Senior Psychiatric Nurse - Utilization & Care Coordination

MaineGuide; Maine; On-site; USD 53,000 - 67,000; Full time

Benefits offered by this job

Shift differentials

Nursing student loan reimbursement

Job summary

Dorothea Dix Psychiatric Center in Maine is seeking a professional nurse to provide hospital patient care under supervision, applying nursing principles and practices. Responsibilities include ensuring medical necessity and coordinating care for psychiatric inpatients.

Supervisory duties may extend to other nursing and staff education tasks. The role requires a BSN or related degree with 2–3 years of nursing experience, including hospital care.

Qualifications

• Bachelor’s degree in nursing or related field.
• Two years of professional nursing experience, with one year in hospital medical or psychiatric care.
• Experience overseeing and providing medical or psychiatric nursing care preferred in a hospital setting.

Responsibilities

• Review and maintain Utilization Management plans per CMS and accreditation bodies.
• Ensure records, certifications, and recertifications are accurate and up to date.
• Proactively manage inpatient utilization to ensure appropriate, efficient, and medically necessary care.
• Provide information to payors or review agencies to confirm medical necessity of admission and stay.
• Collaborate with providers to discuss cases and refer cases not meeting criteria to Clinical Director.
• Maintain Utilization Management Committee membership and communicate data to Medical Staff leadership.
• Educate staff about Utilization Management practices.
• Provide coverage to other disciplines such as Staff Education and Nursing Department.
• Participate in Quality and Performance Improvement initiatives and reporting.

Skills

Critical thinking

Communication

Attention to detail

Interpersonal skills

Education

BSN or related field

2–3 years professional nursing experience

Job description

Dorothea Dix Psychiatric Center in Maine is seeking a professional nurse to provide hospital patient care under supervision, applying nursing principles and practices. Responsibilities include ensuring medical necessity and coordinating care for psychiatric inpatients.

Supervisory duties may extend to other nursing and staff education tasks. The role requires a BSN or related degree with 2–3 years of nursing experience, including hospital care.