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"array_path" => "revision_uid.0.entity" ] ] "title" => array:1 [ 0 => array:1 [ "value" => "Gender Affirming Services UM Nurse" ] ] "created" => array:1 [ 0 => array:1 [ "value" => "1655225464" ] ] "changed" => array:1 [ 0 => array:1 [ "value" => "1655225576" ] ] "promote" => array:1 [ 0 => array:1 [ "value" => "0" ] ] "sticky" => array:1 [ 0 => array:1 [ "value" => "0" ] ] "default_langcode" => array:1 [ 0 => array:1 [ "value" => "1" ] ] "revision_default" => array:1 [ 0 => array:1 [ "value" => "1" ] ] "revision_translation_affected" => array:1 [ 0 => array:1 [ "value" => "1" ] ] "metatag" => array:7 [ 0 => array:2 [ "tag" => "meta" "attributes" => array:2 [ "name" => "title" "content" => "Gender Affirming Services UM Nurse | TransWork" ] ] 1 => array:2 [ "tag" => "meta" "attributes" => array:2 [ "name" => "description" "content" => "Amida Care is a Diversity, Equity, and Inclusion employer committed to full inclusion and elimination of discrimination in all its forms. We strive to develop, promote, and sustain a culture that values equity and leverages diversity and inclusiveness in all that we do." ] ] 2 => array:2 [ "tag" => "link" "attributes" => array:2 [ "rel" => "canonical" "href" => "https://transwork.org/jobs/gender-affirming-services-um-nurse" ] ] 3 => array:2 [ "tag" => "meta" "attributes" => array:2 [ "property" => "og:image" "content" => "https://transwork.org/sites/default/files/styles/banner/public/2018-08/placeholder.jpg" ] ] 4 => array:2 [ "tag" => "meta" "attributes" => array:2 [ "property" => "og:image:url" "content" => "https://transwork.org/sites/default/files/styles/banner/public/2018-08/placeholder.jpg" ] ] 5 => array:2 [ "tag" => "meta" "attributes" => array:2 [ "property" => "og:image:secure_url" "content" => "https://transwork.org/sites/default/files/styles/banner/public/2018-08/placeholder.jpg" ] ] 6 => array:2 [ "tag" => "meta" "attributes" => array:2 [ "name" => "twitter:image" "content" => "https://transwork.org/sites/default/files/styles/banner/public/2018-08/placeholder.jpg" ] ] ] "path" => array:1 [ 0 => array:3 [ "alias" => "/jobs/gender-affirming-services-um-nurse" "pid" => "391" "langcode" => "en" ] ] "menu_link" => [] "body" => array:1 [ 0 => array:3 [ "value" => """ <p>Amida Care is a Diversity, Equity, and Inclusion employer committed to full<br />\r\n inclusion and elimination of discrimination in all its forms. We strive to<br />\r\n develop, promote, and sustain a culture that values equity and leverages<br />\r\n diversity and inclusiveness in all that we do.</p>\r\n \r\n <p>This position is responsible for completing utilization management (UM) for<br />\r\n all gender affirming services (GAS) requests. Following all regulatory<br />\r\n guidelines and timeframes, the GAS UM Nurse will review and process all<br />\r\n requests for GAS.</p>\r\n \r\n <p>ESSENTIAL FUNCTIONS<br />\r\n Essential functions are job duties and responsibilities that must be<br />\r\n performed to accomplish the purpose/ goals of the job.</p>\r\n \r\n <p>• Coordinate, in conjunction with Clinical Services, Utilization Management<br />\r\n (UM) determinations in accordance with Article 49-Utilization Review.</p>\r\n \r\n <p>• Ensure UM is completed by following all regulatory guidelines and<br />\r\n timeframes</p>\r\n \r\n <p>• Document all UM activities in the appropriate database</p>\r\n \r\n <p>• Work with Amida Care provider network to ensure current clinical<br />\r\n guidelines are widely distributed</p>\r\n \r\n <p>• Educate providers regarding Plan benefits, UM policies, and clinical<br />\r\n criteria</p>\r\n \r\n <p>• Ensure pre and post-surgery care coordination is member driven and<br />\r\n supports increased health outcomes.</p>\r\n \r\n <p>• Educate members and providers regarding Plan benefits, policies, and<br />\r\n support services available to members</p>\r\n \r\n <p>• Perform regular cases reviews and member rounds in accordance with Amida<br />\r\n Care’s Model of Care.</p>\r\n \r\n <p>• Engage members and providers when a need is identified that will support<br />\r\n improved health outcomes for the behavioral and physical health of members of<br />\r\n transgender experience.</p>\r\n \r\n <p>• Conduct aftercare follow-up calls to providers to ensure/track member<br />\r\n adherence with appointments post-discharge and record information in the<br />\r\n appropriate electronic database.</p>\r\n \r\n <p>• Review clinical documentation, claims/utilization data to ensure members<br />\r\n are receiving appropriate care and implement strategies to address unmet<br />\r\n needs as appropriate.</p>\r\n \r\n <p>• Conduct needs assessments to determine appropriate referrals and<br />\r\n supports.</p>\r\n \r\n <p>MINIMUM JOB REQUIREMENTS</p>\r\n \r\n <p>• Registered Nurse</p>\r\n \r\n <p>• Two (2) years’ utilization management experience in a health plan<br />\r\n setting, required</p>\r\n \r\n <p>• Knowledge of transgender surgical procedures, preferred</p>\r\n \r\n <p>• Two (2) years’ health care or managed care experience, preferred</p>\r\n \r\n <p>• Two (2) years’ experience working with the transgender community,<br />\r\n preferred</p>\r\n \r\n <p>• Bilingual (English/Spanish) preferred</p>\r\n \r\n <p>• Strong knowledge of Microsoft Office (Access, Word and Excel).</p>\r\n \r\n <p>• Demonstrate understanding and sensitivity to multi-cultural values,<br />\r\n beliefs, and attitudes of both internal and external contacts.</p>\r\n \r\n <p>• Demonstrate appropriate behaviors in accordance with the organization’s<br />\r\n vision, mission, and values.</p>\r\n """ "summary" => "" "format" => "full_html" ] ] "field_agree_to_allow" => [] "field_agree_to_receive" => [] "field_application_deadline" => [] "field_application_instructions" => array:1 [ 0 => array:2 [ "value" => "<p>Please visit our Careers Page and submit your resume along with the completed Applicant Profile.</p>\r\n" "format" => "full_html" ] ] "field_application_start_date" => [] "field_business_name" => array:1 [ 0 => array:1 [ "value" => "Amida Care" ] ] "field_company_logo" => [] "field_confirm_rules" => [] "field_confirm_terms" => [] "field_contact_email" => array:1 [ 0 => array:1 [ "value" => "mgaines@amidacareny.org" ] ] "field_contact_email_transwork" => [] "field_contact_name" => array:1 [ 0 => array:1 [ "value" => "Morris E. 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