Utilization Management/Referral Nurse William Beaumont Medical Center Ft. Bliss, TX
Plans, evaluates, monitors and adapts the health care assessment sy stem.
Develops policies and procedures to implement clinical practice guidelines and outcome studies.
Provides continuing education to in-house staff, prepares numerous statistical reports.
Interprets and ensures compliance with constantly changing civilian and military guidance and regulations, adapting the program to optimize regulatory and operational requirements.
Coordinates with professional and administrative staff within WBAMC and other involved medical facilities to determine individual needs and requirements of beneficiaries between facilities, to complete administrative requirements, and to provide consultation in appropriate health care options and development of care coordination, and discharge planning.
Performs monitoring and tracking of referrals in the direct care system and the purchased care system ensuring referrals meet access standards.
Performs other duties as necessary to complete the referral process in a timely manner.
One year experience as UM/Referral Nurse Required
For more information contact: Jeanne Escobedo 915-569-3432
InGenesis is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, or national origin.