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Spectrum Healthcare Resources is Hiring a RN Utilization Manager Near Oklahoma, OK
Job Description
Spectrum Healthcare Resources is seeking a dedicated and experienced RN Utilization Manager to join our team at Tinker Air Force Base. As an integral part of our healthcare team, you will play a vital role in ensuring the efficient and effective utilization of medical services for our service members and their families.
Position: RN Utilization Manager
Responsibilities:
- Utilize knowledge of medical privacy and confidentiality (HIPAA), as well as accreditation standards of AAAHC, TJC, and CPGs.
- Demonstrate proficiency in computer applications/software including Microsoft Office programs, MS Outlook (e-mail), and internet navigation.
- Apply working knowledge of Ambulatory Procedure Grouping (APGs), Diagnostic Related Grouping (DRGs), ICD, and CPT coding, as well as McKesson (InterQual) and/or Milliman Care Guidelines.
- Experience in Patient Advocacy, Patient Privacy, and Customer Relations.
- Conduct prospective, concurrent, and retrospective reviews to justify medical necessity for requested medical care and aid in collection and recovery from multiple insurance carriers.
Requirements:
- Bachelor's degree in Nursing (BSN) preferred.
- Active, unrestricted Registered Nurse (RN) license in any U.S. state or territory.
- Minimum of 36 months of total nursing experience in a direct patient care clinical setting within the last 48 months.
- Strong analytical skills and attention to detail.
- Excellent communication and interpersonal abilities.
- Ability to work effectively in a fast-paced environment.
Benefits:
- Competitive salary based on experience and qualifications.
- Comprehensive benefits package including medical, dental, and vision coverage.
- 401(k) retirement plan with company match.
- Paid time off and holidays.
- Professional development and training opportunities.
- Supportive work environment with opportunities for growth and advancement.
How to Apply: If you meet the requirements and are ready to make a difference in the lives of our service members, we would love to hear from you! Please submit your resume, cover letter, and contact information to Niqcardo_calhoun@spectrumhealth.com.
About Spectrum Healthcare Resources: Spectrum Healthcare Resources is a leading provider of healthcare staffing and management solutions. We are committed to delivering exceptional care to those who serve our country. Join us in making a positive impact on the lives of our nation's heroes and their families.
Don't miss this opportunity to join a dedicated team and contribute to the health and well-being of our military community. Apply today and be part of something meaningful!
Contact: Niqcardo Calhoun, HR Manager Email: Niqcardo_calhoun@spectrumhealth.com Phone: 314-744-4237
Spectrum Healthcare Resources is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees.
Location : Location
US-OK-Oklahoma CityRecruiter : Full Name: First Last
Niqcardo CalhounDirect phone number
314-744-4237Recruiter : Email
Niqcardo_Calhoun@spectrumhealth.comRemote / Work from home available?
NoJob Summary
Other
Ambulatory Healthcare Services
$100k-121k (estimate)
03/20/2024
03/18/2025
spectrumhealth.com
CREVE COEUR, MO
500 - 1,000
1988
GEORGE TRACY
$10M - $50M
Ambulatory Healthcare Services
Related Companies
The job skills required for RN Utilization Manager include Confidentiality, etc. Having related job skills and expertise will give you an advantage when applying to be a RN Utilization Manager. That makes you unique and can impact how much salary you can get paid. Below are job openings related to skills required by RN Utilization Manager. Select any job title you are interested in and start to search job requirements.
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