Telecare Corporation
Acute LVN Utilization Review Nurse On Site - Behavioral Health 194
Telecare Corporation, Santa Cruz, California, us, 95061
Telecare's mission is to deliver excellent and effective behavioral health services that engage individuals in recovering their health, hopes, and dreams. Telecare continues to advance cultural diversity, humility, equity, and inclusion at all levels of our organization by hiring mental health peers, BIPOC, LGBTQIA+, veterans, and all belief systems.
As part of the Telecare Family, the Santa Cruz County Psychiatric Health Facility (PHF) is a 16-bed locked acute psychiatric inpatient program for adults aged 18+, diagnosed with serious mental illness (SMI), experiencing a mental health emergency and require intensive treatment and support. The CSP is a locked crisis program. It serves adults 18+ admitted both voluntarily and involuntarily. The length of stay is up to 23 hours.
Shifts Available:
Part Time .5; AM 9:00 am - 1:00 pm; Monday - Friday
Expected starting wage range is $43.04 - $53.15. Telecare applies geographic differentials to its pay ranges. The pay range assigned to this role will be based on the geographic location from which the role is performed. Starting pay is commensurate with relevant experience above the minimum requirements.
POSITION SUMMARY
The Utilization Review (UR) Nurse works collaboratively with the treatment team to ensure that the care provided is appropriate and medically necessary. The UR Nurse also ensures that medical record documentation explains the care provided as well as the members served responses to treatment.
QUALIFICATIONS
Required:
Graduation from accredited LVN program. Two (2) years of acute inpatient psychiatric nursing experience. Current LVN State license. Current BLS certificationMust be at least 18 years of ageMust be CPR, Crisis Prevention Institute (CPI), and First Aid certified on date of employment or within 60 days of employment and maintain current certification throughout employmentAll opportunities at Telecare are contingent upon successful completion and receipt of acceptable results of the applicable post-offer physical examination, 2-step PPD test for tuberculosis, acceptable criminal background clearances, excluded party sanctions, and degree or license verification. If the position requires driving, valid driver's license, a motor vehicle clearance and proof of auto insurance is required at time of employment and must be maintained throughout employment. Additional regulatory, contractual or local requirements may apply
Preferred:
Utilization Review Nurse experience preferred
ESSENTIAL FUNCTIONS
Demonstrates the Telecare mission, purpose, values, and beliefs in everyday language and contact with the internal and external stakeholdersReviews members served admission data and clinical documentation to ensure compliance with county and state regulations relating to medical necessity and case documentationWhen appropriate, interviews members served significant others and consults with existing outpatient teamConsults with psychiatrist and medical staff regarding the members served diagnosis, medical justification, length of treatment, and case documentationAssesses records for appropriate level of care and treatment, aftercare, and discharge planning for members servedPresents any treatment plan disagreements to the treatment teamAdvocates for required members served treatment with medical providersProvides training and information about utilization requirements to clinical, supervisory, and management staffParticipates with departmental staff in utilization and quality improvement meetings and projectsPrepares memorandum, letters, and correspondence and comprehensive daily members served status summariesParticipates in Quality Assurance (QA) survey audit of the program to ensure agency compliance on utilization review regulationsMust assist with restraint of members served in the event of assaultive behavior and pass assault crisis/crisis prevention training
Duties and responsibilities may be added, deleted and/or changed at the discretion of management.
SKILLS
Thorough knowledge of:
Psychological and social aspects and characteristics of emotional disturbances and mental illnessPrinciples and methods of counseling and the accepted techniques for assessing psycho-social behavior
Working knowledge of:
Human behavior and developmentAppropriate and available community resourcesProblems, needs, and attitudes of the population servedPertinent laws and regulations regarding health and social service programsFederal, state, and county regulations pertaining to utilization reviewLaws and regulations as they pertain to members served legal rightsPharmacology of medications and psychotropic drug treatmentMethods and procedures of admissions, discharges, and members served care in acute care psychiatric facilities
Ability to:
Communicate effectively in oral and written formatMaintain effective interpersonal relationshipsUnderstand and apply state, federal, and local regulations and laws governing quality assurance and utilization reviewWork independentlyAnalyze treatment plans, which include the diagnosis of client behavioral and emotional problemsUse good judgement in order to make critical decisions about the medical necessity of treatmentWork in a high stress environmentMust have excellent troubleshooting and communication skills
PHYSICAL DEMANDS
The physical demands here are representative of those that must be met by an employee to successfully perform the essential functions of this job.
The employee is occasionally required to sit, squat, kneel, twist, push, pull and lift and carry items weighing 25 pounds or less as well as to frequently walk, stand, bend, reach and do simple and power grasping. The position requires manual deviation, repetition and dexterity as well as Hazardous Exposure (Blood Borne Pathogens, Hospital Waste, Chemical & Infectious).
