Nevada Licensed Behavioral Health RN

Job Summary

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

Key Responsibilities

• Process medical necessity reviews for healthcare service authorizations
• Coordinate care and facilitate timely discharge planning
• Refer cases to Medical Directors for clinical criteria review as needed

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 care, or home health
• Must obtain a Nevada RN license if not residing in Nevada
• MCG Certification required within six (6) months of hire