Utilization Review Nurse Coordinator

Introduction

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. The State of Connecticut, Department of Developmental Services (DDS) - West Region Private Health Services is recruiting for one full-time Utilization Review Nurse Coordinator (Investigatory) in Cheshire, CT. New! We’re excited that Connecticut has joined the Nurse Licensure Compact effective October 1, 2025.

Incumbents in this class must possess a current license as a Registered Nurse (RN) in CT . You may verify your credentials in the Connecticut E-License Portal.

• PCN: 15975
• SHIFT:
  First (1st) shift | Full-time | 80 hours biweekly
• LOCATION:
  
  Cheshire, CT
• SCHEDULE:
  
  Monday through Friday 8:00 AM - 4:30 PM with Hybrid scheduling flexibility.
• PLEASE NOTE:
  
  Work schedule flexibility is required in order to meet the demands of the job.

• Professional growth and paid professional development opportunities.
• A healthy work-life balance to all employees.
• State of Connecticut is an eligible Public Service Loan Forgiveness employer, meaning you may be eligible to have qualifying student loan forgiveness after 10 years of service.

• Engage in a rewarding career
• Assist our employees so they can achieve success
• Make a difference in the public sector
• Work together in a collaborative team environment

DDS partners with the individuals we support and their families, to support lifelong planning and to join with others to create and promote meaningful opportunities for individuals to fully participate as valued members of their communities.

• Coordinate Regional Mortality Review Committee activities; including scheduling meetings, obtaining and organizing pertinent healthcare information and medical records, and assisting with preparation of case materials for committee review.
• Review and evaluate clinical, medical, and investigative documentation to identify concerns, trends, and areas requiring follow-up.
• Collaborate with healthcare, regulatory, investigative, and community partners to obtain and evaluate clinical information necessary to support mortality review, quality assurance, and other departmental oversight activities.
• Support clinical oversight, accountability, and quality assurance activities necessary to safeguard the health, safety, and welfare of individuals receiving DDS services.
• Conduct clinical record audits and quality assurance reviews to evaluate adherence to applicable laws, regulations, policies, procedures, and professional standards.
• Maintain mortality review data, case tracking systems, and related records to support timely case review, follow-up, reporting, and quality improvement activities.
• Analyze clinical and quality data to identify trends, systemic concerns, and opportunities for improvements, with the goal of strengthening systems of care and reducing preventable adverse outcomes.
• Assist in the development and implementation of corrective actions and quality improvement initiatives.
• Support DDS compliance with applicable federal and state healthcare requirements.
• Provide clinical and administrative support to the RHSD in carrying out mortality review and related oversight activities.
• Participate in and provide clinical support to regional committees, review processes, and other clinical oversight activities as directed by the RHSD (Regional Health Services Director).

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,…