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Utilization Management Nurse Manager
Veterans Health Administration · Posted today
About the Role
The Utilization Management Nurse Manager functions as a generalist at the point of care for their assigned Service. He/she provides consultation to other units on individual patients and provides in-services for Utilization Management and patient flow. She/he educates staff members based on documented best practices and collaborates with Clinical Leaders throughout the health care system to develop standards of care considering evidence-based practice.
What You'll Do
- →The UM Nurse Manager develops and participates in all aspects of unit Quality Improvement (QI) projects and implements quality improvement.
- →The UM Nurse Manager executes position responsibilities that demonstrate leadership, experience, and creative approaches to management of complex client care.
- →UM Nurse Manager is responsible for documenting outcomes at the program or service level and demonstrates Leading and organizing delivery of care to assure continuity, enhancing peer accountability for practice, including access to care and discharge planning.
- →Using advanced clinical knowledge/judgment to promote staff involvement in planning, decision-making, and evaluating outcomes.
- →Functioning as an expert in clinical practice and/or areas related to the assigned roles and responsibilities Systematically evaluating current practice, and formulating outcomes for groups of patients and/or organizational processes within an area of expertise.
- →Using professional standards of care, scientific evidence, and practice to evaluate programs and/or service activities.
- →Attends interdisciplinary meetings daily and attend any staff, national or VISN meetings assigned.
- →Completes additional projects as requested by Chief.
- →Demonstrates leadership in delivering and improving holistic care through collaborative strategies with others.
- →Utilization Management Registered Nurse is a PROFICIENT nurse, "who understands a situation as a whole because they perceive its meaning in terms of long-term goals.
- →The proficient nurse learns from experience what typical events to expect in a given situation and how plans need to be modified in response to these events.
- →The Utilization Management Nurse Manager (NM) is the designated first-line supervisory authority and is responsible and accountable for the operation of their assigned units and provides coverage for other NMs as needed.
- →The UM Nurse Manager serves as a Utilization Management, NUMI and patient flow expert within the Medical Center and primary point of contact in matters regarding Utilization Management.
- →The UM Nurse Manager has 24-hour accountability for the care provided by self and others to whom care is delegated.
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.
Personality Fit
Job ID: 7b7da4e0-e3ee-4c04-8c69-c78d9aa93d00
Posted via USAJobs