RN - Utilization Management

Spectrum Healthcare Resources; San Diego (CA); Remote; USD 76,000 - 90,000; Full time

Job summary

A leading healthcare provider is seeking a Registered Nurse Utilization Manager to work remotely. The role involves reviewing cases, educating patients, and managing healthcare costs for military dependents. The ideal candidate will have a Bachelor's Nursing Degree and experience in utilization management. This full-time position offers a generous compensation package including PTO and 401k.

Benefits

401k

PTO

Qualifications

• At least 2 years' experience as an RNUM in a remote environment.
• Possess current certification in CPUR or CCM.

Responsibilities

• Review cases and manage healthcare costs for dependents.
• Educate patients on appropriate care.

Skills

Communication

Organization

Technical Aptitude

Education

Bachelor's Nursing Degree

Tools

Microsoft Office

Job description

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Job Description

Spectrum Healthcare Resources has an opportunity for Registered Nurse Utilization Managers (RNUM).

Job Aspects

• These will be completely remote positions, working entirely from the Nurse's home.
• The Nurse will review cases, educate patients on appropriate care, and manage healthcare costs for the dependents of our Nation's Active Duty and eligible retirees.
• The Nurse will work remotely Monday through Friday, 8 hours per day.
• Generous compensation package with 401k, PTO, and a salary up to $90,000.

Requirements

• Bachelor's Nursing Degree.
• At least one active state nurse license, preferably a compact state license.
• At least 2 years' experience working as an RNUM, preferably in a remote or hybrid environment.
• Possess current certification in either:
  • Completion of an accredited Certified Professional Utilization Review (CPUR) program, or
  • Certified Case Manager (CCM) issued by the Commission for Case Manager Certification.
• OR
• Possess two (2) years of full-time broad-based registered nurse experience in a utilization management review or a case management setting within the preceding five (5) years. The experience must demonstrate current clinical competency.
• Highly organized, self-directed, able to function in a high-volume environment.
• Strong verbal and written communication skills.
• Proficient with Microsoft Office and strong technical aptitude.
• Must have access to secure, high-speed internet.

Contact for More Information

Melissa Powell
719-528-7965
[e-mail]

Company Overview

Spectrum Healthcare Resources (SHR) has been delivering services since 1988 to meet the needs of Military and VA Health Systems. SHR provides staffing and management services to Military Treatment Facilities, VA clinics, and Federal Agencies. A Joint Commission-accredited firm, SHR is part of TeamHealth, serving 850 hospitals nationwide with 9,600 healthcare professionals. EOE/Disabled/Veterans.

Location

US-CA-San Diego

Recruiter

Melissa Powell

Direct Phone Number

719-528-7965

Email

[e-mail]

Job Details

• Management industry
• Mid-Senior level
• Full-time employment
• Health Care Provider role
• Hospitals and Healthcare industry