AMAZING INDIVIDUALS WORKING FOR POSITIVE PEOPLE at AIDS Healthcare Foundation!
Does the idea of doing something that really makes a difference in people’s lives while being well-compensated intrigue you? Are you looking to work for an organization that encourages growth and success from each and every one of its employees?
If so, AIDS Healthcare Foundation is the place for you!
Founded in 1987, AIDS Healthcare Foundation is the largest specialized provider of HIV/AIDS medical care in the nation. Our mission is to provide cutting edge medicine and advocacy, regardless of ability to pay. Through our healthcare centers, pharmacies, health plan, research and other activities, AHF provides access to the latest HIV treatments for all who need them.
AHF’s core values are to be:
• Value Employees
• Respect for Diversity
• Fight for What’s Right
STILL INTERESTED? Please continue!
AIDS Healthcare Foundation is seeking a Temporary, Full-Time, Utilization Management Registered Nurse (Temporary UMRN) to assist our Managed Care Division located at the following address:
1001 North Martel Avenue
Los Angeles, California 90046
Hours of Operations:
Monday - Friday, 8:30am-5:30pm
The Utilization Management Registered Nurse (UMRN) is responsible for projecting and integrating the Mission and Core Values of the organization in the provision of utilization management services to members and medical providers of AIDS Healthcare Foundation’s Medicare Health Plan, MediCal Health Plan and where designated, Ryan White Programs.
Key responsibilities of the UMRN include but are not limited to:
Essential Duties & Responsibilities
Includes the following:
Generate bimonthly in-depth utilization review reports of members admitted for more
than 10 days. Cases will be presented for second level review by the Medical Director,
Director of Care Coordination and Manager of Care Coordination.
In the absence of both the Director and Manager of the Care Coordination department, the UR Nurse may be called upon to provide clinical and daily operational leadership.
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Education and/or Experience
Computer/Software Skills & Abilities
To perform this job successfully, an individual should have knowledge of Contact Management systems, and basic knowledge of business software. Must know how to access a document in Word or Excel. Must be able to enter data and save a document in Word and Excel. Must have the ability to type a minimum of 35 words per minute. Ability to input data in Access database in a pre-designed form. Ability to access and research Internet Explorer. Understands the process to access Outlook to verify emails. Knowledge of MS Visio a plus.
Ability to read, analyze, and interpret common scientific and technical journals, financial reports, and legal documents. Ability to respond to common inquiries or complaints from customers, regulatory agencies, or members of the business community. Ability to write speeches and articles for publication that conform to prescribed style and format. Ability to effectively present information to top management, public groups, and/or boards of directors. Bilingual Spanish a plus.
High Skills: Ability to work with mathematical concepts such as probability and statistical inference, and fundamentals of plane and solid geometry and trigonometry. Ability to apply concepts such as fractions, percentages, rations, and proportions to practical solutions.
Very High Skills: Ability to define problems, collect data, establish facts, and draw valid conclusions. Ability to interpret an extensive variety of technical instructions in mathematical or diagram form and deal with several abstract and concrete variables. Ability to create and interpret a flow diagram.
Certificates, Licenses and Registrations
We at AIDS Healthcare Foundation believe that each individual is entitled to equal employment opportunities without regard to race, color, creed, gender, sexual orientation, gender identity, marital status, national origin, age, veteran status or disability. The right of equal employment opportunity extends to recruiting, hiring selection, transfer, promotion, training and all other conditions of employment.