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Registered Nurse - Utilization Management

Job in Cincinnati, Hamilton County, Ohio, 45208, USA
Listing for: U.S. Department of Veterans Affairs
Full Time position
Listed on 2026-03-03
Job specializations:
  • Nursing
    Healthcare Nursing, Clinical Nurse Specialist, RN Nurse, Nurse Practitioner
Salary/Wage Range or Industry Benchmark: 60000 - 80000 USD Yearly USD 60000.00 80000.00 YEAR
Job Description & How to Apply Below

Utilization Management Registered Nurse (UM RN)

The Cincinnati VA Medical Center is seeking a Utilization Management RN in Quality and Patient Safety Services. The Utilization Management (UM) Registered Nurse (RN) is responsible for providing competent, evidence-based practices within the position. Uses UM Criteria to perform complicated reviews while developing technical and clinical competencies. The 2-page Resume requirement does not apply to this occupational series. For more information, refer to Required Documents below.

Duties

The VA has been named one of the Top 5 Best Places to Work in the federal government. Cincinnati is a family friendly, affordable, metropolitan city with great parks, fine arts, and food scene.

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.

Utilization Management (UM) Registered Nurse (RN) is responsible for providing competent, evidence-based practices within the position. Uses UM Criteria to perform complicated reviews while developing technical and clinical competencies. The UM RN activities include collecting, analyzing, and reporting data, creating, and providing provider education to a variety of providers, collaborating on the ordered level of care and treatment plans, and conducting lnter

Qual reviews on prospective, observation, admission, and continued stay patients. Responsible for creating and providing education and guidance to internal and external customers of varying education levels on admission and continued stay criteria and best clinical documentation and utilization management practices to ensure efficient resource utilization.

Major Duties May Include
  • Collecting, analyzing, and reporting data.
  • Providing provider education to a variety of providers.
  • Collaborating on the ordered level of care and treatment plans.
  • Conducting lnter

    Qual reviews on prospective, observation, admission, and continued stay patients.
  • Creating and providing education and guidance to internal and external customers on admission and continued stay criteria.
  • Promoting best clinical documentation and utilization management practices.
Requirements

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