Registered Nurse – Utilization Management (Langley AFB)

Professional-Performance-Development-Group; Newport News (VA); Vor Ort; USD 66.000 - 73.000; Vollzeit

Zusammenfassung

Professional Performance Development Group is seeking a Registered Nurse - Utilization Management to support healthcare operations at Langley Air Force Base. The RN reviews medical necessity, coordinates care, and supports case management in a Military Healthcare environment.

The ideal candidate holds an Associate Degree in Nursing with ACEN or CCNE accreditation, active RN license, and at least 1 year of nursing experience. This full-time role requires U.S.

Qualifikationen

• Knowledge of utilization management, case management, and care coordination practices.
• Strong clinical assessment and critical thinking skills.
• Effective communication and collaboration skills.
• Proficiency in electronic medical record systems and healthcare databases.
• Strong organizational and documentation skills.

Aufgaben

• Perform utilization management reviews to determine medical necessity and appropriateness.
• Participate in all phases of utilization management and case management programs.
• Coordinate patient care with physicians, nurses, case managers, social workers, and staff.
• Review admissions, referrals, procedures, and treatment plans.
• Assist with discharge planning and continuity-of-care activities.
• Maintain accurate documentation and protect patient confidentiality.

Kenntnisse

Utilization management

Care coordination

Clinical assessment

Communication

Documentation

Ausbildung

Associate Degree in Nursing

ACEN/CCNE accreditation

Tools

EMR/EHR systems

Healthcare databases

Jobbeschreibung

Professional Performance Development Group is seeking a Registered Nurse - Utilization Management to support healthcare operations at Langley Air Force Base. The RN reviews medical necessity, coordinates care, and supports case management in a Military Healthcare environment.

The ideal candidate holds an Associate Degree in Nursing with ACEN or CCNE accreditation, active RN license, and at least 1 year of nursing experience. This full-time role requires U.S.