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Clinical Nurse, Medical Management/Utilization Management

Gant Global Services GGS
Full-time
On-site
Falls Church, Virginia, United States

Location: Falls Church, VA

Employment Type: Full-Time

Job Summary

The Clinical Nurse will ensure effective utilization of healthcare resources while upholding high standards of care.

Key Responsibilities:

· Review and manage medical management/utilization activities.

· Evaluate healthcare data to identify areas for operational improvement.

· Develop strategies for care integration across direct and purchased care sectors.

Qualifications:

· Bachelor’s degree in Nursing (required); Master’s in Health Services or related field preferred.

· 2 years of DoD Program Management experience within the last 5 years (preferred).

· Experience with MHS programs and data systems.

Benefits

· Competitive compensation.

· Supportive and collaborative workplace culture.