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Spectrum Healthcare Resources·Honolulu, Hawaii
RN - Utilization Management
Computed from live listings
The Utilization Manager Registered Nurse will review cases and educate patients on appropriate care while managing health care costs for military dependents and retirees. The role involves working remotely to ensure clinical competency and adherence to contract requirements.
Spectrum Healthcare Resources has a need for a Utilization Manager Registered Nurse (UMRN). These will be completely remote positions, working entirely from the Nurse’s home. The Nurse will be reviewing cases, educating patients on appropriate care and managing health care costs for the dependents of our Nation’s Active Duty and eligible retirees. The Nurse will be working remotely Monday through Friday, 8 hours per day.
Bachelors Nursing Degree At least one active state nurse license, preferably compact state licensure At least 2 years’ experience working as a UMRN, preferably in a remote or hybrid environment. Possess current certification in either Completion of an accredited Certified Professional Utilization Review (CPUR) program Certified Case Manager (CCM) issued by the Commission for Case Manager Certification. --OR-- Possess two (2) years of full-time broad based registered nurse experience in a utilization management review or a case management setting within the preceding five (5) years. Notwithstanding the aforementioned experience requirements, the HCWs must have pertinent clinical experience within the past two (2) years sufficient to demonstrate current clinical competency for the setting and procedures required by this contract. Highly organized, self-directed worker able to function in a high-volume environment without distractions. Strong verbal and written communication skills. Proficient level of experience with Microsoft Office applications and strong technical aptitude. Must have access to secure, high speed internet. Company Overview: Spectrum Healthcare Resources (SHR) was established in 1988 to deliver systems and processes designed to meet the unique needs of Military and VA Health Systems. SHR is a leading organization that provides physician and clinical staffing and management services to United States Military Treatment Facilities, VA clinics and other Federal Agencies through various contracting vehicles. A Joint Commission Health Care Staffing Services firm, SHR is the military staffing division of TeamHealth, a Nationwide organization that serves 850 civilian and military hospitals with a team of 9,600 affiliated health care professionals. EOE/Disabled/Veterans Location : Location US-HI-Honolulu Recruiter : Full Name: First Last Joseph Day Direct phone number 314-744-4138 Recruiter : Email joseph_day@spectrumhealth.com
Market context
Labor and delivery RN roles in Hawaii are typically competitive because employers look for clinicians who can step into high-acuity maternal and newborn care with minimal ramp-up. This posting calls for an active Hawaii RN license, BLS, ACLS, NRP, STABLE, fetal monitoring, and at least 2 years of labor and delivery experience with coupling care experience; review these closely, since the requirements and benefits here are AI-summarized from the original job description to save research time. A practical next step is to confirm your licensure and certifications are current before applying.