Utilization Review RN - Behavioral Health 194

Telecare • Santa Cruz, CA

443d • $145,600 - $179,899

About The Position

The Utilization Review RN - Behavioral Health position at Telecare Corporation involves working collaboratively with treatment teams to ensure that care provided to patients is appropriate and medically necessary. The role is focused on reviewing clinical documentation, advocating for patient treatment, and ensuring compliance with regulations. This part-time position is based in Santa Cruz, CA, and requires a valid RN license and experience in psychiatric nursing.

Requirements

• Graduation from an accredited Registered Nursing Program (RN).
• Two years of inpatient psychiatric nursing experience.
• Current RN State license.
• Current BLS certification.
• Must be at least 18 years of age.
• CPR, First Aid, and CPI certified on date of employment.

Nice To Haves

• Utilization Review Nurse experience preferred.

Responsibilities

• Collaborate with county or customer utilization and treatment teams to ensure appropriate care.
• Review admission data and clinical documentation for compliance with regulations.
• Interview members served and consult with outpatient teams when appropriate.
• Consult with psychiatrists and medical staff regarding diagnoses and treatment plans.
• Assess records for appropriate levels of care and discharge planning.
• Advocate for necessary treatment with medical providers.
• Provide training on utilization requirements to staff.
• Participate in quality improvement meetings and projects.
• Prepare correspondence and daily status summaries for members served.
• Assist with restraint of members served in crisis situations.

Benefits

• Competitive hourly wage of $70.00 - $86.49.
• Part-time schedule with Monday to Friday shifts.
• Opportunities for professional development and training.

What This Job Offers

• Job Type: Part-time
• Career Level: Entry Level
• Industry: Ambulatory Health Care Services
• Education Level: No Education Listed