Spectrum Healthcare Resources has a potential opportunity for a Registered Nurse Utilization Management at Lackland AFB in San Antonio, TX.
This contract position offers:
- Monday-Friday 730am-430pm
- Outpatient Clinic
- No Nights, Weekend or Holidays
- No On-Call
- Stable Patient Population
- Paid time off and paid holidays
- Benefits package including Medical, Dental, Vision and 401(k) and more…
Requirements:
- Associate Degree of Nursing. Must possess a bachelor's degree in relevant health sciences or health informatics from an accredited university.
- Graduate from a college or university accredited by the ACEN or CCNE
- Active RN license in any state
- 2+ years of clinical and utilization management RN experience
- Basic Life Support Certification from American Heart
Core Duties:
- Supports a comprehensive MTF Utilization Management plan/program as prescribed in the DoD Medical Management Guide and by the MTF Utilization Management Director.
- Actively and retrospectively reviews medical cases to confirm receipt of appropriate care, monitor for patterns/trends and develop action plan for areas requiring improvement.
- Reports on utilization patterns; briefs provider staff and executive staff.
- Maintains reports on which cases have been denied or received reduced third party payments and reports provider profiles to the MTF management for corrective action.
- Participates on multi-disciplinary teams to resolve recurring problems in the healthcare delivery process for care within or outside the MTF including referrals
- Research and Analysis: Investigate and resolve queries from MTF clinics by analyzing reports and data.
- Education and Training: Provide education and guidance on reporting systems and tools to ensure effective utilization by clinic staff.
For More Information Contact:
Melissa Powell
719-528-7965
Melissa_Powell@Spectrumhealth.com
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. EOE/Disabled/Veterans
