Job Description

Matrix Providers is hiring a Registered Nurse (RN) Utilization Management to join our team of talented professionals who provide health care services to our Military Service Members and their families in Fairfield, CA.

• Employment Status: Full Time
• Compensation: This is an hourly position, paid bi-weekly.
• $67.38/hour plus $5.42 H&W
• Schedule: Monday thru Friday 07:30 am - 4:30 pm
• Benefits: Competitive financial package with a comprehensive insurance package including health, dental, vision, and life coverage.
• Accrued Paid Time Off (PTO)
• Paid Holidays (Outlined in Handbook)
• 401(k) Plan

Requirements: The Registered Nurse (RN) must have and meet the following:

• Degree: Associate's Degree in Nursing.
• Education: Graduate from a college or university accredited by Accreditation
• Commission for Education in Nursing (ACEN), National League for Nursing Accrediting
• Commission (NLNAC), the Commission on Collegiate Nursing Education (CCNE)
• Certifications in addition to Basic Life Support: Possess one of the following
• certifications: American Nurses Credentialing Center (ANCC), Nurse Case Manager
• (RN-NCM), National Academy of Certified Care Managers: Care Manager Certified
• (CMC) OR Commission for Case Manager Certification (CCMC): Certified Case
• Manager (CCM) or American Nurses Credentialing Center (ANCC) -OR- have practiced
• the equivalent of 2 years full-time as a registered nurse, and have a minimum of 2,000
• hours of clinical practice in nursing case management within the last 3 years, and have
• completed 30 hours of continuing education in nursing case management within the last 3
• years.
• Experience: Twelve (12) months of recent full-time experience in nursing/health care
• management for adults, children, families, seniors, or groups is required.
• Possess a thorough clinical knowledge and breadth of experience to be able to contribute to population level assessment and management, identify appropriate Case Management candidates, conduct patient self-care education, and track patient outcomes.
• Extensive knowledge of CM components: outcomes measurement, collaborative practice, patient self –management, population identification processes, and process improvement.
• Licensure: Current, full, active, and unrestricted license to practice as a Registered Nurse.
• Location - Travis AFB, David Grant Medical Center.

Job Summary:

• Must possess organization, problem-solving and communication skills to articulate
• medical requirements to patients, families/care givers, medical and nonmedical staff in a
• professional and courteous way.
• Must have the knowledge and skills to effectively apply the following core case
• management functions: a) Assessment: Identification of patients for case management;
• comprehensive collection of patient information and medical status; and continued
• evaluation of an established plan of care; b) Planning: Collaboration with the patient,
• family/caregiver, primary provider and other members of the health care team for
• developing an effective plan of care; c) Facilitation: Care coordination and
• communication among all involved parties; d) Advocacy: Support for the patient and
• family/caregivers to ensure identified education and appropriate, timely care is received.
• Must be skillful and tactful in communicating with people who may be physically or
• mentally ill, uncooperative, fearful, emotionally distraught, and occasionally dangerous.
• Must be knowledgeable in medical privacy and confidentiality (Health Insurance
• Portability and Accountability Act [HIPAA]); accreditation standards of Accreditation
• Association for Ambulatory Health Care (AAAHC) and The Joint Commission (TJC);
• and computer applications/software to include Microsoft Office programs, MS Outlook
• (e-mail), and internet familiarity is required.
• Identification of patients for case management; comprehensive collection of patient
• information and medical status; and continued evaluation of an established plan of care.
• Conduct CM staff peer reviews, using approved peer review form, as assigned.
• Proactively implement CM services for populations with chronic conditions, collaborate
• with beneficiaries in formulating patient-centered goals, and educate individuals, their
• families or caregivers.
• Provide a warm handoff (person-to-person verbal communication providing continuity of
• care and a seamless transfer of information) of patients in transition to other levels or
• places of care by providing pertinent information to the receiving health care provider
• document warm handoff communications.
• Serves as patient advocate and liaison to healthcare and community agencies for matters
• concerning primary, secondary, and tertiary healthcare services. Actively participates as
• team member or facilitator of committee or working group.
• Attend multidisciplinary rounds, ward meetings/discharge planning meetings as required
• to ensure multidisciplinary collaboration and optimal effective communication.
• When possible ensure the patients families and care givers are involved in the case
• management process. Act as a point of contact when there are complex arrangements to
• be organized for patients.
• Completes and appropriately documents an assessment of patient, family and caregiver
• readiness, identifies individual health care needs, and proactively coordinates chronic
• condition care follow-on care.
• Be able to perform with minimal supervisory direction. Be able to independently identify,
• plan, and carry out projects with consideration for the goals and objectives of the MTF’s
• Utilization Management and Medical Management Departments.
• Assessment: Proactively identifies and evaluates patients and families for case
• management from a variety of sources such as discharge/disposition planning, referrals,
• the Medical Evaluation Board (MEB) process, the healthcare system, employers and
• facility staff. Conducts systematic, on-going, thorough collection of patient’s physical,
• emotional, psychological, social and medical status and information via direct patient
• contact and other relevant sources such as professional and non-professional caregivers,
• medical records, family/caregiver interviews.
• Planning: Develops an appropriate patient-specific plan of care to include short and long
• term goals, objectives and actions. Coordinates, collaborates, and obtains approval of the
• plan among the patient, family/caregiver, primary provider and other members of the
• healthcare team.
• Implementation: Guides the patient and family/care giver through the healthcare system, maximizing use of resources. Coordinates and executes the plan of care, optimizing access to appropriate services. Ensures necessary referrals are ordered by the appropriate discipline and coordinated. Serves as an advocate for, and ensures education is provided to, the patient and family/caregiver as required. Promotes adherence to treatment plans for improved healthcare outcomes.
• OTHER job duties to be provided with official Job Description

Matrix Providers will never request any form of payment from candidates in exchange for consideration for employment. Furthermore, all communication from Matrix Providers will be conducted exclusively through official Matrix Providers email addresses. Any correspondence from alternative email addresses should be considered fraudulent.

Matrix Providers is an equal opportunity employer. Qualified applicants will receive consideration for employment regardless of race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or protected veteran status. For our EEO Policy Statement, please see https://matrixproviders.com/accessibility-eeo-disclaimer. To learn more about our Benefits Packages, please see https://matrixproviders.com/benefits.

Matrix Providers endeavors to make www.matrixproviders.com accessible to all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please get in touch with our Recruiting Hotline Number, 1-877-807-8277, TTY LINE, 385-722-8109. This contact information is for accommodation requests only and cannot be used to inquire about the status of applications.

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