Registered Nurse - Utilization Management SITE OF SERVICE Seymour Johnson Air Force Base, NC. This ... Communicate with TRICARE contractors and regional health commands as needed * Analyze utilization ...
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Registered Nurse - Utilization Management SITE OF SERVICE Seymour Johnson Air Force Base, NC. This ... Communicate with TRICARE contractors and regional health commands as needed * Analyze utilization ...
New
Quick apply
Registered Nurse - Utilization Management SITE OF SERVICE Seymour Johnson Air Force Base, NC. This ... Communicate with TRICARE contractors and regional health commands as needed * Analyze utilization ...
New
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Overnight RN Needed Block Schedule: 6:30pm to 7am, 3 days per week, rotating weekend schedule Salary : $42.00-$43.00 per hour, plus overnight shift differential Are you a compassionate, highly ...
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Chicago, IL · On-site
$42 - $43/hr
Overnight RN Needed Block Schedule: 6:30pm to 7am, 3 days per week, rotating weekend schedule Salary : $42.00-$43.00 per hour, plus overnight shift differential Are you a compassionate, highly ...
Chicago, IL · On-site
$42 - $43/hr
Overnight RN Needed Block Schedule: 6:30pm to 7am, 3 days per week, rotating weekend schedule Salary : $42.00-$43.00 per hour, plus overnight shift differential Are you a compassionate, highly ...
Chicago, IL · On-site
$42 - $43/hr
Overnight RN Needed Block Schedule: 6:30pm to 7am, 3 days per week, rotating weekend schedule Salary : $42.00-$43.00 per hour, plus overnight shift differential Are you a compassionate, highly ...
Chicago, IL · On-site
$42 - $43/hr
Overnight RN Needed Block Schedule: 6:30pm to 7am, 3 days per week, rotating weekend schedule Salary : $42.00-$43.00 per hour, plus overnight shift differential Are you a compassionate, highly ...
Chicago, IL · On-site
$42 - $43/hr
Overnight RN Needed Block Schedule: 6:30pm to 7am, 3 days per week, rotating weekend schedule Salary : $42.00-$43.00 per hour, plus overnight shift differential Are you a compassionate, highly ...
Chicago, IL · On-site
$42 - $43/hr
Overnight RN Needed Block Schedule: 6:30pm to 7am, 3 days per week, rotating weekend schedule Salary : $42.00-$43.00 per hour, plus overnight shift differential Are you a compassionate, highly ...
| Aspect | Overnight Tricare Rn | Home Health Nurse |
|---|---|---|
| Certifications | Registered Nurse (RN), Tricare certification if required | Registered Nurse (RN), often with home health certification |
| Work Environment | Hospitals, clinics, or military healthcare facilities, overnight shifts | Patients' homes, flexible hours, including overnight visits |
| Employer & Industry | Military healthcare, government agencies | Home healthcare agencies, private patients |
Overnight Tricare RNs typically work in military or government healthcare settings during overnight shifts, focusing on patient care within facilities. Home Health Nurses provide care in patients' homes, often with flexible hours, including overnight visits. Both roles require RN licensure, but their work environments and employer types differ significantly.
Cities with the most Overnight Tricare Rn job openings:
The most popular types of Tricare Rn jobs are:
States with the most job openings for Overnight Tricare Rn jobs include:
For Overnight Tricare Rn jobs, the most frequently searched job titles are:
Goldsboro, NC
Full-time
Posted 2 days ago
New
Registered Nurse - Utilization Management
SITE OF SERVICE
Seymour Johnson Air Force Base, NC. This position provides utilization management nursing services supporting the military treatment facility and its beneficiaries.
HOURS
Monday through Friday: 0630-1730
POSITION OVERVIEW
The Registered Nurse - Utilization Management provides clinical review and care coordination services at Seymour Johnson AFB. This is a non-personal services position that does not involve hands-on patient care. The RN-UM ensures appropriate utilization of healthcare resources, conducts medical necessity reviews, and coordinates care transitions. This position works independently and is not subject to day-to-day Government supervision comparable to military or civil service personnel.
POSITION QUALIFICATION/REQUIREMENTS
• Degree: Graduate of an accredited nursing program (Associate's, Diploma, or Bachelor's degree in Nursing)
• Licensure: Current, unrestricted Registered Nurse license in North Carolina (no licensure portability for non-personal services)
• Case Management Certification: Must be certified or certification-eligible in relevant specialty such as Certified Managed Care Nurse (CMCN) through American Board of Managed Care Nurses, or certification through American Nurses Credentialing Center in Informatics Nursing, Ambulatory Care Nursing, Medical-Surgical Nursing, or Nursing Case Management
• Other Certification: Current Basic Life Support (BLS) certification.
• Experience: Current experience required is three years within the last four years as a
registered nurse in utilization management
• Citizenship: U.S. Citizen required
• Background: Must pass security investigation; SF-85 required
DUTIES
• Conduct utilization reviews to ensure medical necessity and appropriateness of care
• Review and process referrals for specialty care and outside services
• Perform concurrent and retrospective reviews of inpatient and outpatient services
• Coordinate with healthcare providers to optimize patient care and resource utilization
• Apply clinical criteria and guidelines (InterQual, Milliman, etc.) to assess level of care
• Identify and address potential quality of care issues
• Document review activities and decisions in accordance with regulatory requirements
• Collaborate with case managers, social workers, and discharge planners
• Communicate with TRICARE contractors and regional health commands as needed
• Analyze utilization data and identify trends for process improvement
• Ensure compliance with DHA, TRICARE, and MTF policies and procedures
• Participate in utilization management committee meetings and quality initiatives
HEALTH REQUIREMENTS
• TB Screening: Negative TB skin test within 12 months (if positive, negative chest X-ray with clearance letter)
• Tdap: Proof of immunization required prior to start
• Additional immunizations as required by MTF policy
SPECIAL REQUIREMENTS/SKILLS
This is a non-personal services position; the Government will not supervise or control the method by which the contractor performs required tasks. Strong knowledge of utilization management principles, TRICARE benefits and policies, and military health system operations preferred. Proficiency with electronic health records and utilization management software required. Excellent analytical, communication, and documentation skills essential. Must complete all agency-specified training requirements. Planned absences require 7 days advance notice to the COR.
LUKE is an Equal Opportunity Employer
LUKE is proud to be an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other protected class.
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