Registered Nurse - Utilization Management (RN)

Position Title: Registered Nurse - Utilization Management (RN)

Location: Hampton, VA 23665

Pay rate: $48/hr.

Duration: 12 months with extension options up to 5 years

Work Schedule: Full-time, 40 hours weekly | Monday - Friday, 07:30 AM - 04:30 PM

Key Responsibilities

• Provide nursing support for utilization management activities within a military healthcare setting.

• Collaborate with healthcare personnel and other healthcare facilities to support appropriate patient care.

• Assist with coordinating referral appointments and healthcare services.

• Serve as a point of contact between healthcare staff and beneficiaries regarding plans of action and available healthcare benefits.

• Support patient and family education, as appropriate.

• Maintain accurate clinical and administrative documentation.

• Work collaboratively with the healthcare team to facilitate appropriate patient care and services.

• Follow applicable Department of Defense (DoD), Defense Health Agency (DHA), and facility policies and procedures.

• Maintain professional standards, patient confidentiality, and patient safety.

• Complete required agency and facility-specific training and comply with applicable policies and procedures.

Required Qualifications

• Current Registered Nurse (RN) license.

• Current Basic Life Support (BLS) certification.

• Experience in utilization management or utilization review.

• Experience in care coordination, referral management, or clinical nursing.