Clinical Nurse- Utilization Management
InGenesis 19 reviews - Del Rio, TX

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For 15 years, InGenesis has provided expert staff augmentation, human resources and management consulting services to corporate and government clients in a variety of industries. InGenesis is one of America's fastest-growing independent companies.

Available Position - RN – Clinical Nurse- Utilization Management – Laughlin AFB
CLINCAL NURSE-Utilization Management Laughlin AFB, Texas

Knowledge of HIPPA, AAAHC, TJC and CPG's
Working knowledge of computer applications to include MS Office. Must be able to input, extract and format data from established databases.
Must have excellent oral and written communication and interpersonal skills.
Must have a working knowledge of APG's, DRG's, ICD, CPT and McKesson (InterQual) and or Millman Care Guidelines.
Must have knowledge and experience in Patient Advocacy, Patient Privacy, and Customer Relations.
Must demonstrate ability to apply critical thinking skills and expertise in resolving complicated healthcare, social, interpersonal and financial patient situations.
Must possess organization, problem-solving and communication skills to articulate medical requirements to patients, families/care givers, medical and non-medical staff in a professional and courteous way.
Familiarity with Department of Defense (DoD), Federal, State, non-profit healthcare systems and organizations, to include DoD Tri-Service Military Healthcare Systems, TRICARE purchased care system, Medicare, Medicaid and the Veterans Administration (VA) is desired.

License : Maintain an active, valid, current, and unrestricted license (with no limitations, stipulations or pending adverse actions) to practice nursing as a registered nurse in any US state/jurisdiction.
Experience : One year of previous experience in Utilization Management is required. Employment in a nursing field within the last 12 months is mandatory. 6 years of active clinical nursing practice is desired.
Certification : Certification by a UM-specific program such as Certified Professional in Healthcare Management (CPHM) is desired.

Fulltime Position Monday – Friday Schedule ( 07:30-16:30)
Competitive Compensation Plan
Excellent Opportunity to Work with the Federal Government
Full Benefits including generous Paid Time Off

For more information or to apply, contact Jessica Hernandez at 210-366-0033 ext. 259 or Email Resume

InGenesis is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, or national origin.

About this company
19 reviews