Utilization Management RN - Care for Service Members

CentralCare Inc.; San Antonio (TX); On-site; USD 75,000 - 98,000; Full time

Job summary

Central Care Incorporated at Randolph Air Force Base in San Antonio, TX is seeking a Registered Nurse in Utilization Management to support service members, retirees, and families.

You will coordinate patient care with a broad clinical team, ensure compliance with policies, and help implement a comprehensive UM program aligned with the facility’s goals. Join Central Care Incorporated for a meaningful, mission-driven career.

Qualifications

• Bachelor of Science in Nursing required.
• NLNAC or CCNE accreditation required.
• Three years of nursing experience.
• Knowledge of HIPAA and AAAHC standards.

Responsibilities

• Coordinate patient care with a wide array of healthcare professionals.
• Ensure compliance with standards of care and facility policies.
• Direct and supervise care provided by other healthcare professionals.
• Make referral appointments and arrange specialty care as appropriate.
• Conduct research in support of improved practice and patient outcomes.
• Develops and implements a comprehensive Utilization Management plan/program.
• Performs data/metrics collection and analyzes utilization trends.

Skills

Nursing

Utilization Management

HIPAA

DRGs

Education

BSN

NLNAC/CCNE accreditation

Tools

MHS Genesis

Job description

Central Care Incorporated at Randolph Air Force Base in San Antonio, TX is seeking a Registered Nurse in Utilization Management to support service members, retirees, and families.

You will coordinate patient care with a broad clinical team, ensure compliance with policies, and help implement a comprehensive UM program aligned with the facility’s goals. Join Central Care Incorporated for a meaningful, mission-driven career.