Talent.com
RN - Utilization Management

RN - Utilization Management

Veterans Health AdministrationAugusta, GA, United States
job_description.job_card.variable_days_ago
serp_jobs.job_preview.job_type
  • serp_jobs.job_card.full_time
  • serp_jobs.job_card.part_time
  • serp_jobs.job_card.permanent
  • serp_jobs.job_card.temporary
job_description.job_card.job_description

Summary

The Nurse Utilization Management (UM) Registered Nurse (RN) is responsible for providing competent, evidence-based practices within the position. The UM RN activities include collecting, analyzing, and reporting data, creating, and providing provider education to a variety of providers, collaborating on ordered level of care and treatments plans, and conducting lnterQual reviews on prospective, observation, admission, and continued stay patients.

Duties

Help

The Nurse Utilization Management (UM) Registered Nurse (RN) is responsible and accountable for all elements of the nursing process when providing and / or supervising direct patient care. Duties include, but are not limited to :

  • Leads the provision of nursing care to patients with complex care needs utilizing the nursing process in alignment with the ANA Standards of Nursing Practice.
  • Applies clinical knowledge / judgment to lead staff involvement in planning, decision-making, and evaluating outcomes within the immediate practice setting.
  • Effectively functions as a leader, with demonstrated outcomes, for the immediate practice setting.
  • Improves Veteran / patient driven care by resolving experience issues such as coordination of care, timeliness or process issues, common themes of dissatisfaction, or environment of care concerns for the immediate practice setting.
  • Leads the implementation of high reliability principles and I CARE values to increase consistency of care delivered and improve patient outcomes.
  • Demonstrates the ability to improve the effectiveness of communications and interactions with others, to inspire their cooperation and confidence to ensure safe and effective outcomes in the current practice setting.
  • Considers alternative courses of action. Respects the opinions, abilities, and contributions of others. Encourages individual growth and development.
  • Expands knowledge base and practice evaluation through mentoring, precepting, and / or teaching to improve outcomes in the immediate practice setting.
  • Participates in the advancement of the profession through mentoring, precepting, and / or teaching.
  • Applies evidence-based practice / research resulting in improved outcomes in the immediate practice setting.
  • Leads initiatives for expanding best techniques to identify and apply patient preferences to shared care delivery decisions in the immediate practice settings.
  • Other duties as assigned.

VA offers a comprehensive total rewards package : VA Nurse Total Rewards

Pay : Competitive salary, regular salary increases, potential for performance awards

Paid Time Off : 50 days of paid time off per year (26 days of annual leave, 13 days of sick leave, 11 paid Federal holidays per year)

Retirement : Traditional federal pension (5 years vesting) and federal 401K with up to 5% in contributions by VA

Insurance : Federal health / vision / dental / term life / long-term care (many federal insurance programs can be carried into retirement)

Licensure : 1 full and unrestricted license from any US State or territory

Work Schedule : Day and Evening tours available. Specific tour will be determined by Supervisor / Manager upon hire.

Telework : Not Available

Virtual : This is not a virtual position.

Relocation / Recruitment Incentives : Not Authorized

Permanent Change of Station (PCS) : Not Authorized

Requirements

Help

Conditions of employment

  • U.S. Citizenship; non-citizens may only be appointed when it is not possible to recruit qualified citizens in accordance with VA Policy.
  • All applicants tentatively selected for VA employment in a testing designated position are subject to urinalysis to screen for illegal drug use prior to appointment. Applicants who refuse to be tested will be denied employment with VA.
  • Selective Service Registration is required for males born after 12 / 31 / 1959.
  • You may be required to serve a probationary period.
  • Subject to background / security investigation.
  • Selected applicants will be required to complete an online onboarding process. Acceptable form(s) of identification will be required to complete pre-employment requirements (https : / / www.uscis.gov / i-9-central / form-i-9-acceptable-documents). Effective May 7, 2025, driver's licenses or state-issued dentification cards that are not REAL ID compliant cannot be utilized as an acceptable form of identification for employment.
  • Must pass pre-employment physical examination.
  • Participation in the seasonal influenza vaccination program is a requirement for all Department of Veterans Affairs Health Care Personnel (HCP).

    • Qualifications

    Basic Requirements :

  • English Language Proficiency. In accordance with 38 U.S.C. 7403(f), no person shall serve in direct patient care positions unless they are proficient in basic written and spoken English.
  • Graduate of a school of professional nursing approved by the appropriate accrediting agency and accredited by one of the following accrediting bodies at the time the program was completed by the applicant : The Accreditation Commission for Education in Nursing (ACEN) or The Commission on Collegiate Nursing Education (CCNE); OR Individuals attending a master's level bridge program in nursing who have completed coursework equivalent to a bachelor's level degree in Nursing may have opportunity to become registered as a nurse with a state licensing board prior to completion of the bridge program. Upon achievement of a State license, the individual may be appointed on temporary basis and later converted to a permanent appointment upon successful completion and graduation from the bridge program. (Reference VA Handbook 5005, Appendix G6); OR In cases of graduates of foreign schools of professional nursing, possession of a current, full, active, and unrestricted registration will meet the requirement for graduation from an approved school of professional nursing to warrant an appointment as a Nurse who has completed an associated degree / entry level Nursing education program. Credit for foreign nursing education higher that associate degree / entry level requires a formal degree equivalency validation from a recognized equivalency evaluation accepted by VA such as International Consultants of Delaware (ICD).
  • Current, full, active, and unrestricted registration as a graduate professional nurse in a State, Territory or Commonwealth (i.e., Puerto Rico) of the United States, or the District of Columbia. Graduate Nurse Technician (GNT) Exception : Candidates who otherwise meet the basic education requirements, but do not possess the required licensure, may be appointed at the entry step of the grade and level applicable to the completed nursing education as a GNT on a 120-day temporary appointment while actively pursuing licensure (may be extended up to two years on a case-by-case-basis.)

