Onsite Utilization Review RN — Impactful Care + Benefits

Dallas Behavioral Healthcare Hospital; DeSoto (TX); On-site; USD 70,000 - 90,000; Full time

Benefits offered by this job

Medical insurance

Dental insurance

Vision insurance

401(k)

Paid time off

Job summary

Dallas Behavioral Healthcare Hospital is seeking an Utilization Review RN to manage authorization for inpatient admissions and psychiatric services. You will conduct admission, concurrent, and retrospective reviews, and submit appeals to payors while ensuring accurate record keeping.

This is an on-site position requiring a clinical nursing degree and an active Texas RN license, with 2+ years of relevant experience preferred. Full-time benefits apply.

Qualifications

• Experience in managed care environments and authorization review processes.
• Ability to interpret admission and continued stay criteria for psychiatry.
• Familiarity with medical terminology, diagnostic terms and treatment modalities.
• Strong documentation and record-keeping skills.

Responsibilities

• Conduct admission reviews for inpatient psychiatry.
• Perform concurrent and extended stay reviews.
• Prepare and submit appeals to third party payors.
• Maintain records for the Utilization Review Department.
• Uphold ethics and customer service standards.

Skills

Managed care knowledge

Admission criteria

Medical terminology

Record keeping

Education

Nursing degree or related healthcare field

Job description

Dallas Behavioral Healthcare Hospital is seeking an Utilization Review RN to manage authorization for inpatient admissions and psychiatric services. You will conduct admission, concurrent, and retrospective reviews, and submit appeals to payors while ensuring accurate record keeping.

This is an on-site position requiring a clinical nursing degree and an active Texas RN license, with 2+ years of relevant experience preferred. Full-time benefits apply.