(Archived) Registered Nurse Utilization Management

GTW is currently seeking a Registered Nurse Utilization Management to work at Altus Air Force Base in Altus Oklahoma. Duties and Responsibilities: • Monitors specialty care referrals for appropriateness, covered benefit, and authorized surgery/medical procedures, laboratory, radiology, pharmacy, and general hospital procedures and regulations to analyze medical referrals/appointments. • Assist with orientation and training of other Medical Management staff and assist in providing, assessing, and improving a wide variety of customer service relations. • Receives and makes patient telephone calls and computer/written correspondence regarding specialty clinic appointments and referrals. • Develops and implements a comprehensive Utilization Management plan/program for beneficiaries within MTF’s goals and objectives. This plan is based on using the 12-step approach as described in the DoD Medical Management Guide. Minimum Qualifications: • Baccalaureate of Science in Nursing Program from an approved National League of Nursing. • A Minimum of Six years of clinical nursing experience is required. A minimum of One year of previous experience in Utilization Management is required. Full time employment in a nursing field within the last 36 months is mandatory. • Equivalent combinations of education and experience may be qualifying if approved by the requesting location and the Contracting Officer. If education or experience is used to meet the specialized requirements of this position, it must be directly related to referral/utilization management. • License/certification. Current, active, full, and unrestricted License to practice Nursing in accordance with State Board requirements. Nurse applicants must be a current U.S. licensed Registered Nurse. • License cannot be under investigation nor have any adverse action pending from a Nursing State Board or national licensing/certification agency. Chenega Corporation and family of companies is an EOE. Equal Opportunity Employer Minorities/Women/Veterans/Disabled Native preference under PL 93-638. We participate in the E-Verify Employment Verification Program.