Overview:
NaphCare is hiring experienced Utilization Management Registered Nurse just like you at the Corporate Office located in Birmingham, AL.
NaphCare is a family owned, healthcare technology company that has been delivering high quality healthcare to correctional facilities across the nation for over 35 years. Come join our team of over 5000 employees and growing! NaphCare pays well, offers outstanding benefits, and has an incredibly engaged corporate support team to make sure you have what you need to be truly excellent at what you do.
NaphCare partners with correctional facilities to provide proactive, patient-focused healthcare.
NaphCare Full Time Benefits:
- Prescriptions free of charge through our health plan
- Health, dental & vision insurance that starts day one!
- We offer low cost benefits to our employees and their families
- Employment Assistance Program (EAP) services
- 401K and Roth with company contribution that starts day one!
- Tuition Assistance
- Referral bonuses
- On-site education
- Free Continuing Education!
- Term life insurance at no cost to the employee
- Generous paid time off & paid holidays
NaphCare has a partnership with NetCE that provides CEU/CME for our staff. NetCE uses a rigorous peer review process to ensure that all activities and content are up-to-date. This service streamlines continuing education for all NaphCare Employees to meet state specific requirements for maintaining licensing.
With NaphCare, you'll play a critical role in our continuing mission to be the leading provider of quality healthcare in the correctional industry. If you want a career that will make a difference, choose the company that is different.
We support your growth and internal promotion. Once hired, we encourage our employees to continue to seek opportunities for advancement and leadership.
Responsibilities:
Responsibilities for Utilization Management Registered Nurse:
- Develop, implement, and administer the quality assurance and utilization review processes
- Monitor and report on the quality of all facets of the medical care provided to patients
- Perform utilization and concurrent review of patient cases
- Conduct detailed clinical chart assessments
- Gather clinical information to assess and expedite care needs
- Determine need, if any, for intervention, and discussing with physicians
- Reviews requests from providers regarding medical necessity of requested services for patients
- Reviews and audits patients' medical records as indicated to determine medical necessity
- Utilizes nationally recognized criteria to determine medical necessity of requested services
- Refers provider requests to Medical Director or designee when medical necessity of requested services does not meet recognized criteria
Qualifications:
Qualifications for Utilization Management Registered Nurse:
- A current and unrestricted RN license in AL
- A minimum of 3 years’ experience in an acute care setting and 2 years’ experience in utilization review and/or case management
- Valid cpr card
- Excellent communication and interpersonal skills
- attention to detail and decision-making skills are essential
- BSN or ADN required.
- Some travel required.
We know you may have questions before applying. To speak to a recruiter directly, email your questions and/or resume to
CorporateHR@naphcare.com
with the position and location you’re interested in.
Equal Opportunity Employer: disability/veteran
N
Naphcare, Inc.
NaphCare is dedicated to implementing cost-effective, quality services according to our clients' needs.
Because every facility is unique, we tailor our services to meet each client's respective needs. We deliver solutions based on your requests rather than telling you how to run your facility. NaphCare evaluates, evolves, and adapts our programs according to not only client needs, but also the ever-changing field of correctional healthcare.
When you choose NaphCare, you choose a proactive, preventive healthcare provider. We focus on a “Day One” mentality, providing care up front and without delay. Our clients experience greater efficiency, a reduction in unnecessary costs, and transfer their legal liability, all without giving up their independence. NaphCare is leading the way with an all-in-one approach to correctional healthcare that provides services unique to your facility.
Personal Attention
With NaphCare, people come first. We are proud of our company culture and ability to connect with our clients on a personal level, and it is NaphCare's mission to continue our history of personalized service. Care is not reserved simply for the patients entrusted to us, but also for our client partners. We care for our clients by providing efficient services to reduce their costs, communicating regularly about our services, listening to the client, providing accountability through continuous quality studies and reporting, and working with integrity at all times.
Company Consistency
Also, as an independent healthcare partner, we are free from complex partnerships and distant investors that limit our competitors' responsiveness. NaphCare has not undergone any corporate reorganization or restructuring since the company was founded in 1989, and has no plans to do so in the future. This stability, along with planned and structured growth, ensures that our client partners receive personal attention from our administrative and medical support team at our headquarters.
Financial Stability
NaphCare is a financially stable and fiscally responsible company. Throughout our history, we have maintained steady, measured growth, more stable than sweeping corporate changes. Our clients do not have to worry about drastic shifts in our company and how such changes will affect their services.
One of the best indicators of a company's financial stability is its ability to secure insurance and a bonding line. NaphCare is proud of our ability to provide performance bonds, rather than letters of credit. Due to our financial strength, NaphCare has exceptional insurance programs that indemnify our clients against litigation regarding healthcare services.