Registered Nurse IIIIIIV QI Inpatient Program

Riverside, CA - USA

Yearly Salary: $ 89169 - 150300

Posted on: Yesterday

Vacancies: 1 Vacancy

Job Summary

ABOUT THE POSITION

Riverside University Health System (RUHS) Behavioral Health is currently recruiting for a Registered Nurse II/III/IV to support the Quality Improvement (QI) Inpatient Program. This recruitment will fill a Registered Nurse vacancy located in Riverside.

Duties may include but are not limited to:

Reviewing medical records to determine medical necessity for inpatient hospitalizations
Liaising and communicating with inpatient hospitals and clinical teams

The ideal candidate will possess:

Experience with Utilization Review
Inpatient clinical experience
Strong proficiency navigating several Electronic Medical Records simultaneously

Working knowledge of Microsoft office (word excel and outlook)

Ability to type a minimum of 40 words per minute

Excellent communication and organizational skills

Prior Registered Nurse experience working in psychiatric/behavioral health settings is essential.

Work Schedule:

9/80 schedule
Some weekends may be required

Meet the Team!
Riverside University Health System Behavioral Health is a leading provider of mental health and substance use services in Riverside County. With a dedicated team of professionals including psychiatrists clinicians peer specialists and paraprofessionals RUHS-BH serves over 45000 individuals annually.
We are committed to delivering culturally competent evidence-based care across all ages. Our programs including Mental Health Services Substance Use Services and the Public Guardians Office address the diverse needs of our community.

At RUHS Behavioral Health youll join a compassionate innovative team where your skills make a real difference. We offer opportunities for growth collaboration and meaningful impact.

If youre passionate about advancing your career while improving mental health in Riverside County RUHS Behavioral Health is the place for you!
For more information please visit OF ESSENTIAL DUTIES

Review the clinical records of patients admitted to psychiatric inpatient facilities to determine if the documentation adequately supports medical necessity.
Must have an in-depth knowledge of what symptoms behaviors factors and documentation meet the standards of medical necessity as defined by Title 9 Medi-Cal the California Department of Health Care Services (DHCS) and other relevant regulatory agencies.
Must be able to recognize and gather all the information needed to make a determination to synthesize and conceptualize this information to reference applicable medical necessity standards and to ultimately and independently come to a determination about whether medical necessity is present.
Must be able to accurately and concisely document the clinical information that does or does not support medical necessity and the reasoning that resulted in the ultimate determination.
Must learn to recognize instances when (s)he is unable to come to a definitive determination and when (s)he should seek consultation with a QI Inpatient psychiatrist.
Must be able to knowledgeably discuss medical necessity standards with other nurses psychiatrists social workers care managers placement workers and other mental health personnel. These discussions may occur through email by phone or face-to-face.
May attend treatment rounds at some inpatient facilities and provide immediate education and feedback to hospital staff.
May provide formal training to inpatient staff or other parties and may assist in training new QI Inpatient RNs.
While performing reviews for medical necessity the RN must also evaluate for potential Quality of Care (QOC) issues. QOC issues are present when suboptimal care is provided to a patient by inpatient staff members. This requires the RN to be knowledgeable about what constitutes appropriate care by all of the various disciplines providing care to the patient including familiarity with regulatory standards and best practice standards. When the RN identifies a potential QOC issue (s)he should consult with a QI Inpatient psychiatrist about what possible if any actions should be taken.
Will participate in periodic audits of psychiatric inpatient facilities including ITF PHF and fee-for-service hospitals. An RN may be designated to lead one or more of these audits. Every three years QI Inpatient is itself the subject of an audit by DHCS. The RN will prepare documents data and presentations for this audit and will interact with the state auditors during their survey.
May serve on various committees as directed by their supervisor sometimes serving as chairperson. This may include participation on the Plan of Correction (POC) Committee which meets periodically to assure that relevant standards are met and documented in anticipation of the triennial DHCS audit.
Will not provide any direct patient care in their role as a QI Inpatient nurse. However it is necessary to have prior experience preferably several years working as an RN in a psychiatric inpatient facility. Any prior experience working in quality improvement utilization management or case management is a plus but not a requirement. The RN will report to the Manager of QI Inpatient. The Manager may direct the RN to perform other reasonable duties not enumerated above.

MINIMUM QUALIFICATIONS

Registered Nurse II ($42.87-$59.92/hr)
Education: Successful completion of the education required to obtain a valid license to practice as a Registered Nurse in the State of California. (A bachelors degree from an accredited college or university in nursing or a health-related field may be required for some positions.)

Experience: Completion of one year as a Registered Nurse in an acute care hospital mental health setting clinic outpatient setting or healthcare agency program. Experience gained as an Interim Permit Nurse may be credited toward meeting the required experience. Evaluations and references must show proficiency of practice as a Registered Nurse.

Registered Nurse III ($46.05-$68.49/hr)
Education: Successful completion of the education required to obtain a valid license to practice as a Registered Nurse in the State of California.

Experience: Three years of full time experience as a Registered Nurse in an acute care facility mental health facility or community health agency with references and evaluations to show appropriate skill level. (A bachelors degree from an accredited college or university in nursing or national certification in a nursing specialty may be considered as a substitution for one year of the required experience. A masters degree from an accredited college or university in nursing may be considered as a substitution for two years of the required experience.)

