RN Utilization Management Specialist

2 weeks ago


Denver, Colorado, United States Spectrum Healthcare Resources Full time
Job Title: RN Utilization Management Specialist

Spectrum Healthcare Resources is seeking a highly organized and self-directed Registered Nurse Utilization Management Specialist to join our team. As a key member of our team, you will be responsible for reviewing cases, educating patients on appropriate care, and managing healthcare costs for the dependents of our Nation's Active Duty and eligible retirees.

Responsibilities:
  • Review cases and make recommendations for utilization management
  • Develop and implement care plans to ensure optimal patient outcomes
  • Collaborate with healthcare providers to ensure seamless care coordination
  • Manage healthcare costs and develop strategies to reduce unnecessary expenses
Requirements:
  • Bachelor's degree in Nursing
  • At least one active state nurse license, preferably compact state licensure
  • At least 2 years' experience working as an RNUM, preferably in a remote or hybrid environment
  • Current certification in either CPUR or CCM
About Spectrum Healthcare Resources:

Spectrum Healthcare Resources is a leading organization that provides physician and clinical staffing and management services to United States Military Treatment Facilities, VA clinics, and other Federal Agencies. We are committed to delivering high-quality healthcare services and are seeking a talented and dedicated individual to join our team.



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