+Registered Nurse (RN) - Utilization Review Behavioral Health
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
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?
On your path
Psychiatric Behavioral health spans inpatient, emergency, and community settings.
Original listing
Posted on Tenet Healthcare’s careers page.
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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?
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