Registered Nurse IV ($49.27-$72.26/hr)
Experience: Six years as a full-time Registered Nurse. Some positions may require two years in a specialty area. A masters degree from an accredited college or university in nursing or a health-related field may be substituted for two years of the required experience.

Knowledge of: Current principles techniques and procedures used in professional nursing; medical terminology and patient care routine appropriate to clinical setting; medical instruments and equipment; the uses and effects of medicines and narcotics; community resources available to provide patient care and follow-up; federal state and local laws and regulations governing professional aspects of nursing; identification of potential discharge needs; payor source documentation requirements and governmental regulations affecting reimbursement.

Other Requirements

License/Certificate: Must possess and maintain a current valid license to practice as a Registered Nurse in the State of California.

Possession of valid Basic Life Support (BLS) certificates issued by the American Heart Association.

Possession of a valid California Drivers License may be required.

Additional Working Knowledge Requirements for Mental Health Applicants: Current child dependent adult and elder abuse reporting laws; current involuntary detention and commitment laws related to mental health; involuntary psychotropic medication laws; andTarasoff-dutyto warn requirements.

Ability to: Perform the full range of nursing duties and responsibilities in a patient care setting; plan organize and implement nursing plans for patients; prepare and maintain concise and complete records and reports; establish and maintain effective working relationships with physicians patients and co-workers; secure the cooperation of employees to work effectively together; keep abreast of developments in areas of nursing specialization; teaches mentors and supervises others routinely; effectively prepare and present reports and recommendations both orally and in written form; evaluate the medical records of hospital admissions; provide recommendations regarding continued stay necessity; identify discharge needs; collect and evaluate data draw conclusions and formulate recommendations.

In Mental Health ability to use individual professionally sound judgment to make complex decisions related to: triage; clinical assessments including biopsychosocial evaluation; integration of mental health chemical dependency and physical healthcare needs; potential suicidality; placement issues and necessary linkages and supports; and need for emergent psychiatric care and consultation.

SUPPLEMENTAL INFORMATION

For questions regarding this recruitment contact the recruiter Nicole Prado:.

APPLICATION INFORMATION

Veterans Preference
The County has a Veterans Preference Policy applicable to new hires. To qualify upload a copy of your (or your spouses) Member-4 Form DD-214 indicating dates of service and a copy of your spouses letter of disability (if applicable) with your application. For privacy reasons it is recommended that you remove your social security information from the document(s). A Human Resources Representative will review the materials and determine if you qualify for veterans Veterans Preference Policy C-3 is available here: Accommodations
The County of Riverside is committed to providing reasonable accommodation to applicants as required by the Americans with Disabilities Act (ADA) and Fair Employment and Housing Act (FEHA). Qualified individuals with disabilities who need a reasonable accommodation during the application or selection process should contact the recruiter for the position noted above. For additional information and/or to obtain the appropriate form for requesting a reasonable accommodation please visit the Disability Access Office web page located at: of Education
If using education to qualify or when requested by the recruiter upload a copy of any license(s) official/unofficial transcript(s) degrees and/or related employment documents to your NeoGov account at the time of application and before the closing date. Official or unofficial transcripts will be accepted.

If your education was completed outside of the United States you will need to provide a copy of your Foreign Education Equivalency evaluation from a member of the National Association of Credential Evaluation Services (NACES) or Association of International Credential Evaluators Inc. (AICE).

Work Authorization Requirement
Applicants must be legally authorized to work in the United States at the time of application. The County of Riverside does not participate in visa sponsorship programs including H1-B visas and will not provide sponsorship for any employment-based visas.

Equal Opportunity Employer
The County of Riverside is an Equal Opportunity Employer. It is the policy of the County of Riverside to provide equal employment opportunities for all qualified persons. All applicants will be considered without regard to race color religion sex national origin age disability sexual orientation gender gender identity gender expression marital status ancestry medical condition (cancer and genetic characteristics) genetic information or denial of medical and family care leave or any other non-job-related factors.

Pre-Employment
All employment offers are contingent upon successful completion of pre-employment requirements including a criminal background investigation which involves fingerprinting. (A felony or misdemeanor conviction may disqualify the applicant from County employment). A pre-employment physical examination and background check may be required.

Probationary Period
As an Approved Local Merit System all County of Riverside employees except those serving At Will are subject to the probationary period provisions as specified in the applicable Memorandum of Understanding County Resolution or Salary Ordinance. Temporary and Per Diem employees serve at the pleasure of the agency/department head.

General Information
Current County of Riverside and/or current employees of the hiring department may receive priority consideration. Qualified candidates may be considered for future County vacancies.

Job postings may close without notice based on application volume. Submit your complete application by the recruitment close date; no late applications are accepted. Ensure all relevant experience/education is reflected on your application/resume as a failure to demonstrate position requirements may disqualify applicants. A description of job duties directly copied from the job classification or job posting will not be considered.

Please read and follow any special application instructions on this posting. Click the Apply link located on this page to submit your application. For additional instructions on the application process examinations Veterans preference pre-employment accommodation or other employment questions please refer to our web site .

If you are experiencing technical problems you may contact the applicant support desk Monday through Friday 6 am to 5 pm Pacific Time at or toll-free 1-.

Required Experience:

ABOUT THE POSITIONRiverside University Health System (RUHS) Behavioral Health is currently recruiting for a Registered Nurse II/III/IV to support the Quality Improvement (QI) Inpatient Program. This recruitment will fill a Registered Nurse vacancy located in Riverside.Duties may include but are not...