working with persons with behavioral health disabilities or an intellectual disability.

DEPARTMENT OF VETERANS AFFAIRS: Two (2) years of the General Experience must have been in the review and assessment of individuals in a long-term care setting.

A Bachelor's degree in nursing may be substituted for one (1) year of the General Experience.

• Experience participating in mortality review processes, including clinical case review and quality assurance activities
• Experience with data management, case tracking, and maintaining systems used to monitor clinical and quality assurance actives
• Experience conducting quality assurance reviews of medical records and healthcare documentation
• Knowledge and experience with CMS, OBRA, DPH, and other healthcare regulatory requirements
• Experience collaborating with healthcare, regulatory, investigative, and community partners, and multidisciplinary teams.
• Knowledge and experience of healthcare services for individuals with intellectual and developmental disabilities.

• Incumbents in this class must possess and retain a current license as a Registered Nurse in Connecticut OR hold a Multistate or Compact Registered Nurse license.
• Incumbents in this class may be required to travel.

AN AFFIRMATIVE ACTION/EQUAL OPPORTUNITY EMPLOYER

The State of Connecticut is an equal opportunity/affirmative action employer and strongly encourages the applications of women, minorities, and persons with disabilities.

As defined by Sec. 5-196 of the Connecticut General Statutes, a job class is a position or group of positions that share general characteristics and are categorized under a single title for administrative purposes. As such, a job class is not meant to be all-inclusive of every task and/or responsibility.