RN - Utilization Management
RN - Utilization Management
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Job Description
Job Description
Spectrum Healthcare Resources has an Exciting Potential Opportunity for an RN Utilization Management supporting The Veterans Administration Office of Community Care in Glendale CO!
Qualifications:
- Education: Must have an Associate (ADN) or Bachelors (BSN) degree in Nursing from an accredited program recognized by the U.S. Department of Education.
- Certifications: Basic Life Support (BLS) required. Additionally candidates must have one of the following:
- Certified Registered Nurse Case Manager (CCM or ANCC) OR
- Certification eligibility with 3 years (ADN) or 2 years (BSN) of fulltime clinical case management experience with children families seniors or groups.
- Advanced Cardiac Life Support (ACLS) Pediatric Advanced Life Support (PALS) and Neonatal Resuscitation Course (NRC) may be required per AFI 44102 or equivalent.
- Experience: Minimum 3 years (ADN) or 2 years (BSN) of fulltime experience in clinical case management working with various patient populations.
- Experience with the military healthcare system telehealth TRICARE and Military Health System Genesis is preferred.
- Licensure: Must hold a current full active and unrestricted RN license.
Key Responsibilities:
- Oversee all phases of the Case Management Program (CMP) and ensure compliance with established standards.
- Provide nursing expertise in case management including assessment planning implementation coordination and monitoring.
- Identify opportunities for case management and integrate local CM processes into practice.
- Develop and implement tools and strategies for effective case management including patient assessment tools clinical guidelines CM software and community resource databases.
- Collaborate with utilization management (UM) and social work case management for comprehensive patient care solutions.
- Work closely with patients families/caregivers providers and the healthcare team to develop and execute personalized care plans.
- Provide education and support to patients and families to ensure they receive appropriate timely care.
What We Offer:
- Competitive pay
- Medical/Dental/Vision/401k
- 2 weeks of PTO per year and offered 40 hrs after first 90 days
- Accrued sick time
Dont miss out on this exciting opportunity to advance your career while supporting our military community. Apply now and become a valued member of the Spectrum Healthcare Resources team!
For More Information Contact:
Laura Hatcher
Company Overview:
At Spectrum we utilize over thirtyfive years of experience providing optimal solutions for federal agencies that are both innovative and costeffective. We hold ourselves to the highest standard to ensure successful outcomes for the facilities and healthcare professionals we serve. As a Joint Commission Certified Healthcare Resource dependability and service are the driving forces of our mission.
EOE/Disabled/Veterans
Location : Location
Recruiter : Full Name: First Last
Direct phone number
Recruiter : Email
Employment Type
Unclear
