RN - Utilization Management

Spectrum Healthcare Resources has an Exciting Potential Opportunity for an RN Utilization Management supporting The Veterans Administration Office of Community Care in Glendale, CO!

Education: Must have an Associate (ADN) or Bachelor's (BSN) degree in Nursing from an accredited program recognized by the U.S. Department of Education.
• Certifications: Basic Life Support (BLS) required. Additionally, candidates must have one of the following:
  • Certified Registered Nurse Case Manager (CCM or ANCC) -OR-
  • Certification eligibility with 3 years (ADN) or 2 years (BSN) of full-time clinical case management experience with children, families, seniors, or groups.
  • Advanced Cardiac Life Support (ACLS), Pediatric Advanced Life Support (PALS), and Neonatal Resuscitation Course (NRC) may be required per AFI 44-102 or equivalent.
• Experience: Minimum 3 years (ADN) or 2 years (BSN) of full-time experience in clinical case management working with various patient populations.
  • Experience with the military healthcare system, telehealth, TRICARE, and Military Health System Genesis is preferred.
• Licensure: Must hold a current, full, active, and unrestricted RN license.

• Oversee all phases of the Case Management Program (CMP) and ensure compliance with established standards.
• Provide nursing expertise in case management, including assessment, planning, implementation, coordination, and monitoring.
• Identify opportunities for case management and integrate local CM processes into practice.
• Develop and implement tools and strategies for effective case management, including patient assessment tools, clinical guidelines, CM software, and community resource databases.
• Collaborate with utilization management (UM) and social work case management for comprehensive patient care solutions.
• Work closely with patients, families/caregivers, providers, and the healthcare team to develop and execute personalized care plans.
• Provide education and support to patients and families to ensure they receive appropriate, timely care.

What We Offer:

• Competitive pay
• Medical/Dental/Vision/401k
• 2 weeks of PTO per year and offered 40 hrs after first 90 days
• Accrued sick time

For More Information Contact:

Laura Hatcher

Laura_Hatcher@spectrumhealth.com

314-744-4156

Company Overview:

At Spectrum, we utilize over thirty-five years of experience providing optimal solutions for federal agencies that are both innovative and cost-effective. We hold ourselves to the highest standard to ensure successful outcomes for the facilities and healthcare professionals we serve. As a Joint Commission Certified Healthcare Resource, dependability and service are the driving forces of our mission.

EOE/Disabled/Veterans