Registered Nurse Utilization Management
Little Rock, AR - USA
Job Summary
The Nurse Utilization Management Registered Nurse is responsible and accountable for all elements of the nursing process when providing and/or supervising direct patient care. Assumes responsibility for the coordination of care focused on patient education self-management and customer satisfaction throughout the continuum of care. Follows procedures per established policies and guidelines. Influences care outcomes by collaborating with members of the interdisciplinary team.
The Nurse Utilization Management (UM) Registered Nurse (RN) is responsible for providing competent evidence-based practices within the position. Uses UM Criteria to perform complicated reviews. 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. Other duties included and are not limited to the following:
- 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.
- Assist in directing the provision of nursing education orientation competencies and providing quality improvement and outcomes utilization consultation.
- Demonstrates leadership in delivering and improving holistic care through collaborative strategies with others on the acute care team.
- Demonstrates proficiency in decision-making and using the nursing process for complex situations that affect performance outcomes at the point of care.
- Demonstrates collaboration by using the group process to solve problems and impact Veterans in acute care. The focus is on leadership in strategically planning long-term goals for the UM microsystem that impacts operations or resources.
- Demonstrates critical thinking with efficiency and accuracy in assessing and managing situations.
- Applies clinical knowledge/judgment to lead staff involvement in planning decision-making and evaluating outcomes within 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.
- 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.
- Participates in the advancement of the profession through mentoring precepting and/or teaching.
- Leads patient care improvement through monitoring analyzing and evaluating care outcomes in the immediate practice setting.
- Consistently communicates and treats the Veteran and as appropriate the Veterans family caregiver and/or significant other the Veteran representatives visitors to VA facilities all VA staff and other customers in a courteous tactful and respectful manner.
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: 1:30 PM to 10:00 PM with rotating weekends and holidays subject to change based off the needs of the facility.
Telework: Unavailable
Virtual: This is not a virtual position.
Relocation/Recruitment Incentives: Not authorized.
Permanent Change of Station (PCS): Not authorized.
- 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.
- 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 ( Effective May 7 2025 drivers licenses or state-issued identification cards that are not REAL ID compliant cannot be utilized as an acceptable form of identification for employment.
- Must pass pre-employment physical evaluation/examination.
- Participation in the seasonal influenza vaccination program is a requirement for all Department of Veterans Affairs Health Care Personnel (HCP).
- You may be required to serve a probationary period.
- Complete all application requirements detailed in the Required Documents section of this announcement.
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 masters level bridge program in nursing who have completed coursework equivalent to a bachelors 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.)
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: I Level I
Reference: For more information on this qualification standard please visit Requirements: This position requires heavy lifting 45 pounds and over straight pulling 1/2 hours pushing 1/2 hours reaching above shoulder walking 2/4 hours standing 2/6 hours kneeling 1/2 hours repeated bending 12 hours both legs required ability for rapid mental and muscular coordination simultaneously near vision corrected at 13 to 16 to Jaeger 1 to 4 far vision correctable in one eye to 20/20 and to 20/40 in the other both eyes required and depth perception.
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 applicants 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.
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.
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.
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.
Required Experience:
IC