Job opening: NURSE (UTILIZATION MANAGEMENT)
Salary: $98 413 - 124 972 per year
Published at: Oct 03 2023
Employment Type: Full-time
About the Position: This position is with the Defense Health Agency, Tripler Army Medical Center, Directorate of Resource Managment, Honolulu Hawaii.
This is a Direct Hire Solicitation
Duties
Performs pre-admission, throughout course of hospital stay, and pre/post-discharge administrative clinical review of all electives, urgent, and emergency admissions for which the program is responsible.
Determines necessity of continued hospitalization by concurrent review of patient records, consultation with physicians, and conducting level of care analysis utilizing pre-established criteria, policy.
Communicates this information to the multidisciplinary team and physician; provides consultative expertise in recommending the most appropriate level of care setting for patients with specialized needs and complex health care requirement.
Coordinates and /or performs case management for TRICARE beneficiaries during use of MTF facility services.
Plans, organizes, coordinates, and monitors a variety of multidisciplinary services to ensure access to appropriate, timely, quality, and cost-effective care and follow-up.
Responsibilities include case management consultation and /or services for beneficiaries or other patients who are hospitalized at the MTF or beneficiaries at local civilian hospitals.
Requirements
- Appointment may be subject to a suitability or fitness determination, as determined by a completed background investigation.
- This position has a mandatory seasonal influenza vaccination requirement and is therefore subject to annual seasonal influenza vaccinations.
- This position subject to one-time or periodic immunization screenings.
- This position is subject to a pre-employment drug screening, and random drug testing thereafter, to include testing based on reasonable suspicion and testing due to direct involvement with an on-duty accident.
- This position requires rotating shift work to provide coverage on evenings, weekends, holidays, or special situations.
- This position requires travel up to 5% of the time.
- This position has been designated "Mission Essential." The incumbent must report to or remain at work, even during natural or man-made disasters.
- The incumbent must obtain and maintain Basic Life Support (BLS) certification.
- The incumbent may be required to work on an on-call basis.
- This position has a Pre-employment and annual physical requirement.
- This position requires regular contact with children under the age 18 and a favorable determination of suitability to do so. Childcare background check required.
- Employees assigned to a medical treatment facility are required to be screened for applicable immunizations or pre-existing immunity based on occupational risk, regardless of job series.
- This position is subject to screening and update of required immunizations unless exempted for medical or administrative reasons in accordance with Army Regulation 40-562, Chapters 3 and 4.
Qualifications
Who May Apply: US Citizens
In order to qualify, you must meet the education and experience requirements described below. Experience refers to paid and unpaid experience, including volunteer work done through National Service programs (e.g., Peace Corps, AmeriCorps) and other organizations (e.g., professional; philanthropic; religious; spiritual; community; student; social). You will receive credit for all qualifying experience, including volunteer experience. Your resume must clearly describe your relevant experience; if qualifying based on education, your transcripts will be required as part of your application. Additional information about transcripts is in this document.
Basic Requirement for Nurse (Utilization Management):
Degree: A graduate or higher-level degree, bachelor's degree, associate degree, or diploma from an accredited professional nursing educational program is required. This education must have been accredited by the Commission on Collegiate Nursing Education, Council on Accreditation of Nurse Anesthesia Educational Programs, Accreditation Commission for Midwifery Education, or an accrediting body recognized by the U.S. Department of Education at the time the degree was obtained. (Note: You must attach a copy of your transcripts.)
Licensure: A current, active, full, and unrestricted license or registration as a professional nurse from a State, the District of Columbia, the Commonwealth of Puerto Rico, or a territory of the United States; and you must have passed the National Council Licensure Examination.
Foreign Degree: A degree from a Foreign Nursing School. Official certification from the Commission on Graduates of Foreign Nursing Schools is required for individuals who graduated from foreign nursing schools.
Exemption: You are exempt from the basic requirements above if you are a current federal employee occupying a position in the 0610 occupational series and have been continuously employed in this occupational series since September 27, 2017 or before. Applicants claiming this exemption must meet the requirement below. Note: You will be required to provide appropriate documentation to the respective Human Resources Office to validate your status.
In addition to meeting the basic requirement above, to qualify for this position you must also meet the qualification requirements listed below:
Education/Experience: A diploma, associate degree, or bachelor's degree in nursing from a professional nursing program and possession of at least one full year of professional nursing experience (equivalent to the GS-09 grade level or above) which includes coordinating with clinical staff for case management and/or discharge planning and performing medical record reviews for pre-admission, admission, and/or continued stays.
OR
Education: A PhD or equivalent doctoral degree from a professional nursing educational program or related medical science field.
Education
FOREIGN EDUCATION: If you are using education completed in foreign colleges or universities to meet the qualification requirements, you must show the education credentials have been evaluated by a private organization that specializes in interpretation of foreign education programs and such education has been deemed equivalent to that gained in an accredited U.S. education program; or full credit has been given for the courses at a U.S. accredited college or university. For further information, visit:
http://www.ed.gov/about/offices/list/ous/international/usnei/us/edlite-visitus-forrecog.html.
Contacts
- Address JT-DHA-DD83DF DHA INDO PACIFIC MARKET
DO NOT MAIL
APO, AP 96224
US
- Name: Army Applicant Help Desk
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