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Registered Nurse

2 months ago

Pensacola, Florida, United States LUKE Full time
Job Description

Job Summary:

Luke is seeking a highly skilled Registered Nurse to serve as a Utilization Manager. The successful candidate will be responsible for managing the utilization of healthcare resources, ensuring efficient and effective care delivery.

Key Responsibilities:

  • Maintain a high level of productivity and efficiency in managing healthcare resources.
  • Participate in peer review and performance improvement activities to enhance quality of care.
  • Practice aseptic techniques and comply with infection control guidelines to prevent the spread of infection.
  • Function with awareness and application of safety procedures to ensure a safe work environment.
  • Perform efficiently in emergency patient situations, remaining calm and documenting events.
  • Apply awareness of legal issues in all aspects of patient care and strive to manage situations in a reduced risk manner.
  • Participate in the implementation of the Family Advocacy Program as directed.
  • Exercise awareness and sensitivity to patient/significant others' rights.

Requirements:

  • Associates Degree of Nursing.
  • Graduation from an accredited nursing educational program.
  • One year of experience in nursing.
  • Current unrestricted license to practice as an RN in any one of the 50 States, the District of Columbia, the Commonwealth of Puerto Rico, Guam or the U.S. Virgin Islands.
  • Current certification in ONE (1) OF THE FOLLOWING:
    • Certified Professional Utilization Review (CPUR) from McKesson Health Solutions.
    • Certified Professional Utilization Management (CPUM) from McKesson Health Solutions.
    • Health Care Quality and Management Certification from American Board of Quality Assurance and Utilization Review Physicians (ABQAURP).
    • Certified Professional in Healthcare Quality (CPHQ) from Healthcare Quality Certification Board (HQCB).
    • Certified Case Manager (CCM) issued by the Commission for Case Manager Certification.
    • Advanced Certification in Continuity of Care (ACCC) issued by the National Board for Certification in Continuity of Care.
    • Nurse Case Manager (RN-NCM) issued by the American Nurses Credentialing Center.
    • Care Manager Certified (CMC) issued by the National Academy of Certified Care Managers.
  • OR
  • Two (2) years of full-time broad-based registered nurse experience in a utilization management review or a case management setting within the preceding five (5) years.
  • Possess two (2) years of full-time broad-based registered nurse experience in a utilization management review or a case management setting within the preceding five (5) years.
  • Notwithstanding the aforementioned experience requirements, the HCWs must have pertinent clinical experience within the past two (2) years sufficient to demonstrate current clinical competency for the setting and procedures required by this contract.
  • BLS Basic Life Support, through the American Heart Association.
  • U.S. Citizenship.
  • Able to read, write, and speak English well enough to effectively communicate.
  • Shall be physically capable of standing and/or sitting for extended periods of time and physically capable of performing all services required.

Additional Requirements:

  • Must be comfortable in a fast-paced, dynamic environment.
  • Must be able and willing to reprioritize on short notice and work on multiple simultaneous projects.
  • Flexible and able to work with various personalities.
  • Teamwork skills required.
  • Time management skills required.
  • The ability to meet deadlines in a deadline-intensive environment is essential.
  • High level of adaptability and willingness to embrace change in a fast-paced, demanding environment.