Behavioral Health Utilization Review Registered Nurse

This is a fully remote position, open to applicants in Illinois.

📋 Description

• Leverage clinical expertise and communication abilities to gather patient-specific information regarding their condition and recommended treatments.

• Assess whether the illness and/or suggested services conform to established criteria for outpatient care or inpatient admission.

• Approve treatment for admission when relevant criteria and/or clinical guidelines are fulfilled.

• Collaborate with case managers and disease management nurses on ongoing cases.

• Interact with hospital personnel, physicians, and other providers in a professional and proficient manner.

• Stay informed about the latest advancements and trends in medical care.

⛳️ Requirements

• Must be a Registered Nurse with a valid, unrestricted, current nursing license in the state or territory of the United States where you are employed.

• Licensed healthcare professional with an unrestricted license for mental health/substance abuse.

• Experience in Mental Health or Substance Abuse is required.

• Successful completion of the UR nurse orientation program is necessary.

• A minimum of 3 years of recent acute clinical practice is required; 5 years is preferred.

• Experience in managed care, disability, or workers' compensation is beneficial but not essential.

• Must possess a customer service-oriented mindset.

🏝️ Benefits

• Competitive salary and benefits package.

• Medical, dental, and vision insurance coverage.

• Long-term and short-term disability insurance.

• Company-paid and voluntary life insurance options.

• Critical illness and accident insurance available.

• Flexible spending accounts provided.

• 401k plan with company match, fully vested after one year.

• No weekend or night shifts required.

• Paid holidays included.

• Emphasis on work-life balance.

• Remote work setting available.