Registered Nurse - Utilization Management Coordinator

Veterans Health Administration • Philadelphia, PA

2d • Onsite

About The Position

The Registered Nurse (RN) Utilization Management (UM) Coordinator delivers fundamental knowledge-based care while developing technical and clinical competencies. The role focuses on individual growth and development in practice, with increasing levels of self-direction. The nurse uses UM criteria to perform basic reviews while developing the skills and judgment to apply the nursing process in real situations. This is a novice role in which the nurse works closely with a UM preceptor and applies nursing principles and theory while building critical-thinking skills.

The RN assesses, plans, implements, and evaluates care using age-specific components. The position coordinates care throughout the continuum, with a focus on patient education, self-management, and customer satisfaction; follows established policies and guidelines; and collaborates with the interdisciplinary team to influence care outcomes. The role serves Veterans and supports the VA mission of caring for those who have served and their families, caregivers, and survivors.

Requirements

• Proficiency in basic written and spoken English.
• Graduate of an appropriately accredited school of professional nursing, or qualifying equivalent nursing education as described in the announcement.
• Current, full, active, and unrestricted registration as a graduate professional nurse in a U.S. State, Territory, Commonwealth, or the District of Columbia; a temporary Graduate Nurse Technician appointment may be possible for otherwise qualified candidates pursuing licensure.
• Must meet the applicable education and experience criteria for the assigned nurse grade and level.
• U.S. citizenship, except when appointment of a non-citizen is permitted under VA policy.
• Pass a pre-employment physical examination.
• Participation in the seasonal influenza vaccination program.
• Selected applicants are subject to drug screening, background/security investigation, onboarding, and may be required to serve a probationary period.
• Complete the application requirements listed in the Required Documents section.

Nice To Haves

• Master’s degree.
• Certified Professional in Healthcare Quality (CPHQ) certification.
• Quality Management or Leadership experience.

Responsibilities

• Deliver fundamental knowledge-based care to assigned clients while developing technical skills and competencies.
• Assess, plan, implement, and evaluate care based on age-specific components.
• Coordinate care throughout the continuum, focusing on patient education, self-management, and customer satisfaction.
• Follow established procedures, policies, and guidelines.
• Collaborate with interdisciplinary team members to influence care outcomes.
• Use Utilization Management criteria to perform basic reviews while developing technical and clinical competencies.
• Work with a UM preceptor to develop skills and judgment in applying the nursing process to real situations.

Benefits

• Competitive salary, regular salary increases, and potential performance awards.
• 50 days of paid time off per year: 26 days annual leave, 13 days sick leave, and 11 paid Federal holidays.
• Traditional federal pension with five-year vesting.
• Federal 401(k), with VA contributions up to 5%.
• Federal health, vision, dental, term life, and long-term care insurance; many federal insurance programs can be carried into retirement.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: Associate degree