Nevada Licensed Behavioral Health RN

Job Summary

A company is looking for a Behavior Health RN Clinical Care Reviewer II.

Key Responsibilities

• Process medical necessity reviews for healthcare service authorization and coordinate care for members
• Facilitate discharge planning and ensure timely transitions to appropriate care levels
• Monitor healthcare service delivery and refer quality issues to Quality Improvement

Required Qualifications, Training, and Education

• Completion of an accredited registered nursing (RN) degree program
• Minimum of three (3) years of clinical behavioral health experience
• Preferred experience in med/surgical, emergency acute clinical care, or home health
• Current, unrestricted Registered Nurse (RN) Licensure in state(s) of practice
• MCG Certification required within six (6) months of hire