Utilization Management Nurse

Utilization Management Nurse

We are seeking a Utilization Management Nurse to join our team! As a Utilization Management Nurse on the team, you will be responsible for reviewing patient files and treatment methods with an eye for efficiency and effectiveness. Your role will be to ensure we are running at optimal efficiency, and that all patients under our care are receiving the necessary treatments and procedures. The ideal candidate has deep experience in a similar medical setting, has a bachelor's or higher in Nursing, and has a certification in either Case Management or Utilization Management.

Compensation: $60.00 - $75.00 per hour

Responsibilities:

• Review patient files and treatment information for efficiency
• Monitor the activity of staff to ensure effective patient treatment
• Advocate for quality patient care to prevent complications
• Review discharge information for outgoing patients
• Work closely with clinical staff to provide excellent patient care
• Prepare reports on patient management and cost assessments

Qualifications:

• BSN and/or MSN preferred.
• Minimum of 5 years of successful nursing practice, encompassing education, administration, leadership, and Quality Management Performance Improvement (QM/PI) experience preferred.
• Basic computer literacy proficiency with the use of Microsoft Office programs or comparable word processing, spreadsheet and graphic software and the ability to learn new programs specific to the VA preferred.
• Ability to work variable and flexible tours to meet program demands.
• Demonstrated ability to accurately implement policies, regulations, standards of care and standards of practice preferred.
• Demonstrated ability to review patient clinical records.
• Proven ability to facilitate group problem solving preferred.
• Proven ability to utilize sound judgment in making patient transfer decisions preferred.
• Ability to lead and effectively direct staff within program unit/team/group preferred.
• Excellent organizational, communication, writing, and time management skills preferred.
• Excellent interpersonal skills and the ability to work independently as well as collaboratively with multiple service lines and disciplines preferred.

Presidential Staffing Solutions LLC