Job TitleUtilization Management Registered Nurse

　　LocationUSAF ACADEMY, CO US (Primary)

　　Job TypeFull-time

　　Job Description

　　Summary:Responsible for assuring the receipt of high-quality, cost-efficient medicaloutcomes for those enrollees identified as having the need forinpatient/outpatient precertification.

　　Essential Duties & Responsibilities:Review precertification requests for medical necessity, referring to theMedical Director those that require additional expertise.Review clinical information for concurrent reviews.As part of the UMRN program, conduct ongoing availability, monitoring andoversight of non-clinical staff activities.Establish effective rapport with other employees, professional supportservice staff, customers, clients, patients, families, and physicians.Employ effective use of knowledge, critical thinking, and skills to:Advocate quality care and enhanced quality of life.Prevent patient complications during hospital stay.Advocate decreased hospital stay when appropriate.Maintain accurate records of all patient related interactions.Maintain regular and punctual attendance.Other duties as assigned.

　　Supervisory Responsibilities:None.

　　Job Requirements

　　Desired Skills & Qualifications:Working knowledge of computer applications/software to include MicrosoftOffice programs, MS Outlook (e-mail), and internet familiarity isrequired. The ability to input, extract, and format data from establisheddatabases is desired.Ability to effectively read, write and speak English in order to communicatewith all patients and other healthcare providers.Ability to effectively communicate and collaborate with a diverse group ofpeople for the purpose of informing the healthcare team of plans/actions,for teaching/education to benefit the patient/family and organization.Effectively uses appropriate communication format in addressing professionalissues.Excellent written communication skills to perform accurate documentation,both written and electronic, of all activity in accordance with requirements.Must demonstrate ability to apply critical thinking skills and expertise inresolving complicated healthcare, social, interpersonal and financialpatient situations.

　　Work Schedule:Full-time. May be required to work additional hours as needed to completeassignment or project.Physical Demands:Position consists of sitting for long periods of time, usinghands/fingers, handling, reaching with hands and arms, speaking ortranslating. Periods of walking, standing, bending, kneeling,stooping, crouching, and lifting boxes weighing up to 30 pounds. Moderateto extended periods of office work with heavy periods of computer usage. Maybe assigned occasional to moderate periods of analytical tasks requiringextensive reasoning abilities. It is Katmai's business philosophy andpractice to provide reasonable... For full info follow application link.

　　We area VEVRAA Federal Contractor

　　We are an equal opportunity employer and all qualified applicants will receiveconsideration for employment without regard to age, race,color, religion, sex, sexual orientation, gender identity or nationalorigin, disability status, protected veteran status, or any othercharacteristic protected by law.

　　Preference will be given to Ouzinkie Shareholders, Spouses ofShareholders, and Descendants of Shareholdersin accordance with Title 43 U.S. Code 1626(g) and Title 42 U.S. Code 2000e- 2(i).

　　Executive Order 11246, as amended, protects applicants and employees fromdiscrimination based oninquiring about, disclosing, or discussing their compensation or thecompensation of other applicants or employees.

　　Posters:

　　Equal Employment Opportunityis the Law Poster: https://katmai.egnyte.com/dl/FrUjevEY7z

　　EEO SupplementPoster : https://katmai.egnyte.com/dl/pzpazUDsKb

　　PayTransparency Poster: https://katmai.egnyte.com/dl/XP6htB3UCc

　　Right oWork Poster: https://katmai.egnyte.com/dl/KGGBPdDBaV