Rn - Utilization Management

Spectrum Healthcare Resources has a POTENTIAL opportunity for an Utilization Management RN at Los Angeles Air Force Base in Los Angeles, CA.

 

Job Requirements:

• Degree/Education: Bachelor of Science in Nursing. Graduate from a college or university accredited by National League for Nursing Accrediting Commission (NLNAC), or The Commission on Collegiate Nursing Education (CCNE).
• Experience: Must have at least 36 months of total nursing experience in a direct patient care clinical setting. Must have Utilization Management, utilization review or case management experience for 24 recent consecutive months.
• Licensure/Registration: Current, full, active, and unrestricted license to practice as a Registered Nurse.
• Certifications in addition to Basic Life Support ( BLS must be through AHA); Certified/certification eligible in relevant specialty, such as Certified Managed Care Nurse through the American Board of Managed Care Nurses or Certified Informatics Nursing, Ambulatory Care Nursing, Medical-Surgical Nursing or Nursing Case Management through the American Nurses Credentialing Center.

 

Duty Summary: Utilizing major components of population health and disease management, ensures health care interventions for individuals and populations of patients with prevalent and/or chronic diseases to achieve disease management Utilizing major components of population health and disease management, ensures health care interventions for individuals and populations of patients with prevalent and/or chronic diseases to achieve disease management.

 

Qualifications:

• Must be knowledgeable of clinical and administrative theories, principles, practices, and procedures underlying nursing practice; a wide range of medical disorders/conditions and disease processes across the lifespan to include pediatrics, adolescence, adults, obstetrics, and geriatrics; assessing patients, including the ability to assess/evaluate telephonically; preventive health. schedules, procedures, processes and education methods; disease management and population health principles to include primary, secondary and tertiary prevention protocols; a variety of pharmacological agents used in patient treatment, the desired effects, side effects, and complications of their use as well as the accurate administration of the pharmacologic agent, including dosage calculations; computer applications/software to include Microsoft Office programs, MS Outlook (e-mail), and internet; and problem-solving techniques to articulate medical requirements to patients, families/care givers, medical and non- medical staff in a professional and courteous way.
  • Must be skilled in analyzing and defining healthcare needs of a defined population using standardized assessment tools; administrative requirements for proper documentation of patient’s condition including disease progress, acknowledgement of teaching, and follow up care; communicating with people who may be physically or mentally ill, uncooperative, fearful, emotionally distraught, and occasionally dangerous; applying critical thinking skills and expertise in resolving complicated healthcare, social, interpersonal and financial patient situations. 

Position will offer:

•  Competitive pay!
•  Medical, dental, vision & 401K
•  Paid time off/ sick leave
•  7:30 am – 4:30 pm Monday - Friday

 

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.

 

US-CA-Los Angeles
Melani Alper
3147444248
melani_alper@spectrumhealth.com
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