Newport Healthcare
UR Nurse or UR Specialist
Redditch
$0/yr
Posted 1 day ago
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What You’ll Do
- Obtain initial behavioral health authorization and complete concurrent reviews.
- Review the need for denial of stay with assigned clinical treatment team when patient no longer meets acute care criteria.
- Facilitates appropriate action upon denial.
- Maintains current level of knowledge on contract requirements of all third-party payor groups.
- Tracks each patient’s course of treatment through inpatient, residential, partial hospitalization programs and IOP programs.
- Oriented and educated in gender, cultural differences and in age-appropriate care for Utilization Review.
- Perform other duties as assigned
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What Makes You a Great Fit
- Requires knowledge of nursing practices, which can be gained only through an accredited school of nursing. Current RN licensure with the State Board of Nursing is required.
- Required to be knowledgeable of and follow the Nurse Practice Act
- Previous 1 year utilization review experience required.
- Knowledge of UR Standards of Excellence.
- Display a professional attitude in all aspects of nursing performance.
- Must be proficient in using Microsoft Office Products including Word and Outlook.
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Additional Details
- Pay Range for this position based on licensure and experience. This position requires working hours in the Central Time Zone. Utilization Review Specialist range $25 to $36.50. Utilization Review Nurse range $37.06 to $50.72.
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