Utilization Management RN

Location
Little Rock, AR
Salary
Competitive
Posted
Jan 27, 2018
Closes
Feb 26, 2018
Specialty
Case Management
Contract Type
Permanent
Hours
Full Time

The Utilization Management Nurse critically examines the patient medical record using a solid clinical knowledge base, critical thinking skills and application of evidence-based guidelines to ensure the appropriateness of the healthcare being delivered. Use of evaluation criteria such as InterQual to determine compliance with admission and continued stay criteria is a key element of the role. Collaboration with the healthcare team for accurate and appropriate clinical documentation is a critical function of the role. Consults with physicians in patient care, admission criteria and continued stay/discharge criteria. Participates in quality improvement initiatives in regards to SAIL domains and other indicators of quality. Knowledge of regulations, current evidence-based practices and a strong ability to communicate with the interdisciplinary team are key qualities of the UM Nurse. Participates in annual knowledge validation for self and performs frequent assessments for consistent application of criteria with peers.

Work Schedule: Day/Evening Weekdays with possible weekend tours

Basic Requirements:
  • United States Citizenship: Non-citizens may only be appointed when it is not possible to recruit qualified citizens in accordance with VA Policy.
  • Graduate of a school of professional nursing approved by the appropriate State-accrediting agency and accredited by one of the following accrediting bodies at the time the program was completed by the applicant: The Accreditation Commission for Education in Nursing (ACEN) or The Commission on Collegiate Nursing Education (CCNE). In cases of graduates of foreign schools of professional nursing, possession of current, full, active and unrestricted registration will meet the requirement of graduation from an approved school of professional nursing. OR The completion of coursework equivalent to a nursing degree in a MSN Bridge Program that qualifies for professional nursing registration constitutes the completion of an approved course of study of professional nursing. Students should submit the certificate of professional nursing to sit for the NCLEX to the VA along with a copy of the MSN transcript. (Reference VA Handbook 5005, Appendix G6) OR In cases of graduates of foreign schools of professional nursing, possession of a current, full, active and unrestricted registration will meet the requirement for graduation from an approved school of professional nursing.
  • Current, full, active, and unrestricted registration as a graduate professional nurse in a State, Territory or Commonwealth (i.e., Puerto Rico) of the United States, or the District of Columbia.
  • Applicants and individuals appointed on or after November 30, 1999, who
    have been licensed, registered, or certified (as applicable to such position) in
    more than one State and who had such license, registration, or certification
    revoked for professional misconduct, professional incompetence, or substandard care by any of those States, or voluntarily relinquished a license, registration or certification in any of those States after being notified in writing by that State of potential termination for professional misconduct, professional incompetence, or substandard care, are not eligible for appointment, unless the revoked or surrendered license, registration, or certification is restored to a full and
    unrestricted status."
Preferred Experience: 4 years nursing practice with 2 years of utilization management experience; BSN

Grade Determinations: The following criteria must be met in determining the grade assignment of candidates, and if appropriate, the level within a grade:
  • Nurse I Level I - An Associate Degree (ADN) or Diploma in Nursing, with no additional nursing practice/experience required.
  • Nurse I Level II - An ADN or Diploma in Nursing and approximately 1 year of nursing practice/experience; OR an ADN or Diploma in Nursing and a bachelor's degree in a related field with no additional nursing practice/experience; OR a Bachelor's of Science in Nursing (BSN) with no additional nursing practice/experience.
  • Nurse I Level III - An ADN or Diploma in Nursing and approximately 2-3 years of nursing practice/experience; OR an ADN or Diploma in Nursing and a Bachelor's degree in a related field and approximately 1-2 years of nursing practice/experience; OR a BSN with approximately 1-2 years of nursing practice/experience; OR a Master's degree in nursing (MSN) or related field with a BSN and no additional nursing practice/experience.
  • Nurse II - A BSN with approximately 2-3 years of nursing practice/experience; OR ADN or Diploma in Nursing and a Bachelor's degree in a related field and approximately 2-3 year's of nursing practice/experience; OR a Master's degree in nursing or related field with a BSN and approximately 1-2 year's of nursing practice/experience; OR a Doctoral degree in nursing or meets basic requirements for appointment and has doctoral degree in a related field with no additional nursing practice/experience required.
  • Nurse III - Master's degree in nursing or related field with BSN and approximately 2-3 year's of nursing practice/experience; OR a Doctoral degree.
Reference: VA Regulations, specifically VA Handbook 5005, Part II, Appendix G-6 Nurse Qualification Standard. This can be found in the local Human Resources Office.Physical Requirements: The work is sedentary. Typically, the employee may sit comfortably to perform portions of the work. However, there is periodic walking and standing.
Use of fingers
Use of both hands
Ability for rapid mental and muscular coordination simultaneously
Near vision correctable
Far vision correctable
Depth perception
Hearing (aide permitted)
Work closely with others, as well as, protracted or irregular hours of work

To interview for this position, you must provide a :

Detailed Resume or CV

Other forms and credentialing will be required after interview to continue the hiring process. To find forms, go to
http://www.va.gov/vaforms/search_action.asp?FormNo=2850&tkey=&Action=Search. and type in the form numbers provided below:

Other Documents required after interview
1. Application for Nurses and Nurse Anesthetists (form 10-2850a)
2. Current supervisor reference or current performance evaluation (form FL-10-341a)
3. 306 -Declaration for federal employment (form 306)
4. Copy of BLS (Basic Life Support) Card
VA Form 10-2850a - Application for Nurses and Nurse Anesthetists can be found at: http://www.va.gov/vaforms/search_action.asp?FormNo=2850&tkey=&Action=Search.

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