Utilization Management Nurse

Presidential Staffing Solutions, LLC; Los Angeles (CA); On-site; USD 70,000 - 100,000; Full time

Benefits offered by this job

401(k)

Dental insurance

Health insurance

Paid time off

Signing bonus

Training & development

Vision insurance

Job summary

An established industry player in healthcare is seeking a dedicated Utilization Management Nurse to enhance patient care efficiency. In this vital role, you will review patient files and treatment methods, ensuring that every patient receives the necessary treatments and procedures. The ideal candidate will possess a strong nursing background, with at least five years of experience in a medical setting, and hold a relevant nursing degree. This position offers a competitive salary and a comprehensive benefits package, including health insurance and a signing bonus. If you're passionate about patient advocacy and quality care, this opportunity is perfect for you.

Qualifications

• 5+ years of nursing experience with a focus on efficiency in patient care.
• Certification in Case Management or Utilization Management preferred.

Responsibilities

• Review patient files and treatment information for efficiency.
• Advocate for quality patient care to prevent complications.

Skills

Nursing

Utilization Management

Patient Advocacy

Quality Management Performance Improvement

Communication Skills

Organizational Skills

Education

Bachelor of Science in Nursing (BSN)

Master of Science in Nursing (MSN)

Tools

Microsoft Office

Job description

Benefits:

• 401(k)
• Competitive salary
• Dental insurance
• Health insurance
• Paid time off
• Signing bonus
• Training & development
• Vision insurance

Location: Outpatient Case Management West Los Angeles VAMC, 11301 Wilshire Blvd, Los Angeles, CA 90073

There are five new RN vacancies at the West Los Angeles VA Medical Center.

Job Summary: We are seeking a Utilization Management Nurse to join our team! As a Utilization Management Nurse, you will be responsible for reviewing patient files and treatment methods with an eye for efficiency and effectiveness. Your role will ensure that all patients under our care are receiving the necessary treatments and procedures. The ideal candidate has deep experience in a similar medical setting, a bachelor's or higher in Nursing, and a certification in either Case Management or Utilization Management.

Responsibilities:

• Review patient files and treatment information for efficiency.
• Monitor the activity of staff to ensure effective patient treatment.
• Advocate for quality patient care to prevent complications.
• Review discharge information for outgoing patients.
• Work closely with clinical staff to provide excellent patient care.
• Prepare reports on patient management and cost assessments.

Qualifications:

• BSN and/or MSN preferred.
• Minimum of 5 years of successful nursing practice, encompassing education, administration, leadership, and Quality Management Performance Improvement (QM/PI) experience preferred.
• Basic computer literacy proficiency with Microsoft Office or comparable software.
• Ability to work variable and flexible tours to meet program demands.
• Demonstrated ability to accurately implement policies, regulations, and standards of care.
• Excellent organizational, communication, writing, and time management skills.
• Excellent interpersonal skills and the ability to work independently as well as collaboratively.