Registered Nurse - Utilization Manager (UM)

French Consulting; Roveredo in Piano; In loco; EUR 50.000 - 70.000; Tempo pieno

Descrizione del lavoro

A healthcare consulting firm in Italy is seeking a Registered Nurse - Utilization Manager. This role supports the medical management team at Ramstein Air Base by conducting utilization reviews and ensuring quality care. Candidates must have an Associate's Degree in Nursing, a current RN license, and a minimum of two years of nursing experience. Strong analytical skills and knowledge of medical care criteria are essential. This full-time position offers an opportunity to work in a dynamic environment.

Competenze

• Minimum of two years of experience in professional nursing.
• Current, unrestricted RN license.
• Familiarity with ICD-9 and CPT-4 coding.

Mansioni

• Conduct utilization reviews and analyze patient data.
• Provide nursing expertise about the case management process.
• Develop treatment plans for patient continuity of care.

Conoscenze

Analytical skills

Clinical judgment

Knowledge of medical care criteria

Experience in Utilization Management

Formazione

Associate's Degree in Nursing

Descrizione del lavoro

We are looking for individuals who want to join our Team in Aviano, Italy. Apply Now!

Job Opening

• Title: Registered Nurse - Utilization Manager (UM)
• Location: AvianoAB, Italy
• Start Date: 1 October 2025
• Job-Type: Full Time

Job Overview

We are seeking a highly analytical and experienced Registered Nurse Utilization Manager (UM) to support the Medical Management team at Ramstein Air Base. The UM will conduct utilization reviews, analyze patient data, and ensure cost-effective, quality care. This role requires strong clinical judgment and familiarity with medical care criteria and coding systems.

Qualifications

• Degree: Associate's Degree in Nursing.
• Education: Graduate from a college or university accredited by ACEN, CCNE, or as otherwise outlined in the TO.
• Certification: Possess one of the following certifications:
  • Commission for Case Manager Certification Certified Case Manager (CCM)
  • Certification of Disability Management Specialists Commission: Certified Disability Management Specialist (CDMS)
  • Association of Rehabilitation Nurses: Certified Rehabilitation Registered Nurse (CRRN)
  • American Board for Occupational Health Nurses: Certified Occupational Health Nurse (COHN) or COHN-S
  • National Board for Certification in Continuity of Care: Advanced Certification in Continuity of Care (ACCC)
  • Commission on Rehabilitation Counselor Certification: Certified Rehabilitation Counselor (CRC)
  • American Nurses Credentialing Center Nurse Case Manager (RN-NCM)
  • National Academy of Certified Care Managers: Care Manager Certified (CMC)
• Experience: Minimum of two (2) years of recent experience within the last four (4) years in professional nursing. Under Case Manager (CM) requires a minimum of two (2) years of recent experience (within the last four (4) years) in professional nursing or CM. Under Utilization requires six (6) years of broad-based clinical nursing experience, and previous experience in UM is preferred. Knowledge of medical care criteria (e.g., InterQual or Milliman Ambulatory Care Guidelines), and experience performing prospective, concurrent, and retrospective reviews to justify medical necessity. Working knowledge of Ambulatory Procedure Grouping (APGs), Diagnostic-Related Grouping (DRGs), ICD-9, and CPT-4 coding. Minimum of two (2) years of recent nursing experience.
• Licensure: Current, full, active, and unrestricted license to practice as a Registered Nurse as required in the TO. The license must allow the holder to practice independently without supervision.

Responsibilities

• Participate in all phases of the Case Management Program (CMP) and ensure CMP meets established CM standards of care.
• Provide nursing expertise about the CM process, including assessment, planning, implementation, coordination, and monitoring. Identify opportunities for CM and integrate local CM processes.
• Develop and implement local strategies using inpatient, outpatient, onsite and telephonic CM.
• Develop and implement tools to support case management, such as patient identification, patient assessment, clinical practice guidelines, algorithms, CM software, and databases for community resources.
• Integrate CM and UM and align nursing case management with social work case management.
• Maintain liaison with appropriate community agencies and organizations.
• Accurately collect and document patient care data.
• Develop treatment plans including preventive, therapeutic, rehabilitative, psychosocial, and clinical interventions to ensure continuity of care toward optimal wellness.
• Establish mechanisms to ensure proper implementation of patient treatment plans and follow-up post-discharge in ambulatory and community health care settings.
• Provide health care instruction to patient and/or caregivers based on identified learning needs.

DOCPER/SOFA/Logistical Support Status

This position is eligible for support under NATO Status of Forces Agreement (SOFA) supplemental agreement articles 72 or 73.

APPLICATION PROCESS

For more information, go to our website. Upload your resume directly at our careers page.

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French Consulting is proud to be an equal opportunity workplace and is an affirmative action employer. We are committed to equal employment opportunity regardless of race, color, ancestry, religion, sex, national origin, sexual orientation, age, citizenship, marital status, disability, gender identity, or Veteran status. We also consider qualified applicants regardless of criminal histories, consistent with legal requirements.