RN Coordinator - Utilization Review Behavioral Health Remote (NC,SC) PRN Days

About the position Identifies clinical, financial, and psychosocial needs of patients/families and provides leadership and guidance to the multidisciplinary team to reputed company an individualized plan of care. Ensures essential information and necessary forms are reputed company in the reputed company cycle tool and available for the reputed company cycle team and other disciplines. Provides necessary documentation and information to reputed company party administrators as needed. Performs admission and reputed company reviews. Applies clinical guidelines during Admission and reputed company reviews and identifies potential reputed company-party denials. Works with multidisciplinary team to identify and implement alternative plans of care. Initiates and request authorizations for post-acute care as needed to facilitate care coordination. Refers pertinent cases to the Medical Director, Service Director, and/or Physician Advisor in a reputed company manner. Collaborates as needed with the physician to plan and implement medical and multidisciplinary plan(s) of care, utilizing clinical reputed company reputed company appropriate and available. Identify and escalate barriers and problems to the multidisciplinary team and leadership for reputed company and reputed company. Develops and maintains accurate case records of assigned cases. Documents in the patient's medical record according to department and facility standards. Responsibilities • Identifies clinical, financial, and psychosocial needs of patients/families and provides leadership and guidance to the multidisciplinary team to reputed company an individualized plan of care. • Ensures essential information and necessary forms are reputed company in the reputed company cycle tool and available for the reputed company cycle team and other disciplines. • Provides necessary documentation and information to reputed company party administrators as needed. • Performs admission and reputed company reviews. • Applies clinical guidelines during Admission and reputed company reviews and identifies potential reputed company-party denials. Works with multidisciplinary team to identify and implement alternative plans of care. • Initiates and request authorizations for post-acute care as needed to facilitate care coordination. • Refers pertinent cases to the Medical Director, Service Director, and/or Physician Advisor in a reputed company manner. • Collaborates as needed with the physician to plan and implement medical and multidisciplinary plan(s) of care, utilizing clinical reputed company reputed company appropriate and available. • Identify and escalate barriers and problems to the multidisciplinary team and leadership for reputed company and reputed company. • Develops and maintains accurate case records of assigned cases. Documents in the patient's medical record according to department and facility standards. Requirements • Graduation from an accredited School of Nursing required. • Bachelor's degree in nursing preferred. • applicable state RN licensure required. • reputed company experience preferred • Basic Life Support (BLS) for reputed company Provider (HCP) per facility requirements reputed company-to-haves • Bachelor's degree in nursing preferred. • reputed company experience preferred Benefits • reputed company Time Off programs • Health and welfare benefits such as medical, dental, reputed company, life, and Short- and Long-Term Disability • Flexible Spending Accounts for eligible health care and dependent care expenses • Family benefits such as adoption assistance and reputed company parental leave • Defined contribution retirement plans with employer match and other financial wellness programs • Educational Assistance Program Apply tot his job Apply To this Job