RN Utilization Review – Inpatient Behavioral Health

AMN Healthcare; Lafayette (IN); On-site; USD 82,000 - 114,000; Full time

Benefits offered by this job

Medical benefits

Dental benefits

Vision benefits

Paid time off

401(k) retirement

Certification reimbursement

Job summary

AMN Healthcare in Lafayette, IN seeks an RN Utilization Review to evaluate patients' clinical records to determine medical necessity and appropriateness of inpatient behavioral health services. You will coordinate with providers and payers for authorization and continued stay reviews, and help ensure compliance with regulatory, quality, and reimbursement requirements.

The assignment is 13 weeks, with an 8:00 am–4:30 pm shift; IN/compact RN license, Bachelor's degree, BLS, HWC, and 1+ year UR

Qualifications

• Active IN/compact RN license required.
• Bachelor's degree in a related field.
• BLS certification required.
• HWC certification required or preferred.
• 1+ year UR experience in an acute hospital setting.
• Psychiatric UR experience preferred.

Responsibilities

• Evaluates patients' clinical records to determine medical necessity and appropriateness of inpatient behavioral health services.
• Coordinates with providers and payers for authorization and continued stay reviews.
• Ensures compliance with regulatory, quality, and reimbursement requirements.

Skills

RN experience

Regulatory awareness

Communication

Education

RN license (IN/compact)

Bachelor's degree

BLS

HWC

Job description

AMN Healthcare in Lafayette, IN seeks an RN Utilization Review to evaluate patients' clinical records to determine medical necessity and appropriateness of inpatient behavioral health services. You will coordinate with providers and payers for authorization and continued stay reviews, and help ensure compliance with regulatory, quality, and reimbursement requirements.

The assignment is 13 weeks, with an 8:00 am–4:30 pm shift; IN/compact RN license, Bachelor's degree, BLS, HWC, and 1+ year UR