EOE AA M/F/V/Disability
Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities
#J-18808-Ljbffr
As part of the Telecare Family, the Santa Cruz County Psychiatric Health Facility (PHF) is a 16-bed locked acute psychiatric inpatient program for adults aged 18+, diagnosed with serious mental illness (SMI), experiencing a mental health emergency and require intensive treatment and support. The CSP is a locked crisis program. It serves adults 18+ admitted both voluntarily and involuntarily. The length of stay is up to 23 hours.
Shifts Available:
Part Time .5; AM 9:00 am - 1:00 pm; Monday - Friday
Expected starting wage range is $43.04 - $53.15. Telecare applies geographic differentials to its pay ranges. The pay range assigned to this role will be based on the geographic location from which the role is performed. Starting pay is commensurate with relevant experience above the minimum requirements.
POSITION SUMMARY
The Utilization Review (UR) Nurse works collaboratively with the treatment team to ensure that the care provided is appropriate and medically necessary. The UR Nurse also ensures that medical record documentation explains the care provided as well as the members served responses to treatment.
QUALIFICATIONS
Required:
Graduation from accredited LVN program. Two (2) years of acute inpatient psychiatric nursing experience. Current LVN State license. Current BLS certificationMust be at least 18 years of ageMust be CPR, Crisis Prevention Institute (CPI), and First Aid certified on date of employment or within 60 days of employment and maintain current certification throughout employmentAll opportunities at Telecare are contingent upon successful completion and receipt of acceptable results of the applicable post-offer physical examination, 2-step PPD test for tuberculosis, acceptable criminal background clearances, excluded party sanctions, and degree or license verification. If the position requires driving, valid driver's license, a motor vehicle clearance and proof of auto insurance is required at time of employment and must be maintained throughout employment. Additional regulatory, contractual or local requirements may apply
Preferred:
Utilization Review Nurse experience preferred
ESSENTIAL FUNCTIONS
Demonstrates the Telecare mission, purpose, values, and beliefs in everyday language and contact with the internal and external stakeholdersReviews members served admission data and clinical documentation to ensure compliance with county and state regulations relating to medical necessity and case documentationWhen appropriate, interviews members served significant others and consults with existing outpatient teamConsults with psychiatrist and medical staff regarding the members served diagnosis, medical justification, length of treatment, and case documentationAssesses records for appropriate level of care and treatment, aftercare, and discharge planning for members servedPresents any treatment plan disagreements to the treatment teamAdvocates for required members served treatment with medical providersProvides training and information about utilization requirements to clinical, supervisory, and management staffParticipates with departmental staff in utilization and quality improvement meetings and projectsPrepares memorandum, letters, and correspondence and comprehensive daily members served status summariesParticipates in Quality Assurance (QA) survey audit of the program to ensure agency compliance on utilization review regulationsMust assist with restraint of members served in the event of assaultive behavior and pass assault crisis/crisis prevention training
Duties and responsibilities may be added, deleted and/or changed at the discretion of management.
SKILLS
Thorough knowledge of:
Psychological and social aspects and characteristics of emotional disturbances and mental illnessPrinciples and methods of counseling and the accepted techniques for assessing psycho-social behavior
Working knowledge of:
Human behavior and developmentAppropriate and available community resourcesProblems, needs, and attitudes of the population servedPertinent laws and regulations regarding health and social service programsFederal, state, and county regulations pertaining to utilization reviewLaws and regulations as they pertain to members served legal rightsPharmacology of medications and psychotropic drug treatmentMethods and procedures of admissions, discharges, and members served care in acute care psychiatric facilities
Ability to:
Communicate effectively in oral and written formatMaintain effective interpersonal relationshipsUnderstand and apply state, federal, and local regulations and laws governing quality assurance and utilization reviewWork independentlyAnalyze treatment plans, which include the diagnosis of client behavioral and emotional problemsUse good judgement in order to make critical decisions about the medical necessity of treatmentWork in a high stress environmentMust have excellent troubleshooting and communication skills
PHYSICAL DEMANDS
The physical demands here are representative of those that must be met by an employee to successfully perform the essential functions of this job.
The employee is occasionally required to sit, squat, kneel, twist, push, pull and lift and carry items weighing 25 pounds or less as well as to frequently walk, stand, bend, reach and do simple and power grasping. The position requires manual deviation, repetition and dexterity as well as Hazardous Exposure (Blood Borne Pathogens, Hospital Waste, Chemical & Infectious).
EOE AA M/F/V/Disability
Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities
#J-18808-Ljbffr