LPN RN Utilization Review Specialist

RIDGEVIEW, a not-for-profit community mental health center has an immediate opening for a full-time LPN or RN Utilization Review Specialist. This position will have a standard 7:30am-4pm weekdays schedule at our main location in Oak Ridge.

Ridgeview has been named a 2023 Top Workplace by Knoxville News Sentinel, which is a testament to our staff who unite behind the idea of One Ridgeview. Ridgeview is a place where staff want to work, a place where staff are valued and appreciated, and a place where staff are proud of the impact they are making toward the improvement of people's lives. At Ridgeview, our real job satisfaction is derived from co-workers, clients, and the realization that we are part of carrying out Ridgeview's mission.

HOPE | HEALING | RECOVERY

"Where life's complexities are met with hope"

REQUIREMENTS

This position requires completion of an accredited nursing program and licensure (LPN or RN) in the State of Tennessee or a Bachelor's in Psychology or Social Work . For an LPN/RN candidate, this position also requires at least one year experience in an psychiatric setting. For a Bachelor's candidate, the position requires a minimum of 2 years experience in a psychiatric setting, with one year inpatient experience required. Prior experience in utilization review preferred, but not required.

JOB DUTIES

This position is responsible for the review of Ridgeview patient cases to determine appropriateness of admission and continued stay, according to criteria outlined in the Ridgeview Utilization Management Plan. The position is also responsible for maintaining data on inpatient admissions and continued stays for both internal and external reporting. Monthly duties include completion of both Inpatient and Outpatient quality audits.

BENEFITS

Ridgeview offers a full line of benefits including: Medical, Dental, Vision, Retirement, Long-Term Disability, Holiday Pay, Vacation and Sick Leave, Life Insurance and Wellness Plan.

Ridgeview is an approved National Health Service Corp site. Loan repayment for qualified behavioral health and primary health care providers is available. RN loan repayment details can be found at https://bhw.hrsa.gov/funding/apply-loan-repayment/nurse-corps

Ridgeview is an equal opportunity employer. Ridgeview conducts Background Checks, Motor Vehicle Records, License/Degree Verification, and Drug Screens at hire. Employment is contingent upon clean drug screen, background check and driving record.

ind123