Senior Hospital Psychiatric Nurse – Utilization & Care

State-of-Maine

Bangor (ME)

On-site

USD 53,000 - 67,000

Full time

5 days ago
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Benefits offered by this job

13 paid holidays
12 days sick leave
3+ weeks vacation leave annually
Health insurance coverage
Dental insurance

Job summary

State of Maine’s Dorothea Dix Psychiatric Center is seeking a professional nurse to oversee utilization management and inpatient care, ensuring medical necessity and efficiency. The role includes collaborating with clinical staff, maintaining committee memberships, and contributing to quality improvement initiatives.

The position requires a nursing degree and several years of hospital experience, with leadership responsibilities in Utilization Management.

Qualifications

  • Bachelor’s degree in nursing or related field.
  • Two years of professional nursing experience, or graduation from an accredited school of nursing with three years of professional nursing experience.
  • Experience must include one year overseeing and providing medical or psychiatric nursing care in a hospital facility.

Responsibilities

  • Manage inpatient utilization to ensure medical care is appropriate, efficient, and medically necessary.
  • Provide information to third party payors to confirm medical necessity of admission and stay.
  • Collaborate with providers to discuss cases and refer those not meeting criteria to Clinical Director.
  • Maintain Utilization Management Committee membership and related data/reports.
  • Provide education regarding Utilization Management and participate in Quality/Performance Improvement initiatives.

Skills

Critical thinking
Communication
Attention to detail
Scope of practice

Education

Bachelor's degree in nursing
3 years of professional nursing experience

Job description

State of Maine’s Dorothea Dix Psychiatric Center is seeking a professional nurse to oversee utilization management and inpatient care, ensuring medical necessity and efficiency. The role includes collaborating with clinical staff, maintaining committee memberships, and contributing to quality improvement initiatives.

The position requires a nursing degree and several years of hospital experience, with leadership responsibilities in Utilization Management.

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