GiaCare, Inc.

  • Registered Nurse - Utilization Manager

    Location US-CA-Fairfield
    Posted Date 2 weeks ago(10/4/2018 3:01 PM)
    Job ID
    2018-4151
    # of Openings Remaining
    1
  • Overview

    Registered Nurse – Utilization Manager Travis Air Force Base, California

    David Grant Medical Center (DGMC), Travis AFB

     

    Wonderful opportunity to provide needed services to our Troops and their families!

     

    Travis Air Force Base has need of experience Registered Nurses in the following areas:

    • Utilization Management
    • Disease Management
    • Discharge Planning

    Call Bill at 210-729-3390 or send resumes to wpender@giacare.com

      

     As a Giacare team member, you are eligible for the following benefits:
    • Medical
    • Dental
    • Vision
    • Life Insurance
    • Short and Long Term Disability
    • Paid Time Off
    • Federal Holidays
    • CEU Reimbursement
    • 401K

    Responsibilities

     

    • Must have a working knowledge of computer applications/software to include Microsoft Office programs, MS Outlook (e-mail) and internet familiarity
    • Must have a working knowledge of Ambulatory Procedure Grouping (APGs), Diagnostic Related Grouping (DRGs), International Classification of Diseases-Current Version (ICD), and Current Procedural Terminology-Current Version (CPT) coding; and McKesson (InterQual) and/or Milliman Care Guidelines
    • Must have experience in Patient Advocacy, Patient Privacy, and Customer Relations.
    • Must be able to perform prospective, concurrent, and retrospective reviews to justify medical necessity for requested medical care 

    Qualifications

     

    • Bachelors of Science in Nursing OR- Associates Degree of Nursing from an accredited Program by National League for Nursing Accrediting Commission (NLNAC) or Commission on Collegiate Nursing Education (CCNE)
    • Must have at least 36 months of total nursing experience in a direct patient care clinical setting. Must have utilization management, utilization review or case management experience for 24 recent consecutive months

                  

                                                                                          Equal Employment Opportunity

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