Job Description Spectrum Healthcare Resources has a potential opportunity for a Registered Nurse Utilization Management at Lackland AFB in San Antonio, TX. This contract position offers: • Monday-Friday 730am-430pm • Outpatient Clinic • No Nights, Weekend or Holidays • No On-Call • Stable Patient Population • Paid time off and paid holidays • Benefits package including Medical, Dental, Vision and 401(k) and more… Requirements: • Associate Degree of Nursing. Must possess a bachelor's degree in relevant health sciences or health informatics from an accredited university. • Graduate from a college or university accredited by the ACEN or CCNE • Active RN license in any state • 2+ years of clinical and utilization management RN experience • Basic Life Support Certification from American Heart Core Duties: • Supports a comprehensive MTF Utilization Management plan/program as prescribed in the DoD Medical Management Guide and by the MTF Utilization Management Director. • Actively and retrospectively reviews medical cases to confirm receipt of appropriate care, monitor for patterns/trends and develop action plan for areas requiring improvement. • Reports on utilization patterns; briefs provider staff and executive staff. • Maintains reports on which cases have been denied or received reduced third party payments and reports provider profiles to the MTF management for corrective action. • Participates on multi-disciplinary teams to resolve recurring problems in the healthcare delivery process for care within or outside the MTF including referrals • Research and Analysis: Investigate and resolve queries from MTF clinics by analyzing reports and data. • Education and Training: Provide education and guidance on reporting systems and tools to ensure effective utilization by clinic staff. For More Information Contact: Melissa Powell 719-528-7965 [email protected] Company Overview: Spectrum Healthcare Resources (SHR) was established in 1988 to deliver systems and processes designed to meet the unique needs of Military and VA Health Systems. SHR is a leading organization that provides physician and clinical staffing and management services to United States Military Treatment Facilities, VA clinics and other Federal Agencies through various contracting vehicles. A Joint Commission Health Care Staffing Services firm, SHR is the military staffing division of TeamHealth, a Nationwide organization that serves 850 civilian and military hospitals with a team of 9,600 affiliated health care professionals. EOE/Disabled/Veterans Location : Location US-TX- Recruiter : Full Name: First Last Melissa Powell Direct phone number 719-528-7965 Recruiter : Email [email protected]