Revenue Utilization Review (RUR) Nurse

Revenue Utilization Review (RUR) Nurse

Department of Veterans Affairs

Veterans Health Administration

Office of Finance, Revenue Operations, Revenue Utilization Review

This job announcement has closed

Print

• Summary
• This job is open to
• Duties
• Requirements
• How you will be evaluated
• Required documents
• How to apply

Summary

The Consolidated Patient Accounts Center (CPAC) is a regionally consolidated business entity established to enhance revenue operations throughout the VHA network by standardization and consolidation of functions, and the integration of VHA and industry best standards. The Revenue Utilization review (RUR) Registered Nurse (RN) is an active member of the revenue cycle program and functions within the scope of the CPAC.

Learn more about this agency

Summary

The Consolidated Patient Accounts Center (CPAC) is a regionally consolidated business entity established to enhance revenue operations throughout the VHA network by standardization and consolidation of functions, and the integration of VHA and industry best standards. The Revenue Utilization review (RUR) Registered Nurse (RN) is an active member of the revenue cycle program and functions within the scope of the CPAC.

Learn more about this agency

Overview

Help

Reviewing applications

Open date: 07/17/2026 Closed date: 07/27/2026

This job will close when we have received 75 applications which may be sooner than the closing date. Learn more

Location

1 vacancy in the following location

Smyrna, TN

1 vacancy

No matching locations found.

Work site options

• Telework eligibleNoRemote jobNoRelocation expenses reimbursed
• No
• Salary
• $82,230 - $144,401 per year
• Pay scale & grade

VN 00

Promotion potential 3

Learn more about pay scale and grade

Pay scale and grade determines the salary of the job.

Work scheduleFull-timeTravel RequiredNot required

Appointment typePermanent

Occupations and job series

• 0610 Nurse

Supervisory statusNoFederal service typeThis job is in the Excepted Service Represented by a unionYes

Drug testYesSecurity clearanceOtherPosition sensitivity and riskNon-sensitive (NS)/Low Risk

Jobs require a background check and some require a security clearance. The type depends on the job.

Background check type

• Credentialing
• Suitability/Fitness

Financial disclosure requiredNo

Some jobs require financial disclosure to identify conflicts of interests.

Announcement numberCBZY-12998227-26-KDBControl number877084400

This job is open to

Help

[The public\\ \\ U. S. Citizens, Nationals or those who owe allegiance to the U. S.](https://www.usajobs.gov/HiringPath/Public "The public")

[Internal to an agency\\ \\ Current federal employees of the hiring agency that posted the job announcement.](https://www.usajobs.gov/HiringPath/InternalToAnAgency "Internal to an agency")

Clarification from the agency

This announcement will remain open until the closing date July 22, 2026 or when the applicant count is reached, whichever is earlier. The applicant count is the point at which the first 75 applications are received. All applications submitted that day up to 11:59 pm Eastern Standard Time (EST) on the date the applicant count is reached will be accepted and considered. NOTE: The 2-page Resume requirement does not apply to this position. For more information, refer to Required Documents below.

Videos

New Heights PSA :60 - YouTube

Tap to unmute

New Heights PSA :60 Veterans Health Administration

Veterans Health Administration204K subscribers

VA Careers - Nurses - YouTube

Tap to unmute

VA Careers - Nurses Veterans Health Administration

Veterans Health Administration204K subscribers

Duties

Help

Responsibilities of the RUR nurse include, but are not limited, to the following:

• Serves as a patient advocate providing accurate and timely clinical information to third-party payers.
• Ensures compliance with established third-party payer criteria for reimbursement and appeal of clinical denials.
• Provides feedback as appropriate, for performance improvement, utilization management, and compliance related issues.
• Conducts precertification with third party-payers including VA and Community Care as applicable.
• Validates Service Connection (SC)/Special Authority (SA) relatedness for revenue cases.
• Manages clinical denials for revenue.
• Performs legal case relatedness review for revenue billing purposes.
• Provides education to VA medical facility providers and other staff on revenue related topics.
• Collaborates as needed for revenue cycle tasks with CPAC and VA medical facility staff, including but not limited to Facility Revenue, Billing, Insurance Verification, Veteran Services, Compliance, Providers, Health Information Management (HIM), Utilization Management (UM), and Community Care.
• Collects, analyzes, and reports data.
• Collaborates with third party payers on ordered level of care and treatment plans, conducting reviews on Service Connection (SC), non-SC, Special Authority (SA), precertification, prospective review, concurrent review, denial management, retrospective review, admission, and continued stay patients.
• The RUR RN participates on CPAC and/or facility committees, workgroups, performance improvement projects, and/or huddle boards.
• Program or service level outcomes must be broad and complex and can be demonstrated at any organizational level within a facility, Veterans Integrated Systems Network (VISN), or Veterans Affairs Central Office (VACO).

