RN - Utilization Management/Case Management Job at Spectrum Healthcare Resources

Spectrum Healthcare Resources San Antonio, TX 78209

Job Description:
Spectrum Healthcare Resources is looking for a civilian Full-time RN Case Manager/Utilization Review Nurse (BSN required) at the Wilford Hall Ambulatory Surgical Center (WHASC), JBSA-Lackland AFB in Bexar County, San Antonio, TX.

This position offers:
  • Monday-Friday-Shifts between 0630-1830
  • Medical/Dental/Vision/401k
  • PTO
  • 10 Paid Federal Holidays
Position Requirements:
  • Degree/Education: Bachelors of Science in Nursing, Graduate from a college or university Accredited by National League for Nursing; Accrediting Commission (NLNAC), or The Commission on Collegiate Nursing Education (CCNE)
  • BLS Certification
  • A MINIMUM of 2 years as a RN with full-time experience in utilization management/utilization review or in broad-based clinical nursing and clinical case management working with adults, children, families, seniors and groups within the last 3 years.
  • Have completed 30 hours of continuing education in nursing within the last 3 years.
  • Current, active, and unrestricted license to practice as a Registered Nurse

Provide nursing expertise about the CM process, including assessment, planning, implementation, coordination, and monitoring. Identify opportunities for CM and identify and integrate local CM processes
  • Develop and implement local strategies using inpatient, outpatient, onsite and telephonic CM
  • Develop and implement tools to support case management, such as those used for patient identification and patient assessment, clinical practice guidelines, algorithms, CM software, and databases for community resources
  • Integrate CM and utilization management (UM) and integrating nursing case management with social work case management
  • Maintain liaison with appropriate community agencies and organizations.
  • Accurately collect and document patient care data
  • Develop treatment plans including preventive, therapeutic, rehabilitative, psychosocial, and clinical interventions to ensure continuity of care toward the goal of optimal wellness
  • Establish mechanisms to ensure proper implementation of patient treatment plan and follow-up post discharge in ambulatory and community health care settings
  • Provide appropriate health care instruction to patient and/or caregivers based on identified learning needs
  • Coordinate patient care in collaboration with a wide array of healthcare professionals
  • Facilitate the achievement of optimal outcomes in relation to clinical care, quality and cost effectiveness


Company Overview:

Spectrum Healthcare Resources (SHR) was established in 1988 to deliver systems and processes designed to meet the unique needs of Military and VA Health Systems. SHR is a leading organization that provides physician and clinical staffing and management services to United States Military Treatment Facilities, VA clinics and other Federal Agencies through various contracting vehicles. A Joint Commission Health Care Staffing Services firm, SHR is the military staffing division of TeamHealth, a Nationwide organization that serves 850 civilian and military hospitals with a team of 9,600 affiliated health care professionals.


Spectrum Healthcare Resources is an equal opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status, or any other characteristic protected by law.

Location : Location: US-TX-San Antonio Recruiter : Full Name: First Last: Betty Fisk Direct phone number: 1-314-744-4130 Recruiter : Email: betty_fisk@spectrumhealth.com Remote / Work from home available?: false



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