Utilization Review Nurse

NeuroPsychiatric Hospitals; Bremen; Vor Ort; EUR 40.000 - 70.000; Vollzeit

Zusammenfassung

An established industry player is seeking a dedicated Utilization Review Nurse (RN) to join their Bremen team. This pivotal role involves coordinating patient services, ensuring effective utilization of health resources, and collaborating with multidisciplinary teams. As part of a forward-thinking healthcare organization, you will play a crucial role in enhancing patient care through meticulous documentation, conducting clinical reviews, and maintaining compliance with healthcare regulations. This position offers an opportunity for professional growth and a work/life balance in a supportive environment. If you are passionate about making a difference in patient care and thrive in a collaborative setting, this role is perfect for you.

Leistungen

Competitive pay rates

Medical, Dental, and Vision Insurance

401(k) plan with up to 4% Company match

Employee Assistance Program (EAP)

Generous PTO and Time Off Policy

Special tuition offers through Capella University

Work/life balance

Employee Discounts through LifeMart

Qualifikationen

• Must be a Registered Nurse (RN) or Licensed Practical Nurse (LPN) in Indiana.
• Strong knowledge of medications and exceptional time management skills.

Aufgaben

• Coordinate patient services and promote effective utilization of health resources.
• Document daily in the electronic system and conduct admission audits.
• Communicate effectively with staff and maintain knowledge of current trends.

Kenntnisse

Time Management

Data Entry

Communication Skills

Knowledge of Medications

Detail-oriented

Ausbildung

Graduated from an accredited school of nursing

Jobbeschreibung

About Us

HEALING THE BODY AND MIND

Founded fifteen (15) years ago, NeuroPsychiatric Hospital is the largest hospital system in the nation providing care to patients with both neurological and medical needs. We serve a population that others have been unable to due to the patients' underlying medical issues. Our facilities maintain an inter-disciplinary focus using a multi-specialty approach for both neuropsychiatric and complex medical care issues. This proven approach provides unrivaled quality care for all of our patients. We have multiple locations throughout the United States and are continuing to add locations to ensure better access to our unique model of care.

Overview

Neuropsychiatric Hospitals is looking for a Utilization Review Nurse (RN) to coordinate patients’ services across the continuum of care by promoting effective utilization, monitoring health resources, and collaborating with multidisciplinary teams. This role will provide service to our utilization review team at our Bremen location.

Benefits of joining NPH

• Competitive pay rates
• Medical, Dental, and Vision Insurance
• NPH 401(k) plan with up to 4% Company match
• Employee Assistance Program (EAP)
• Generous PTO and Time Off Policy
• Special tuition offers through Capella University
• Work/life balance with great professional growth opportunities
• Employee Discounts through LifeMart

Responsibilities

• Filing documents as needed.
• Initial precertification with payors.
• Concurrent clinical review with payors.
• Documenting in the electronic system daily in real time.
• Conducting admission audits.
• Ensuring that CONs/RONs and CMS certifications are completed by the provider.
• Demonstrating professionalism with all internal and external customers.
• Communicating effectively with all staff and patients.
• Maintaining knowledge of current trends and developments in the field.
• Assuring protection and privacy of health information.
• Cooperating and maintaining good rapport with nursing staff, medical staff, and other departments.
• Complying with all applicable federal and state laws, as well as hospital policies.
• Adhering to hospital expectations regarding ethical behavior and standards of conduct.
• Assisting with reconsiderations and appeals as needed.
• Providing education to nursing staff, leadership team, and providers regarding documentation.
• Working with the business office regarding resolution of appeals/denials and retrospective reviews.

Qualifications

Education: Must have graduated from an accredited school of nursing.

Licensure: Registered Nurse (RN) or Licensed Practical Nurse (LPN) in the state of Indiana required.

Skills: Strong knowledge of medications, exceptional time management, data entry, and communication skills. Must be detail-oriented.