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 & ACT Program)
Builds
Patient treatment plans, certification processes, and quality care standards for the ACT Program.
Domain
Mental Health / Healthcare Administration
Required skills
Registered Nurse licensure, Basic Life Support certification, clinical assessment, utilization review, third-party payer coordination, treatment planning, discharge planning, therapeutic milieu management, data collection and documentation, regulatory compliance.
Preferred skills
Utilization review experience, experience with mental health field.
Technologies
Electronic health records, psychosocial assessment forms, medical record systems.
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; protect patient confidentiality; coordinate quality assurance activities; collect and record comprehensive clinical data; participate in treatment planning sessions; implement nursing actions based on master treatment plans; perform discharge planning; provide health teaching and group therapy; establish and maintain a therapeutic milieu; determine patient developmental age for treatment planning.
Seniority
Mid-level to Senior, hands-on IC with supervisory duties.