Registered Nurse - Utilization Management

<p>The Western New York VA Medical Center is seeking a Utilization Management - Registered Nurse to work Full Time as a for the facility Quality, Safety, and Value Team, located at the historic Buffalo VA Medical Center. The Utilization Management - Registered Nurse is responsible for providing competent, evidence-based practices within the position, and using utilization management criteria to perform complicated reviews to provide and improve patient care.</p><h3>Major Duties</h3><p>The Utilization Management (UM) Registered Nurse (RN) is responsible and accountable for all elements of the nursing process when providing and/or supervising direct patient care, and assume responsibility for the coordination of care focused on patient education, self-management, and customer satisfaction throughout the continuum of care. The incumbent will follow procedures, per established policies and guidelines, and influence care outcomes by collaborating with members of the interdisciplinary team through active participation in the unit/program level quality improvement process and initiatives as well as customer service programs. The Utilization Management Registered Nurse duties 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 reviews on prospective, observation, admission, and continued stay patients. The incumbent will be 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. The incumbent will assist in directing the provision of nursing education, orientation, competencies and providing quality improvement and outcomes utilization consultation. He/she will demonstrate leadership in delivering and improving holistic care through collaborative strategies with others on the acute care team, and is a proficient nurse who demonstrates proficiency in decision-making and using the nursing process for complex situations that affect performance outcomes at the point of care. Work Schedule: Full-Time. Day Tour. Monday - Friday (7:30 AM - 4:00 PM) Compressed/Flexible: Not Authorized Telework: Ad-hoc per agency policy 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 VA offers a comprehensive total rewards package VA Nurse Total Rewards that includes: 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</p><h3>Requirements</h3>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 (https://www.uscis.gov/i-9-central/form-i-9-acceptable-documents). Effective May 7, 2025, driver's 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 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.