Student Veterans of America Jobs

Welcome to SVA’s jobs portal, your one-stop shop for finding the most up to date source of employment opportunities. We have partnered with the National Labor Exchange to provide you this information. You may be looking for part-time employment to supplement your income while you are in school. You might be looking for an internship to add experience to your resume. And you may be completing your training ready to start a new career. This site has all of those types of jobs.

Here are a few things you should know:
  • This site is mobile friendly. You do not need a log-in or password to access information.
  • Jobs on this site are original and unduplicated and come from three sources: the Federal government, state workforce agency job banks, and corporate career websites. All jobs are vetted to ensure there are no scams, training schemes, or phishing.
  • The site is refreshed daily to remove out-of-date content.
  • The newest jobs are listed first, so use the search features to match your interests. You can look for jobs in a specific geographical location, by title or keyword, or you can use the military crosswalk. You may want to do something different from your military career, but you undoubtedly have skills from that occupation that match to a civilian job.
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Job Information

Vermont Employer RN - Case Manager/Utilization Review- FT/80 $10,000 Sign on Bonus in Springfield, Vermont

This job was posted by https://www.vermontjoblink.com : For more information, please see: https://www.vermontjoblink.com/jobs/1147852

Job Type

Full-time

Description

The Utilization Review Registered Nurse (RN) will:

  • Assist in determining the appropriate admission status based on the regulatory and reimbursement requirements of various commercial and government payers, in conjunction with the admitting/attending physician.
  • Partner with the health care team to ensure reimbursement of hospital admissions is based on medical necessity and documentation is sufficient to support the level of care being billed.
  • Conduct concurrent reviews as directed in the hospital\'s Utilization Review Plan and review of medical records to ensure criteria for admission and continued stay are met and documented.
  • Along with other health care team members, monitor the use of hospital resources and identifies delays.

##### \$10,000 SIGN-ON BONUS FOR EXPERIENCED PROFESSIONAL#####(External candidates only)

Requirements

::: {bind="html: Job.Requirements"} - Associate degree in Nursing from an accredited school - Bachelor of Science in Nursing (BSN) from an accredited school of nursing (preferred) - Three (3) years of recent clinical or utilization management experience - Competence in standardized medical necessity criteria (preferred) - Three (3) years of recent case management or utilization management experience. (preferred) - Current Vermont RN licensure in good standing with no restrictions or stipulations or multistate compact licensure in good standing with no restrictions or stipulations - Basic Life Support (BLS) for Healthcare Providers - Accredited Case Manager (ACM) certification, Certified Case Manager (CCM) or Case Management Administrator Certification (CMAC) certification (preferred) - Ability to understand, interpret, and explain data for utilization management functions. - Highly developed written, verbal, and presentation skills. - Possesses knowledge of care delivery systems across the continuum of care, including trends and issues in care reimbursement. - Possesses mid to high-level proficiency in navigating the Electronic Medical Record and applications related to utilization management. :::

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