We are looking for individuals who want to join our Team in Europe.
Apply Now! JOB OPENING Title: Registered Nurse - Utilization Manager (UM) Location: Ramstein AB, Germany Start Date: 1 October 2025 Job-Type: Full Time Job Overview We are seeking a highly analytical and experienced Registered Nurse Utilization Manager (UM) to support the Medical Management team at Ramstein Air Base.
The UM will conduct utilization reviews, analyze patient data, and ensure cost-effective, quality care.
This role requires strong clinical judgment and familiarity with medical care criteria and coding systems.
1. Qualifications Degree: Associate's Degree in Nursing.
Education: Graduate from a college or university accredited by the Accreditation Commission for Education in Nursing (ACEN), the Commission on Collegiate Nursing Education (CCNE), or as otherwise outlined in the TO.
Certification: Possess one of the following certifications: Commission for Case Manager Certification Certified Case Manager (CCM) Certification of Disability Management Specialists Commission: Certified Disability Management Specialist (CDMS) Association of Rehabilitation Nurses: Certified Rehabilitation Registered Nurse (CRRN) American Board for Occupational Health Nurses Certified Occupational Health Nurse (COHN) or Certified Occupational Health Nurse-Specialist (COHN-S).
National Board for Certification in Continuity of Care: Advanced Certification in Continuity of Care (ACCC) Commission on Rehabilitation Counselor Certification: Certified Rehabilitation Counselor (CRC) American Nurses Credentialing Center Nurse Case Manager (RN-NCM) National Academy of Certified Care Managers: Care Manager Certified (CMC) Experience: Minimum of two (2) years of recent experience within the last four (4) years in professional nursing.
Under Case Manager (CM) requires a minimum of two (2) years of recent experience (within the last four (4) years) in professional nursing or CM.
Under Utilization requires six (6) years of broad-based clinical nursing experience, and previous experience in UM is preferred.
The necessary knowledge, skills, and computer literacy are required to interpret and apply medical care criteria, such as InterQual or Milliman Ambulatory Care Guidelines.
Must possess experience in performing prospective, concurrent, and retrospective reviews to justify medical necessity for medical care.
The Contractor shall have a working knowledge of Ambulatory Procedure Grouping (APGs), Diagnostic-Related Grouping (DRGs), International Classification of Diseases-Version 9 (ICD-9), and Current Procedural Terminology-Version 4 (CPT-4) coding.
Contractor personnel shall have a minimum of two (2) years of recent experience (within the last four (4) years) in nursing.
Licensure: Current, full, active, and unrestricted license to practice as a Registered Nurse as required in the TO.
The professional license must allow the holder to legally and independently practice without the supervision of another licensed professional.
Responsibilities include but are not limited to: Participate in all phases of the Case Management Program (CMP) and ensure that the CMP meets established case management (CM) standards of care.
Provide nursing expertise about the CM process, including assessment, planning, implementation, coordination, and monitoring.
Identify opportunities for CM and identify and integrate local CM processes.
Develop and implement local strategies using inpatient, outpatient, onsite and telephonic CM Develop and implement tools to support case management, such as those used for patient identification and patient assessment, clinical practice guidelines, algorithms, CM software, and databases for community resources.
Integrate CM and utilization management (UM) and integrating nursing case management with social work case management.
Maintain liaison with appropriate community agencies and organizations.
Accurately collect and document patient care data.
Develop treatment plans including preventive, therapeutic, rehabilitative, psychosocial, and clinical interventions to ensure continuity of care toward the goal of optimal wellness.
Establish mechanisms to ensure proper implementation of patient treatment plan and follow-up post discharge in ambulatory and community health care settings.
Provide appropriate health care instruction to patient and/or caregivers based on identified learning needs.
2. DOCPER/SOFA/Logistical Support Status This position is eligible for support under NATO Status of Forces Agreement (SOFA) supplemental agreement articles 72 or 73.
3. APPLICATION PROCESS For more information, go to our website. Upload your resume directly at https://french-consulting.com/careers .
4. -- French Consulting is proud to be an equal opportunity workplace and is an affirmative action employer.
We are committed to equal employment opportunity regardless of race, color, ancestry, religion, sex, national origin, sexual orientation, age, citizenship, marital status, disability, gender identity, or Veteran status.
We also consider qualified applicants regardless of criminal histories, consistent with legal requirements.
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