Nurse; Revenue Utilization Assistant Nurse Manager

Position: Nurse (Revenue Utilization Assistant Nurse Manager)
The Revenue Utilization Review (RUR) Assistant Nurse Manager (ANM) is a Registered Nurse (RN) who assists to control costs for VISN 10 and/or VISN 12 while monitoring the revenue status for facilities through critically examining departmental operations and collaborating with the Nurse Manager regarding improvements. The RUR ANM relies on experience, education, and awareness of appropriate evidence-based practices for positive outcomes.

The Revenue Utilization Review (RUR) Assistant Nurse Manager (ANM) is directly responsible for the oversite and leadership of staff and the department to accomplish business operations of the RUR team and the mission of the VA. The RUR ANM is responsible for providing leadership and supervision to the RUR staff nurses who validate service connection (SC) and special authority (SA) eligibility and make decisions regarding authorization retrieval by third-party payers (TPPs).

The ANM also serves as a resource to the Program Support Assistants (PSAs) role for retrieving authorizations and collaborating with staff nurses. The RUR ANM possesses clinical and nurse leadership skills and demonstrates this through communication, mentoring and grade-appropriate critical thinking.

Responsibilities of the RN ANM include the following:

* The RUR ANM is responsible to contribute to a safe, healthy working environment that supports the work of the RUR nursing unit and is influential in creating a professional nursing environment and fostering a culture where interdisciplinary team members are able to contribute to optimal program outcomes and grow professionally.

* Guides designated subordinates to collaborate among interprofessional team members involved in each patient's care to draw team members' input and form the most comprehensive clinical picture, which the staff nurse then relays to insurance reviewers and external customers.

* The successful RUR ANM possesses expertise in leading people and creating change within the unit to support the mission of the VA.

* The RUR ANM's primary commitment is to the patient, whether an individual, family, group, or community (ANA Code of Ethics for Nurses).

* Assist in Leading and organizing the RUR nursing program to ensure continuity of operations, peer accountability, organizational needs, and consistency in nursing practice.

* Reads and correctly interprets CPAC RUR policies, procedures, and guidelines to ensure staff compliance.

* Contributes to the RUR program through process improvement initiatives and RQC processes.

* Functions as a competent consultant in clinical practice to RUR staff, CPAC Leadership, and VA medical facilities regarding the Revenue Utilization Review procedures.

* Systematically evaluates current practice and formulates outcomes for groups of nurses, PSAs, patients, and/or organizational processes.

* Participates in establishing goals, solving problems, and collaborating with other departments both in the facility and in the CPAC to enhance the Revenue Utilization Review program.

* Work toward current and future software efficiencies to perform workload tasks.

* Possess the capability to learn data analytics to track, monitor and trend revenue recovery.

* Counsel and train staff on current and new processes while monitoring staff efficiencies.

* The RUR Assistant Nurse Manager must be an individual capable of working effectively in stressful situations and able to shift priorities based on organizational needs.

* The ANM functions as a supervisor and provides administrative and clinical supervision and general instruction, plans and assigns work, assigns time schedules, approves leave and completes performance evaluations for employees designated under their direct supervision.

* The ANM is self-directed and works under moderate supervision and instruction by the RUR Nurse Manager and Director.

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

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

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:

7:30am-4:00pm, Monday - Friday

Compressed/Flexible:
Not Available

Telework:
Not Available

Virtual:
This is not a virtual position.

Relocation/Recruitment

Incentives:

Not Authorized

Permanent Change of Station (PCS):
Not Authorized

PCS Appraised Value Offer (AVO):
Not Authorized