RN Coordinator - Utilization Review Behavioral Health Remote PRN Days

Advocate Aurora Health; Charlotte (NC); Remote; USD 60,000 - 80,000; Full time

Job summary

A leading healthcare system in North Carolina is seeking a Registered Nurse to develop individualized care plans, ensure documentation for revenue cycles, and collaborate with medical teams. The role requires graduation from an accredited School of Nursing and applicable RN licensure. Comprehensive benefits and competitive pay up to $52.35 per hour are offered.

Benefits

Comprehensive benefits including medical, dental, and vision insurance

Paid Time Off programs

Opportunity for annual increases based on performance

Career development and educational assistance programs

Qualifications

• Graduation from an accredited School of Nursing required; Bachelor’s degree in nursing preferred.
• Applicable state RN licensure required.
• Basic Life Support (BLS) certification for Healthcare Providers per facility requirements.
• Related nursing experience preferred.
• Ability to communicate effectively in English, both verbally and in writing.

Responsibilities

• Identify clinical, financial, and psychosocial needs of patients and develop individualized care plans.
• Ensure information is documented for the revenue cycle team and other disciplines.
• Perform admission and concurrent reviews, applying clinical guidelines.
• Collaborate with physicians to implement medical and multidisciplinary care plans.
• Maintain accurate case records according to facility standards.

Skills

Effective communication in English

Organizational skills

Collaborative work within a multidisciplinary team

Education

Graduation from an accredited School of Nursing

Bachelor's degree in nursing

Tools

Basic Life Support (BLS) certification

Job description

Overview

Employer Industry: Healthcare Services

Why Consider this Job Opportunity

• Salary up to $52.35 per hour
• Opportunity for annual increases based on performance
• Comprehensive benefits including medical, dental, vision, and life insurance
• Paid Time Off programs and flexible spending accounts for health care and dependent care expenses
• Supportive work environment within a nationally recognized health system
• Opportunities for career development and educational assistance programs

What to Expect (Job Responsibilities)

• Identify clinical, financial, and psychosocial needs of patients and provide leadership to develop individualized care plans
• Ensure essential information is documented and available for the revenue cycle team and other disciplines
• Perform admission and concurrent reviews, applying clinical guidelines to identify potential third-party denials
• Collaborate with physicians to implement medical and multidisciplinary plans of care
• Maintain accurate case records and document in patients’ medical records according to facility standards

What is Required (Qualifications)

• Graduation from an accredited School of Nursing required; Bachelor\'s degree in nursing preferred
• Applicable state RN licensure required
• Basic Life Support (BLS) certification for Healthcare Providers per facility requirements
• Related nursing experience preferred
• Ability to communicate effectively in English, both verbally and in writing

How to Stand Out (Preferred Qualifications)

• Experience in a healthcare setting, particularly in case management or utilization management
• Familiarity with revenue cycle processes and third-party authorizations
• Strong organizational skills and attention to detail
• Ability to work collaboratively within a multidisciplinary team
• Knowledge of clinical guidelines and care coordination practices

#HealthcareServices #NursingJobs #CareerOpportunity #CompetitivePay #WorkLifeBalance

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