Registered Nurse - UM/UR

Cooperidge Consulting Firm; Haughton (LA); On-site; USD 67,000 - 92,000; Full time

Benefits offered by this job

Health Care Plan (Medical, Dental & Vision)

Retirement Plan (401k, IRA)

Life Insurance (Basic, Voluntary & AD&D)

Paid Time Off (Vacation, Sick & Public Holidays)

Family Leave (Maternity, Paternity)

Short Term & Long Term Disability

Training & Development

Wellness Resources

Annual CME Stipend and License/Certification Reimbursement

Job summary

A consulting firm in the health sector is seeking an experienced Registered Nurse (RN) specializing in Utilization Management (UM) to join the team. This role involves conducting clinical reviews, collaborating with healthcare providers, and ensuring compliance with quality standards. The ideal candidate will have a strong clinical background, excellent communication skills, and the ability to work effectively in a team environment. Benefits include comprehensive health coverage, retirement plans, and ongoing training and development.

Qualifications

• Minimum of 3 years of clinical nursing experience, with at least 1 year in Utilization Management or Utilization Review.
• Certification in Utilization Review or Case Management preferred.
• Must possess ability to pass a Government background check/security clearance.

Responsibilities

• Conduct comprehensive reviews of clinical records for appropriateness and necessity of care.
• Collaborate with healthcare teams to ensure coordinated patient care.
• Facilitate care transitions and discharge planning processes.
• Monitor healthcare services for compliance with regulations.
• Educate patients and families about care management processes.

Skills

Analytical skills

Critical thinking

Communication skills

Interpersonal skills

Teamwork

Education

ASN degree from an accredited college or university

AHA or ARC BLS Certification

Job description

Base Pay Range

$67,000.00/yr - $92,000.00/yr

Cooperidge Consulting Firm is seeking an experienced Registered Nurse (RN) specializing in Utilization Management (UM) and Utilization Review (UR) to join the team of one of our DoD clients. In this role, you will assess patient care, collaborate with healthcare providers, and ensure compliance with quality standards and policies. This position is essential for promoting efficient healthcare delivery and optimal patient outcomes.

Key Responsibilities

• Conduct comprehensive reviews of clinical records for appropriateness and necessity of care
• Collaborate with healthcare teams to ensure coordinated patient care
• Facilitate care transitions and discharge planning processes
• Monitor healthcare services to ensure compliance with internal and external regulations
• Educate patients and families about care management processes and available resources

Schedule

• Monday through Friday
• 9-hour workdays between 7:00 AM and 5:00 PM
• One-hour lunch break
• No weekends or holidays

Requirements

• ASN degree from an accredited college or university
• AHA or ARC BLS Certification
• Minimum of 3 years of clinical nursing experience, with at least 1 year in Utilization Management or Utilization Review
• Certification in Utilization Review or Case Management preferred (but not required)
• Strong analytical and critical thinking skills
• Excellent communication and interpersonal skills
• Ability to work effectively in a fast-paced, team-oriented environment
• Must possess ability to pass a Government background check/security clearance

Benefits

• Health Care Plan (Medical, Dental & Vision)
• Retirement Plan (401k, IRA)
• Life Insurance (Basic, Voluntary & AD&D)
• Paid Time Off (Vacation, Sick & Public Holidays)
• Family Leave (Maternity, Paternity)
• Short Term & Long Term Disability
• Training & Development
• Wellness Resources
• Annual CME Stipend and License/Certification Reimbursement

Seniority Level

Associate

Employment Type

Full-time

Job Function

Health Care Provider

Industries

IT Services and IT Consulting