Registered Nurse (RN) - Behavioral Health Utilization Review

Job Summary

Job Type: Per Diem
Job Shift: Rotate
Holiday Rotation: Not specified
Department: Behavioral Health
Position Summary: Reporting to the Director of Case Management, the Utilization Review Nurse is responsible for ensuring that patients being admitted to Doctors Behavioral Health Center are admitted to the appropriate level of care in accordance with the vision and goals of Doctors Medical Center and the regulatory guidelines as set by the state and federal rules. The Utilization Review Nurse ensures quality, cost-effective patient care through planning; communication, critical thinking and facilitation of the multi-disciplinary patient care team. Coordinates Utilization Review activities to ensure that authorizations are obtained for in-patient acute hospitalizations. Acts as a liaison between MD’s, the Treatment Team and External Review Organizations. Reviews the Treatment Plan and monitors the delivery of care to make sure the desired treatment outcomes are achieved. Communicates reimbursement issues, trends and patterns to the Director of Case Management and the Administrator.

About the Role

Join our dedicated healthcare team where compassion meets innovation! As a Registered Nurse with us, you'll have the opportunity to make a meaningful impact in patients' lives while enjoying a supportive work environment that fosters professional growth and work-life balance. Ready to be a vital part of our mission? Apply today and bring your passion for nursing to a place where it truly matters!

Qualifications

• Minimum Education: BSN preferred.
  
• Minimum Experience/Skills: One or more year’s recent acute hospital experience
  
• One year acute, inpatient psychiatric or chemical dependency experience.
  
• Good communication, documentation and organizational skills.
  
• Self motivated and able to function with a minimum of supervision.
  
• Demonstrates personal maturity, independent judgment and integrity.

Benefits

Note: Eligibility for benefits may vary by location and is determined by employment status
Organization Description: Doctors Medical Center (DMC), part of the Central Valley Doctors Health System, is the largest full-care hospital between Stockton and Fresno, and from the Sierras to the San Francisco Bay Area, with a 394-bed general acute care and a 67-bed inpatient psychiatric capacity. DMC is known for providing comprehensive inpatient, outpatient and emergency care. Doctors Medical Center offers a wide range of services including cardiology, neurosurgery, orthopedics, emergency and trauma services, minimally-invasive and robotic surgery, women and childrens services, medical/surgical, behavioral health, oncology and critical/intensive care.

Pay

$68.70 - $105.41 hourly

Schedule

Rotate