18 days ago


Carson City, NV


Vitality Unlimited and Vitality Integrated Programs is seeking an RN to help assess the needs of our clients who are in treatment, walk-in o calling in to ensure their referral to the service or resource to best address those needs.

What You’ll Be Doing:

  • Performs  and monitoring activities for mental health and substance abuse problems
  • Acts as a member advocate by expediting the care process through the continuum, working in concert with the health care delivery team to maintain high quality and cost-effective care delivery.
  • Determines medical necessity and appropriateness of services using clinical review criteria based information given by providers.
  • Accurately documents all review determinations and contacts providers and members according to established timeframes.
  • Identifies and refers cases that do not meet established clinical criteria to the Program Manager.
  • Identifies and refers quality issues to the Program Manager.
  • Identifies potential cases for Care Management programs.
  • Performs accurate data entry in order to meet quality goals.
  • Communicates information to other staff members as necessary/required.
  • Participates in continuing education initiatives.
  • Collaborates with Claims, Quality Management and Provider Relations Departments as requested.
  • Other duties as assigned.

Responsibilities and Duties

  • Responds to client concerns either by telephone or on a face-to-face basis regarding their behavioral health needs or information about mental health-related services.
  • Participate in medical emergencies  through a systematic process of interaction with patients, the patient's significant others, and the appropriate health care providers,
  • Collects and analyzes data regarding the client's physical, psychosocial, environmental, self-care, educational, spiritual, cultural, and anticipated discharge needs.

Qualifications and Skills

  • RN in the State of Nevada required.
  • Ability to deal with crisis and potentially combative patients while maintaining personal and emotional equilibrium
  • Knowledge of diagnostic criteria
  • Knowledgeable of patient rights and laws pertaining to mental health
  • Outstanding oral communication, assessment and intervention skills
  • Experience in a Behavioral Health facility strongly preferred
  • Basic personnel management or supervisory skills helpful

Employment Type: Full Time
Years Experience: 3 - 5 years
Salary: $83,000 - $87,500 Annual
Bonus/Commission: No