    • Preferred Experience : Prefer 1-2 years Utilization Management Experience. 3-5 years RN experience in a hospital setting.

    NOTE : Grandfathering Provision - All persons currently employed in VHA in 0610 series and performing the duties as described in the qualification standard on the effective date of the standard (1 / 29 / 2024) are considered to have met all qualification requirements for the grade held including positive education and licensure / certification.

    Grade Determinations : The following Scope, Education and Dimension criteria must be met in determining the grade assignment of candidates, and if appropriate, the level within a grade. The Dimension requirements (Practice, Veteran / Patient Driven Care, Leadership, Professional Development and Evidence-Based Practice / Research) are detailed for each grade and level within the online assessment : https : / / apply.usastaffing.gov / ViewQuestionnaire / 12781255.

    Grade / Level

    Scope

    Education

    Nurse I, Level I

    Delivers fundamental, knowledge-based care to assigned clients while developing technical competencies.

    An Associate Degree (ADN) or Diploma in Nursing, with no additional professional nursing required.

    Nurse I, Level II

    Demonstrates integration of biopsychosocial concepts, cognitive skills and technically competent practice in providing care to clients with basic or complex.

    An ADN or Diploma in Nursing AND 1 year of specialized nursing experience equivalent to Nurse I, Level 1 ; OR a Bachelor of Science in Nursing (BSN) with no additional professional nursing experience required.

    Nurse I, Level III

    Demonstrates proficiency in practice based on conscious and deliberate planning. Self-directed in goal setting for managing complex client situations.

    An ADN or Diploma in Nursing AND 2 years of professional nursing experience in which one year is equivalent to Nurse I, Level 2; OR a BSN and 1 year of professional nursing experience equivalent to the Nurse I, Level 2; OR a Master's degree in nursing (MSN) and no additional professional nursing experience; OR a Master's degree in a

  • related field with a BSN and no additional professional nursing experience.

    • Nurse II

    Demonstrates leadership in delivering and improving holistic care through collaborative strategies with others.

    A BSN with 2 years of professional nursing equivalent to Nurse I, Level 3; OR an MSN with one year of specialized nursing experience equivalent to Nurse I, Level 3; OR a Master's degree in a

  • related field with a BSN and one year of specialized nursing experience equivalent to Nurse I, Level 3; OR a Doctoral degree in Nursing with no professional nursing experience; OR a Doctoral degree in a
  • related field with a BSN with no additional professional nursing experience.

    • Nurse III

    Executes position responsibilities that demonstrate leadership, experience and creative approaches to management of complex client care beyond the immediate practice setting.

    MSN and 2 years of specialized nursing experience, one of which is equivalent to Nurse II and meets all dimension requirements for Nurse III; OR a Master's degree in

  • related field with BSN and two years of specialized nursing experience, one of which is equivalent to Nurse II and meets all dimension requirements for Nurse III; OR a Doctoral degree in Nursing with and one year of specialized nursing experience equivalent to Nurse II and meets all dimension requirements for Nurse III; OR a Doctoral degree in a
  • related field with a BSN and one year of specialized nursing experience equivalent to Nurse II and meets all dimension requirements for Nurse III.
  • Note : Foreign education programs / degrees are not creditable as related degrees.

    • Reference : For more information on this qualification standard, please visit https : / / www.va.gov / ohrm / QualificationStandards / .

    Physical Requirements : This position requires visual acuity, keen hearing, clear distinctive speech, and manual dexterity. The position requires potentially long periods of combined walking, standing, stooping, sitting, bending, pulling, and pushing. The incumbent must be a mature, flexible, sensible individual capable or working effectively in stressful situation, able to shift priorities based on needs of the organization. The incumbent who provides off-site training may be required to travel occasionally. This position potentially requires flexibility in schedule and assignments.

    Additional information

    This job opportunity announcement may be used to fill additional vacancies.

    This position is in the Excepted Service and does not confer competitive status.

    VA encourages persons with disabilities to apply. The health-related positions in VA are covered by Title 38, and are not covered by the Schedule A excepted appointment authority.

    If you are unable to apply online or need an alternate method to submit documents, please reach out to the Agency Contact listed in this Job Opportunity Announcement.

    Under the Fair Chance to Compete Act, the Department of Veterans Affairs prohibits requesting an applicant's criminal history prior to accepting a tentative job offer. For more information about the Act and the complaint process, visit Human Resources and Administration / Operations, Security, and Preparedness (HRA / OSP) at The Fair Chance Act.

    Expand Hide additional information

    Candidates should be committed to improving the efficiency of the Federal government, passionate about the ideals of our American republic, and committed to upholding the rule of law and the United States Constitution.

    Benefits

    Help

    A career with the U.S. government provides employees with a comprehensive benefits package. As a federal employee, you and your family will have access to a range of benefits that are designed to make your federal career very rewarding. Opens in a new windowLearn more about federal benefits.

    Review our benefits

    Eligibility for benefits depends on the type of position you hold and whether your position is full-time, part-time or intermittent. Contact the hiring agency for more information on the specific benefits offered.

    serp_jobs.job_alerts.create_a_job

    Utilization Management Rn • Augusta, GA, United States