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+Registered Nurse (RN) - Utilization Review Behavioral Health

Tenet Healthcare logo

Tenet Healthcare

Modesto, California

You'll coordinate utilization review so inpatient acute admissions get their authorizations.

Posted Oct 29 · 1 year of experience

Shift and hours
Days Job Shift: Days
Unit and setting
Behavioral Health department obtained for in-patient acute hospitalizations.inpatient acute hospitalization admissions
License
RN licenseCurrent CA Registered Nurse License
Term
Per Diem

Do you qualify?

License
Current CA Registered Nurse License Check your license
Certification
Current BLS Current BLS certification
Experience
1+ years recent acute hospital experience One or more year’s recent acute hospital experience
Experience
1 year inpatient psychiatric or chemical dependency experience inpatient psychiatric or chemical dependency experience.

Preferred

Education
BSN BSN preferred.

What it pays

Benefits

  • BenefitsMedical, dental, vision and life insuranceMedical, dental, vision, and life insurance
  • Benefits401(k) with employer match401(k) retirement savings plan with employer match
  • BenefitsGenerous paid time offGenerous paid time off
  • BenefitsCareer development and continuing educationCareer development and continuing education opportunities
  • BenefitsHealth savings account and healthcare and dependent flexible spending accountsHealth savings accounts, healthcare & dependent flexible spending accounts
  • BenefitsEmployee Assistance program and employee discount programEmployee Assistance program, Employee discount program
  • BenefitsVoluntary pet, legal and accident insuranceVoluntary benefits include pet insurance, legal insurance, accident and
  • BenefitsVoluntary critical illness, long-term care, elder and childcare, and auto and home insurancecritical illness insurance, long term care, elder & childcare, auto & home

The role and schedule

Day to day
liaising between doctors, the treatment team and outside review organizations Acts as a liaison between MD’s,
Day to day
reviewing treatment plans and monitoring care toward desired outcomes and monitors the delivery of care to make sure the desired treatment outcomes
Day to day
reporting reimbursement trends to the case management director and administrator Communicates reimbursement issues, trends and patterns to the
Details
Reports to the Director of Case Management Reporting to the Director of Case Management, the Utilization Review Nurse is
Details
67-bed inpatient psychiatric capacity at the hospital 67-bed inpatient psychiatric capacity.

The workplace

Tenet Healthcare logo
Tenet Healthcare
Health system employer

Your fit

Questions to ask

  • Can you walk me through base pay range and differentials?
  • What should I expect for shifts, weekly hours, weekend, holiday, call, and rotation?
  • What orientation, preceptor time, and ongoing unit support are included?
  • How are patient load, floating, and staffing support handled day to day?
Build questions for this role

On your path

Psychiatric Behavioral health spans inpatient, emergency, and community settings.

Original listing

Posted on Tenet Healthcare’s careers page.

Read full text

Job Type: Per Diem Job Shift: Days

Holiday Rotation

Department: Behavioral Health

Reporting to the Director of Case Management, the Utilization Review Nurse is responsible for ensuring that patients being admitted to Doctors Behavioral Health Center are admitted to the appropriate level of care in accordance with the vision and goals of Doctors Medical Center and the regulatory guidelines as set by the state and federal rules. The Utilization Review Nurse ensures quality, cost-effective patient care through planning; communication, critical thinking and facilitation of the multi-disciplinary patient care team. Coordinates Utilization Review activities to ensure that authorizations are obtained for in-patient acute hospitalizations.

Acts as a liaison between MD’s, the Treatment Team and External Review Organizations. Reviews the Treatment Plan and monitors the delivery of care to make sure the desired treatment outcomes are achieved.. Communicates reimbursement issues, trends and patterns to the Director of Case Management and the Administrator.

Qualifications

Minimum

Education

BSN preferred.

Minimum Experience/

Skills

One or more year’s recent acute hospital experience Minimum of one year acute, inpatient psychiatric or chemical dependency experience. Good communication, documentation and organizational skills. Self motivated and able to function with a minimum of supervision. Demonstrates personal maturity, independent judgment and integrity.

License/Certificates/Credentials

Current CA Registered Nurse License Current BLS certification

#LI-ML2

Join our dedicated healthcare team where compassion meets innovation! As a Registered Nurse with us, you'll have the opportunity to make a meaningful impact in patients' lives while enjoying a supportive work environment that fosters professional growth and work-life balance. Ready to be a vital part of our mission? Apply today and bring your passion for nursing to a place where it truly matters!

At Doctors Medical Center of Modesto, we understand that our greatest asset is our dedicated team of professionals. That’s why we offer more than a job – we provide a comprehensive benefit package that prioritizes your health, professional development, and work-life balance. The available plans and

programs include

  • Medical, dental, vision, and life insurance
  • 401(k) retirement savings plan with employer match
  • Generous paid time off
  • Career development and continuing education opportunities
  • Health savings accounts, healthcare & dependent flexible spending accounts
  • Employee Assistance program, Employee discount program
  • Voluntary benefits include pet insurance, legal insurance, accident and

critical illness insurance, long term care, elder & childcare, auto & home insurance

Note: Eligibility for benefits may vary by location and is determined by employment status

Doctors Medical Center (DMC), part of the Central Valley Doctors Health System, is the largest full-care hospital between Stockton and Fresno, and from the Sierras to the San Francisco Bay Area, with a 394-bed general acute care and a 67-bed inpatient psychiatric capacity. DMC is known for providing comprehensive inpatient, outpatient and emergency care. Doctors Medical Center offers a wide range of services including cardiology, neurosurgery, orthopedics, emergency and trauma services, minimally-invasive and robotic surgery, women and childrens services, medical/surgical, behavioral health, oncology and critical/intensive care. Join our team!

What's around it?

In Modesto, CA

Modesto, CAFrom Census ACS 2024.

Living costs about 4% above the US average

Median rent
$1,690/mo
Household income
$79,891/yr, all local households, not nurse pay

See Modesto, CA

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