Registered Nurse-Utilization Management at Aspire Medical Staffing – Glendale, Colorado

Job Overview

We are seeking a dedicated and experienced Registered Nurse- Utilization Management for Seymour Johnson AFB in North Carolina.

Schedule: The work schedule/hours of performance will be scheduled between 0630- 1730, Monday thru Friday.

• Shifts will normally be scheduled for a nine-hour period, to include an uncompensated 60-minute lunch break.
• In no instance will you be required to work more than 40 hours per week.
• No OT, No On-call

Period of Performance: September 2025-September 2030

Location: Seymour Johnson AFB, NC, 27531

• 1510 Wright Brothers Ave, Seymour Johnson AFB, NC 27531

Responsibilities:

• Supports a comprehensive MTF Utilization Management plan/program as prescribed in the DoD Medical Management Guide and at the direction of the MTF Utilization Management Director.
• Actively and retrospectively reviews medical cases to confirm receipt of appropriate care, monitor for patterns/trends and develop action plan for areas requiring improvement.
• Reports on utilization patterns; briefs provider staff and executive staff.
• Maintains reports on which cases have been denied or received reduced third party payments and reports provider profiles to the MTF management for corrective action.
• Participates on multi-disciplinary teams to resolve recurring problems in the healthcare delivery process for care within or outside the MTF including referrals.

Qualifications:

• Degree: At minimum, Associates Degree of Nursing.
• Education: Graduate from a college or university accredited by Accreditation Commission for Education in Nursing (ACEN), the Commission on Collegiate Nursing Education (CCNE).
• Experience: Current experience required is three years within the last four years as a registered nurse in utilization management.
• License: Current, full, active, and unrestricted license to practice as a registered nurse.
• Certifications: Basic Life Support Certification (BLS) and Certified Managed Care Nurse through the American Board of Managed Care Nurses or Certified Informatics Nursing, Ambulatory Care Nursing, Medical-Surgical Nursing or Nursing Case Management through the American Nurses Credentialing Center.

Join our team at Seymour Johnson AFB, NC providing amazing care to our military personnel by contacting Trinese Henderson-Barnett at 210.488.6129.

Job Type: Full-time

Benefits:

• Dental insurance
• Health insurance
• Paid time off
• Vision insurance

Work Location: In person