Posted

18 days ago

Location

Carson City, NV

Description

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