Job Listing
Registered Nurse, Utilization Mgmt
Veterans Health Administration · Posted 3 days ago
About the Role
The Registered Nurse, Utilization Management is responsibility for the coordination of care focused on patient education, self-management, and customer satisfaction throughout the continuum of care.
What You'll Do
- →Delivers fundamental knowledge-based care to assigned clients while developing technical skills.
- →Assesses, plans, implements, and evaluates care based on age-specific components.
- →Assumes responsibility for the coordination of care focused on patient education, self-management, and customer satisfaction throughout the continuum of care.
- →Follows procedures per established policies and guidelines.
- →Influences care outcomes by collaborating with members of the interdisciplinary team.
- →Collects, monitor, interprets and communicates pertinent clinical data, applies InterQual criteria and enters information into a national database as required.
- →Functions or Scope of Assigned Duties: The Utilization Management (UM) RN demonstrates a high level of clinical practice, knowledge, and leadership skills to improve patient access, flow, and positively impact the facility utilization of services.
- →The UM RN will be aligned within Patient Business Service and must work independently in accomplishing assignments and program goals.
- →He/she possesses knowledge of utilization review criteria, UM processes and principles, clinical documentation requirements, current standards of care and compliance guidelines.
- →As a clinical reviewer he/she serves as the QM liaison creating effective lines of communication with medical center leadership, staff, and internal/external customers.
- →He/she collects, interprets and communicates pertinent clinical data, applies InterQual criteria and enters information into a National database.
- →Relocation/Recruitment Incentives: Not Authorized Permanent Change of Station (PCS): Not Authorized Financial Disclosure Report: Not required
Requirements
- ✓Citizenship; non-citizens may only be appointed when it is not possible to recruit qualified citizens in accordance with VA Policy.
- ✓All applicants tentatively selected for VA employment in a testing designated position are subject to urinalysis to screen for illegal drug use prior to appointment.
- ✓Applicants who refuse to be tested will be denied employment with VA.
- ✓Selective Service Registration is required for males born after 12/31/1959.
- ✓Subject to background/security investigation.
- ✓Selected applicants will be required to complete an online onboarding process.
- ✓Acceptable form(s) of identification will be required to complete pre-employment requirements (https://www.uscis.gov/i-9-central/form-i-9-acceptable-documents).
- ✓Effective May 7, 2025, driver's licenses or state-issued identification cards that are not REAL ID compliant cannot be utilized as an acceptable form of identification for employment.
- ✓Must pass pre-employment physical examination.
- ✓Participation in the seasonal influenza vaccination program is a requirement for all Department of Veterans Affairs Health Care Personnel (HCP).
- ✓You may be required to serve a probationary period.
- ✓Complete all application requirements detailed in the "Required Documents" section of this announcement.
- ✓IMPORTANT: A transcript must be submitted with your application if you are basing all or part of your qualifications on education.
- ✓Note: Only education or degrees recognized by the U.S.
Personality Fit
Job ID: e9d27b99-2b15-45eb-815c-f30d79830268
Posted via USAJobs