Job Detail

RN Utilization Review Coordinator, Psychiatric Care

RN Utilization Review Coordinator, Psychiatric Care

Community Health System - CA

Fresno, CA

Job ID : 697671776b7064623332365a7730314c38673d3d

Job Description :

Overview:

  • All positions are located in Fresno/Clovis CA *
Our Community Behavioral Health Center is licensed to 73 bed, carries an average daily census of 69 patients, and has an average length of stay of 5-6 days. CBHC is the largest psychiatric care facility in the area providing 24-hour adult, inpatient psychiatric care. We work to ensure optimal mental health for our patients, their families and the community at large through education and treatment. We care for adults in a safe and therapeutic environment. If you are seeking a career that matches your passion for helping people, then continue reading below!

Responsibilities:
Responsible for various aspects of utilization management to ensure that care is rendered in accordance with intensity of service and severity of illness standards at all times during the acute stay, utilizing InterQual system as a guideline. Works collaboratively with the Case Management team, other departments, and physicians to facilitate efficient and appropriate management of all cases.

Insight into the role

Coordinate of care by monitoring the patient care plan with a strong knowledge and appropriate use of community resources to ensure safe discharge plans.
Collaborates on development of appropriate discharge plan based on assessment, physician and multi-disciplinary team input.
Will work in a collaborative team environment with physicians and medical staff.
Responsible for analysis and reporting of utilization data.
Provides assistance and education to staff and physicians with questions and problems involving patient treatment plan, medical necessity and appropriate utilization management.

Qualifications:
Education
  • Associate's Degree in Nursing required
  • Bachelor's Degree in Nursing preferred
Experience
  • 2 years of experience as a Registered Nurse with experience in discharge planning, case management or utilization management required or
  • 5 years of LVN experience in discharge planning, case management or utilization management required
Licenses and Certifications
  • RN - Current State of California Registered Nurse license required
  • BLS - Current Basic Life Support (BLS) for Healthcare Providers by American Heart Association (AHA) required
Preferred:
  • ACM - Accreditation in Case Management preferred
  • CCM - Certified Case Management preferred

Company Details :

Name : Community Health System - CA

CEO : Craig S. Castro

Headquarter : Fresno, CA

Revenue : Unknown / Non-Applicable

Size : 5001 to 10000 Employees

Type : Hospital

Primary Industry : Health Care Services & Hospitals

Sector Name : Healthcare

Year Founded : 1897

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Details

: Fresno, CA

: 58942 - 85614 USD ANNUAL

: 331 days ago

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