Job Information
Katmai Government Services Utilization Management Registered Nurse in USAF Academy, Colorado
Job Title Utilization Management Registered Nurse
Location USAF ACADEMY, CO US (Primary)
Job Type Full-time
Job Description
Summary: Responsible for assuring the receipt of high-quality, cost-efficient medical outcomes for those enrollees identified as having the need for inpatient/outpatient precertification.
Essential Duties & Responsibilities: Review precertification requests for medical necessity, referring to the Medical Director those that require additional expertise. Review clinical information for concurrent reviews. As part of the UMRN program, conduct ongoing availability, monitoring and oversight of non-clinical staff activities. Establish effective rapport with other employees, professional support service staff, customers, clients, patients, families, and physicians. Employ effective use of knowledge, critical thinking, and skills to: Advocate quality care and enhanced quality of life. Prevent patient complications during hospital stay. Advocate decreased hospital stay when appropriate. Maintain accurate records of all patient related interactions. Maintain regular and punctual attendance. Other duties as assigned.
Supervisory Responsibilities: None.
Job Requirements
Desired Skills & Qualifications: Working knowledge of computer applications/software to include Microsoft Office programs, MS Outlook (e-mail), and internet familiarity is required. The ability to input, extract, and format data from established databases is desired. Ability to effectively read, write and speak English in order to communicate with all patients and other healthcare providers. Ability to effectively communicate and collaborate with a diverse group of people for the purpose of informing the healthcare team of plans/actions, for teaching/education to benefit the patient/family and organization. Effectively uses appropriate communication format in addressing professional issues. Excellent written communication skills to perform accurate documentation, both written and electronic, of all activity in accordance with requirements. Must demonstrate ability to apply critical thinking skills and expertise in resolving complicated healthcare, social, interpersonal and financial patient situations.
Work Schedule: Full-time. May be required to work additional hours as needed to complete assignment or project. Physical Demands: Position consists of sitting for long periods of time, using hands/fingers, handling, reaching with hands and arms, speaking or translating. Periods of walking, standing, bending, kneeling, stooping, crouching, and lifting boxes weighing up to 30 pounds. Moderate to extended periods of office work with heavy periods of computer usage. May be assigned occasional to moderate periods of analytical tasks requiring extensive reasoning abilities. It is Katmai's business philosophy and practice to provide reasonable... For full info follow application link.
We are a VEVRAA Federal Contractor
We are an equal opportunity employer and all qualified applicants will receive consideration for employment without regard to age, race, color, religion, sex, sexual orientation, gender identity or national origin, disability status, protected veteran status, or any other characteristic protected by law.
Preference will be given to Ouzinkie Shareholders, Spouses of Shareholders, and Descendants of Shareholders in accordance with Title 43 U.S. Code 1626(g) and Title 42 U.S. Code 2000e - 2(i).
Executive Order 11246, as amended, protects applicants and employees from discrimination based on inquiring about, disclosing, or discussing their compensation or the compensation of other applicants or employees.
Posters:
Equal Employment Opportunity is the Law Poster: https://katmai.egnyte.com/dl/FrUjevEY7z
EEO Supplement Poster : https://katmai.egnyte.com/dl/pzpazUDsKb
Pay Transparency Poster: https://katmai.egnyte.com/dl/XP6htB3UCc
Right o Work Poster: https://katmai.egnyte.com/dl/KGGBPdDBaV