Registered Nurse; RN Utilization Management

Matrix Providers is hiring a Registered Nurse (RN) Utilization Management to join our team of talented professionals who provide health care services to our Military Service Members and their families in Fairfield, CA.

• Employment Status:
  Full Time
• Compensation: This is an hourly position, paid bi-weekly.
  • $67.38/hour plus $5.42 H&W
• Schedule:
  Monday thru Friday 07:30 am – 4:30 pm
• Benefits: Competitive financial package with a comprehensive insurance package including health, dental, vision, and life coverage.
  • Accrued Paid Time Off (PTO)
  • Paid Holidays (Outlined in Handbook)
  • 401(k) Plan

Requirements: The Registered Nurse (RN)must have and meet the following:

• Degree: Associate’s Degree in Nursing.
• Education: Graduate from a college or university accredited by Accreditation
  Commission for Education in Nursing (ACEN), National League for Nursing Accrediting
  Commission (NLNAC), the Commission on Collegiate Nursing Education (CCNE)
• C
  ertifications in addition to Basic Life Support: Possess one of the following
  certifications:
  American Nurses Credentialing Center (ANCC), Nurse Case Manager
  (RN-NCM), National Academy of Certified Care Managers:
  Care Manager Certified
  (CMC) OR Commission for Case Manager Certification (CCMC):
  Certified Case
  Manager (CCM) or American Nurses Credentialing Center (ANCC)
  -OR- have practiced
  the equivalent of 2 years full-time as a registered nurse, and have a minimum of 2,000
  hours of clinical practice in nursing case management within the last 3 years, and have
  completed 30 hours of continuing education in nursing case management within the last 3
  years.
• Experience: Twelve (12) months of recent full-time experience in nursing/health care
  management for adults, children, families, seniors, or groups is required.
  • Possess a thorough clinical knowledge and breadth of experience to be able to contribute to population level assessment and management, identify appropriate Case Management candidates, conduct patient self-care education, and track patient outcomes.
  • Extensive knowledge of CM components: outcomes measurement, collaborative practice, patient self –management, population identification processes, and process improvement.
• Licensure: Current, full, active, and unrestricted license to practice as a Registered Nurse.
• Location – Travis AFB, David Grant Medical Center.

Job Summary:

• Must possess organization, problem-solving and communication skills to articulate
  medical requirements to patients, families/care givers, medical and nonmedical staff in a
  professional and courteous way.
• Must have the knowledge and skills to effectively apply the following core case
  management functions: a) Assessment:
  Identification of patients for case management;
  comprehensive collection of patient information and medical status; and continued
  evaluation of an established plan of care; b) Planning:
  Collaboration with the patient,
  family/caregiver, primary provider and other members of the health care team for
  developing an effective plan of care; c) Facilitation: Care coordination and
  communication among all involved parties; d) Advocacy:
  Support for the patient and
  family/caregivers to ensure identified education and appropriate, timely care is received.
• Must be skillful and tactful in communicating with people who may be physically or
  mentally ill, uncooperative, fearful, emotionally distraught, and occasionally dangerous.
• Must be knowledgeable in medical privacy and confidentiality (Health Insurance
  Portability and Accountability Act [HIPAA]); accreditation standards of Accreditation
  Association for Ambulatory Health Care (AAAHC) and The Joint Commission (TJC);
  and computer applications/software to include Microsoft Office programs, MS Outlook
  (e-mail), and internet familiarity is required.
• Identification of patients for case…