Discharge & Utilization Nurse: Care Coordination Lead

U.S. Department of Veterans Affairs; Seattle (WA); On-site; USD 90,000 - 115,000; Full time

Job summary

U.S. Department of Veterans Affairs seeks a Utilization Management Discharge Nurse to evaluate medical necessity for inpatient admissions and ongoing stays using established review criteria.

The role collaborates with patients, families, and the treatment team to coordinate safe, effective discharges. Responsibilities include chart reviews with InterQual, supporting discharge planning, and guiding improvement initiatives.

Qualifications

• Basic Requirements: English Language Proficiency
• Graduate of a nursing program approved by ACEN/CCNE
• US state licensure or bridge program completion as applicable
• Foreign-educated nurses require degree equivalency validation
• Current, full, active, unrestricted nursing registration in US state/territory or DC
• GNT exception allows temporary appointment while pursuing licensure

Responsibilities

• Reviews inpatient charts using criteria (InterQual) to determine medical necessity for admission or continued stay
• Collaborates with patients, families, caregivers, and interdisciplinary team to coordinate discharge planning
• Guides performance improvement projects and resource use in a quality health care environment
• Completes annual criteria training and testing requirements
• Coordinates discharge plans with providers, social work, and ancillary services

Skills

English proficiency

Education

Graduate of a nursing program approved by accreditation bodies (ACEN/CCNE)

State nursing license (or bridged/temporary licensing pathway)

Bridge program for nursing licensure (if applicable)

Job description

U.S. Department of Veterans Affairs seeks a Utilization Management Discharge Nurse to evaluate medical necessity for inpatient admissions and ongoing stays using established review criteria.

The role collaborates with patients, families, and the treatment team to coordinate safe, effective discharges. Responsibilities include chart reviews with InterQual, supporting discharge planning, and guiding improvement initiatives.