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Position: Utilization Review Nurse or Clinician
Reports to: Director of Quality Improvement and Risk Management
Summary: The UR Nurse is responsible for reviewing the treatment activities offered to the patient, including interface with the treatment team/external case managers/managed care organizations, and assisting with the discharge planning.

Requirements: Graduate from an accredited school of professional nursing or a Master’s degree in a counseling field. Current licensure (LCPC or LCSW) or licensed to practice by the Illinois State Board of Nursing. A minimum of one (1) year experience of communication with external review organizations or comparable entities and direct clinical experience in a psychiatric or mental health setting is preferred.


JOB SPECIFICATIONS:
KNOWLEDGE AND ABILITY

  • Knowledge and implementation of psychiatric, medical and A.N.A. standards and nursing procedures that meet standards including State Nurse Practice Act and Code of Ethics.
  • Knowledge of all code procedures.
  • Knowledge of Mental Health Laws and Child Abuse/Neglect/Maltreatment Laws, and the Department of Human Services provider agreement, if applicable.
  • Skill in organizing and prioritizing workloads to meet deadlines.
  • Skill in telephone etiquette and paging procedures.
  • Effective oral and written communication skills.
  • Ability to communicate effectively with patients and co-workers.
  • Ability to use good judgment and to maintain confidentiality of information.
  • Ability to demonstrate tact, resourcefulness, patience and dedication.
  • Ability to accept feedback from team members.
  • Ability to work in fast-paced environment.
  • Ability to effectively compile and analyze date relating to patient care.
  • Ability to react calmly and effectively in emergency situations.
  • Ability to comply with personnel policies related to work hours, attendance, dress code, time cards, meals and breaks.
  • Demonstrate knowledge of policies and procedures for external disasters and other emergency procedures (Code Red, Green and Blue).
  • Accepts reassignment to other units, when necessary.
 
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