Utilization Manager - Registered Nurse

Utilization Manager - Registered Nurse
ID
2024-21898
Category
Registered Nurse specialties - Administrative / Health Promotions
Facility
DOD / MTF - New Mexico - Cannon Air Force Base
Job Description

Spectrum Healthcare Resources is seeking a civilian, Registered Nurse (RN) to work as a Utilization Manager for our client at the Cannon Air Force Base.

The Utilization Manager will be responsible for coordination of care for active-military members and their families/dependents.

• This is a Monday-Friday position with no required overtime.
• Hours: 8 hour shifts between 0730-1630 (7:30AM - 4:30PM) 1HOUR Lunch
• $38.00 per hour plus $4.41/hw

Description/Job Duties:

• Knowledge and skills to effectively apply the following core Utilization Management functions:
  • Assessment - ID patients for Utilization Review; comprehensive collection of patient information and medical status; and continue evaluation of an established plan of care
  • Planning - Collaboration with the patient, family/caregiver, primary provider and other members of the health care team for developing an effective plan of care
  • Facilitation - Care coordination and communication among all involved parties
  • Advocacy - Support for the patient and family/caregivers to ensure identified education and appropriate, timely care is received.
    • Excellent communication skills
    • Working with physically and/or mentally ill patients who may be uncooperative, fearful, emotionally distraught, and occasionally dangerous.
    • Organization, problem solving, and communication skills required to articulate medical requirements to patients, family/caregiver, medical and non-medical staff in a professional and courteous way.

  • This role will require utilization management experience in working with families, adults, children, seniors and groups.

  • The UM nurse will track ER and UC utilization, monitor high utilizers and coordinate with the PCM team and/or Case Manager, should be working with Referral Management Office for referral authorization approvals, ensure CPG criteria is being met, coordinate with the GPM regarding any leakage to the network and how the MTF can recapture those appointments.
  • Collaborating with the MTF Commanders on specific tasks.
  • Data extracting and organizing for presentations.

REQUIREMENTS:

• Baccalaureate of Science in Nursing Program from an approved National League of Nursing.
• Six years of clinical nursing experience is required. One year of previous experience in
  Utilization Management is required. Full time employment in a nursing field within the last 36 months is
  mandatory.
• Candidates should be familiar with Microsoft Office programs, MS Outlook (e-mail), and HIPPA guidelines.

• This role is for a medical professional on a military base. As part of the hiring process the candidate will be asked to provide credentialing documents including but not limited to: proof of education, copies of certifications and/or licenses, as well immunization records and other documents.

Location: This position is located at 224 W D.L Ingram Ave, Bldg. 1408 Cannon AFB, NM 88103

About Clovis, New Mexico:

Clovis is a charming city situated in the heart of the High Plains. Surrounded by vast stretches of golden prairies, it offers a unique blend of small-town charm and Southwestern hospitality. Some highlights include:

• Visit the beautiful Ned Houk Park, where you can walk the scenic trails, have a picnic by the lake, and more
• Sample local flavors at one of the many eateries, where you can try authentic New Mexican cuisine and regional specialties
• Children and adults alike will enjoy a visit to the Hillcrest Park Zoo, where you can explore over 140 acres
• Visit the Clovis Civic Center, which hosts performances and exhibitions from local and touring artists

For more information, please contact:

Luis Angel Gonzalez, Recruiter

314-744-4157

Company Overview:

Spectrum Healthcare Resources (SHR) was established in 1988 to deliver systems and processes designed to meet the unique needs of Military and VA Health Systems. SHR is a leading organization that provides physician and clinical staffing and management services to United States Military Treatment Facilities, VA clinics and other Federal Agencies through various contracting vehicles. A Joint Commission Health Care Staffing Services firm, SHR is the military staffing division of TeamHealth, a Nationwide organization that serves 850 civilian and military hospitals with a team of 9,600 affiliated health care professionals.

Spectrum Healthcare Resources is an equal opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status, or any other characteristic protected by law.

Location : Location
US-NM-Clovis
Recruiter : Full Name: First Last
Luis Gonzalez
Direct phone number
314-744-4157
Recruiter : Email