RN - Utilization and Care Management
Job Opportunity at Stratus Staffing

Posted on Mar 18

http://www.stratusstaffing.com    9498774532

Location: Honolulu, HI
Job Type: Full Time
Job ID: W4152924


  • Graduates Encouraged to Apply
  • Excellent Compensation and Benefits Package
  • National Award Winning Organization


Job Description


Clinical Utilization and Care Management Nurses bridge the gap between administrative needs, data driven imperatives and the clinically relevant needs of their members.  Nurses must emphasize these issues (access, quality, safety, statutory medical necessity, and attention to chronic disease) with alacrity and special attention to vulnerable populations while using clinical knowledge and judgment to align resources with member needs. 

This position effectively coordinates patient care/unit activities among nursing peers, and physicians

  • Able to navigate through internal and external computer systems including Microsoft Word and Excel, and have proficient PC keyboarding skills
  • Practice strong assessment and critical thinking skills and are able to multi-task in today’s demanding nursing industry
  • Possess excellent interpersonal skills and are able to work cohesively with the entire Nursing / Administrative team
  • Familiar with ICD-9/10 and CPT coding desirable
  • Knowledge of QNXT system desirable


  • Prior work experience in a similar role in care and or utilization management preferred


  • New graduates are encouraged to apply
  • Diploma or Associate Degree in Nursing; Bachelor’s Degree in Nursing or related field from an accredited college or university preferred
  • Unrestricted, valid, and active RN License for the State of Hawaii
  • Utilization Review or Care management certification, desirable
  • Other related specialized certification, desirable
  • Nursing Diploma or Associate degree in nursing from an accredited nursing program, college or university; Bachelor’s Degree in Nursing or related field from an accredited college or university preferred
  • Must have a valid driver’s license and proof of automobile insurance in accordance with our clients required minimums
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