RN-ACT
Core
Coordinates utilization review activities, provides professional nursing care, and supervises ancillary personnel in an Assertive Community Treatment (ACT) program for mental health patients.
Role type
Senior Registered Nurse (Utilization Review & Clinical Care)
Builds
Patient treatment plans, certification processes, and quality care standards for the ACT Program
Domain
Mental Health / Healthcare Administration
Deliverable
production ML models | product features | dashboards & analysis | research | client delivery | infrastructure | physical/clinical work
Required skills
Utilization review, clinical assessment, treatment planning, discharge planning, regulatory compliance, data collection, therapeutic milieu management, patient advocacy, quality assurance, nursing diagnoses
Preferred skills
Utilization review experience
Technologies
Electronic health records, psychosocial assessment forms
Responsibilities
Conduct initial clinical assessments to determine medical necessity; perform concurrent and retrospective reviews with third-party payers; coordinate certification and reimbursement processes; facilitate staff education on documentation; act as liaison with payers and regulatory agencies; ensure medical records meet accreditation standards; collect and correlate biopsychosocial data; participate in treatment planning sessions; implement nursing actions to promote health and rehabilitation; perform discharge planning; establish and maintain a therapeutic milieu; determine patient developmental age for tailored interventions.
Seniority
Mid-level, hands-on IC with supervisory duties