Behavioral Health Utilization Review RN (Per Diem)

Tenet Healthcare; Modesto (CA); On-site; USD 55,000 - 77,000; Part time

Job summary

Tenet Healthcare's Doctors Medical Center in Modesto, CA is seeking a Utilization Review Nurse to ensure appropriate admission levels for acute hospital patients. This per diem day shift role requires coordination with the Case Management Director and multidisciplinary team to secure authorizations and monitor treatment outcomes.

The successful candidate will have a CA RN license, current BLS, and at least one year of acute hospital experience in psychiatry or chemical dependency, with strong

Qualifications

• Good communication, documentation and organizational skills.
• Self motivated and able to function with a minimum of supervision.
• Demonstrates personal maturity, independent judgment and integrity.

Responsibilities

• Ensure patients are admitted to the appropriate level of care.
• Coordinate Utilization Review activities to obtain authorizations.
• Liaise between MDs, the Treatment Team and External Review Organizations.
• Review Treatment Plans and monitor care for desired outcomes.
• Communicate reimbursement issues to leadership.

Skills

Communication skills

Documentation

Organizational skills

Self-motivation

Independent judgment

Integrity

Education

BSN preferred

Job description

Tenet Healthcare's Doctors Medical Center in Modesto, CA is seeking a Utilization Review Nurse to ensure appropriate admission levels for acute hospital patients. This per diem day shift role requires coordination with the Case Management Director and multidisciplinary team to secure authorizations and monitor treatment outcomes.

The successful candidate will have a CA RN license, current BLS, and at least one year of acute hospital experience in psychiatry or chemical dependency, with strong