Registered Nurse - Utilization Management

About the role

The Registered Nurse is responsible for providing competent and evidence-based practices within their position. They use UM criteria to perform compliance reviews. The UM RN activities include collecting, analyzing, and reporting data; creating and providing provider education; collaborating on ordered levels of care and treatment plans; and conducting InterQual reviews on prospective, observation, admission, and continued stay patients.

Responsibilities

• Provide competent evidence based practices within the position
• Use UM Criteria to perform complicated reviews
• Reporting date Analyzing
• Creating/providing provider education
• Collaborating on order level of care and treatment plans
• Conducting InterQual reviews

Qualifications

• Basic Requirements: English Language Proficiency, Graduate of a school of professional nursing, Current - full - active - and unrestricted registration as a graduate professional nurse, Credit for foreign nursing education higher than associate degree/entry level requires a formal degree equivalency validation from a recognized equivalency evaluation accepted by VA.
• Graduate Nurse Technician (GNT) Exception: Candidates who otherwise meet the basic education requirements but do not possess the required licensure may be appointed at the entry step of the grade and level applicable to the completed nursing education as a GNT on a 120-day temporary appointment while actively pursuing licensure (may be extended up to two years on a case-by-case-basis).

Requirements

• Basic Requirements: English Language Proficiency, Graduate of a school of professional nursing, Current - full - active - and unrestricted registration as a graduate professional nurse, Credit for foreign nursing education higher than associate degree/entry level requires a formal degree equivalency validation from a recognized equivalency evaluation accepted by VA.
• Graduate Nurse Technician (GNT) Exception: Candidates who otherwise meet the basic education requirements but do not possess the required licensure may be appointed at the entry step of the grade and level applicable to the completed nursing education as a GNT on a 120-day temporary appointment while actively pursuing licensure (may be extended up to two years on a case-by-case-basis).

Skills

• Utilization review experience
• Case management experience
• Direct care hospital experience
• Strong communication skills
• Ability to facilitate meetings and build collaborative relationships

Benefits

• VA Nurse Total Rewards Pay: Competitive salary - regular salary increases - potential for performance awards
• Paid Time Off: 50 days of paid time off per year (26 days of annual leave - 13 days of sick leave - 11 paid Federal holidays per year)
• Retirement: Traditional federal pension (5 years vesting) and federal 401K with up to 5% in contributions by VA
• Insurance: Federal health/vision/dental/term life/long-term care (many federal insurance programs can be carried into retirement)
• Telework: Not Available
• Virtual: This is not a virtual position

Pay

Competitive salary - regular salary increases - potential for performance awards

Schedule

07:30am - 16:00pm