VA offers a comprehensive total rewards package: VA Nurse Total Rewards

Pay: Competitive salary, regular salary increases, potential for performance awards

Paid Time Off: 50 days of paid time off per year (26 days of annual leave, 13 days of sick leave, 11 paid Federal holidays per year)

Retirement: Traditional federal pension (5 years vesting) and federal 401K with up to 5% in contributions by VA

Insurance: Federal health/vision/dental/term life/long-term care (many federal insurance programs can be carried into retirement)

Licensure

1 full and unrestricted license from any US State or territory

Work Schedule

Monday- Friday 8:00am- 4:30pm (Schedule may vary based on facility need)

Compressed/Flexible: Not Authorized Telework: Not Available Virtual: This is not a virtual position. Relocation/Recruitment Incentives: Not Authorized Permanent Change of Station (PCS): Not Authorized

Requirements

Help

Conditions of employment

• U. S. Citizenship; non-citizens may only be appointed when it is not possible to recruit qualified citizens in accordance with VA Policy.
• All applicants tentatively selected for VA employment in a testing designated position are subject to urinalysis to screen for illegal drug use prior to appointment. Applicants who refuse to be tested will be denied employment with VA.
• Selective Service Registration is required for males born after 12/31/1959.
• Subject to background/security investigation.
• Selected applicants will be required to complete an online onboarding process. Acceptable form(s) of identification will be required to complete pre-employment requirements (https://www.uscis.gov/i-9-central/form-i-9-acceptable-documents). Effective May 7, 2025, driver's licenses or state-issued identification cards that are not REAL ID compliant cannot be utilized as an acceptable form of identification for employment.
• Must pass pre-employment physical examination.
• Participation in the seasonal influenza vaccination program is a requirement for all Department of Veterans Affairs Health Care Personnel (HCP).
• You may be required to serve a probationary period.
• Complete all application requirements detailed in the "Required Documents" section of this announcement.

Qualifications

Basic Requirements

• English Language Proficiency. In accordance with 38 U. S. C. 7403(f), no person shall serve in direct patient care positions unless they are proficient in basic written and spoken English.
• Graduate of a school of professional nursing approved by the appropriate accrediting agency and accredited by one of the following accrediting bodies at the time the program was completed by the applicant: The Accreditation Commission for Education in Nursing ( ACEN) or The Commission on Collegiate Nursing Education ( CCNE); OR Individuals attending a master's level bridge program in nursing who have completed coursework equivalent to a bachelor's level degree in Nursing may have opportunity to become registered as a nurse with a state licensing board prior to completion of the bridge program. Upon achievement of a State license, the individual may be appointed on temporary basis and later converted to a permanent appointment upon successful completion and graduation from the bridge program. (Reference VA Handbook 5005, Appendix G6); OR In cases of graduates of foreign schools of professional nursing, possession of a current, full, active, and unrestricted registration will meet the requirement for graduation from an approved school of professional nursing to warrant an appointment as a Nurse who has completed an associated degree/entry level Nursing education program. Credit for foreign nursing education higher that associate degree/entry level requires a formal degree equivalency validation from a recognized equivalency evaluation accepted by VA such as International Consultants of Delaware ( ICD).
• Current, full, active, and unrestricted registration as a graduate professional nurse in a State, Territory or Commonwealth (i.e., Puerto Rico) of the United States, or the District of Columbia. Graduate Nurse Technician (GNT) Exception: Candidates who otherwise meet the basic education requirements, but do not possess the required licensure, may be appointed at the entry step of the grade and level…