Job Listing
Utilization Management Registered Nurse
Veterans Health Administration · Posted 1 days ago
About the Role
This position is located within the Nursing Service at the James A. Haley Veterans' Hospital in Tampa, Florida. The Utilization Management (UM) Nurse within the Quality Management Service Line. The incumbent provides clinical review, utilization oversight, and supports the organization's mission by ensuring Veterans receive care in the appropriate setting based on evidence-based criteria.
What You'll Do
- →The Utilization Management Nurse functions within the Quality Management Service Line, performing clinical review, assessment, and coordination activities that support appropriate levels of care for Veterans.
- →The incumbent applies evidence-based criteria to evaluate the medical necessity, timeliness, and efficiency of healthcare services.
- →Working collaboratively with interdisciplinary teams, the nurse helps ensure resources are used effectively and that Veterans receive high-quality care aligned with VA policies, regulatory standards, and clinical guidelines.
- →This position supports continuous performance improvement, regulatory compliance, and optimal patient flow across the medical center.
- →Flexibility may be required based on operational needs.
- →Telework: Not Available Virtual: This is not a virtual position.
- →Relocation/Recruitment Incentives: Not Authorized Permanent Change of Station (PCS): Not Authorized
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: 62e39dc6-2fea-4761-bc66-2626ecd5bdc0
Posted via USAJobs