Utilization Management Registered Nurse

Department of Veterans Affairs • Richmond, VA

31d • Onsite

About The Position

Demonstrate proficiency in practice based on conscious and deliberate planning. Self-directed in goal setting for managing complex client situations. Assumes responsibility for the coordination of care focused on patient education, self-management, and customer satisfaction throughout the continuum of care. Follows procedures per established policies and guidelines. Influences outcomes by collaborating with members of the interdisciplinary team. Independently plans and delivers technically competent care to patients with complex needs in alignment with the ANA Standards of Nursing Practice. Manages the care of patients, while organizing and prioritizing patient care needs, and ensuring assigned tasks are completed. Functions as an emerging leader in providing direction to staff to identify, implement and evaluate patient care needs. Collaborates with the interdisciplinary team to ensure the plan of care is achieved. Uses InterQual criteria to evaluate patient cases for quality and timeliness of care. Provides and directs others in Veteran/patient driven care that optimizes the patient's experience, satisfaction, and/or safety for a team of patients. Maintains professional boundaries to protect patient vulnerabilities and act in the best interest of the patient. Role models and displays ethical behavior. Recognizes ethical issues related to professional nursing practice and models appropriate action by providing and directing others in the provision of care following established policies and ANA Code of Ethics for Nurses. Models' high reliability principles and I CARE values to improve patient outcomes.

Requirements

• Licensure: 1 full and unrestricted license from any US State or territory

Nice To Haves

• Utilization Management per the paperwork.

Responsibilities

• Demonstrate proficiency in practice based on conscious and deliberate planning.
• Self-directed in goal setting for managing complex client situations.
• Assumes responsibility for the coordination of care focused on patient education, self-management, and customer satisfaction throughout the continuum of care.
• Follows procedures per established policies and guidelines.
• Influences outcomes by collaborating with members of the interdisciplinary team.
• Independently plans and delivers technically competent care to patients with complex needs in alignment with the ANA Standards of Nursing Practice.
• Manages the care of patients, while organizing and prioritizing patient care needs, and ensuring assigned tasks are completed.
• Functions as an emerging leader in providing direction to staff to identify, implement and evaluate patient care needs.
• Collaborates with the interdisciplinary team to ensure the plan of care is achieved.
• Uses InterQual criteria to evaluate patient cases for quality and timeliness of care.
• Provides and directs others in Veteran/patient driven care that optimizes the patient's experience, satisfaction, and/or safety for a team of patients.
• Maintains professional boundaries to protect patient vulnerabilities and act in the best interest of the patient.
• Role models and displays ethical behavior.
• Recognizes ethical issues related to professional nursing practice and models appropriate action by providing and directing others in the provision of care following established policies and ANA Code of Ethics for Nurses.
• Models' high reliability principles and I CARE values to improve patient outcomes.

Benefits

• Pay: Competitive salary, regular salary increases, potential for performance awards
• Paid Time Off: 50 days of paid time off per year (26 days of annual leave, 13 days of sick leave, 11 paid Federal holidays per year)
• Retirement: Traditional federal pension (5 years vesting) and federal 401K with up to 5% in contributions by VA
• Insurance: Federal health/vision/dental/term life/long-term care (many federal insurance programs can be carried into retirement)

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Industry: Administration of Human Resource Programs
• Education Level: No Education Listed
• Number of Employees: 5,001-10,000 employees