Cooperidge Consulting Firm is seeking an experienced Registered Nurse (RN) specializing in Utilization Management (UM) and Utilization Review (UR) to join the team of one of our DoD clients. In this role, you will assess patient care, collaborate with healthcare providers, and ensure compliance with quality standards and policies. This position is essential for promoting efficient healthcare delivery and optimal patient outcomes.
Key Responsibilities :
- Conduct comprehensive reviews of clinical records for appropriateness and necessity of care
- Collaborate with healthcare teams to ensure coordinated patient care
- Facilitate care transitions and discharge planning processes
- Monitor healthcare services to ensure compliance with internal and external regulations
- Educate patients and families about care management processes and available resources
Schedule :
Monday through Friday9-hour workdays between 7 : 00 AM and 5 : 00 PMOne-hour lunch breakNo weekends or holidaysRequirements
ASN degree from an accredited college or universityAHA or ARC BLS CertificationMinimum of 3 years of clinical nursing experience, with at least 1 year in Utilization Management or Utilization ReviewCertification in Utilization Review or Case Management preferred (but not required)Strong analytical and critical thinking skillsExcellent communication and interpersonal skillsAbility to work effectively in a fast-paced, team-oriented environmentMust possess ability to pass a Government background check / security clearance.Benefits
Health Care Plan (Medical, Dental & Vision)Retirement Plan (401k, IRA)Life Insurance (Basic, Voluntary & AD&D)Paid Time Off (Vacation, Sick & Public Holidays)Family Leave (Maternity, Paternity)Short Term & Long Term DisabilityTraining & DevelopmentWellness ResourcesAnnual CME Stipend and License / Certification Reimbursement