Utilization Review Nurse (RN)

Utilization Review Nurse, RNLighthouse Care Center of Augusta is seeking a dedicated, compassionate Utilization Review Nurse, RN to add to our growing team. Lighthouse Care Center of Augusta (LCCA) is a multi-discipline behavioral healthcare center that offers mental health services to the communities of surrounding Augusta, Georgia. The Lighthouse Care Center of Augusta is an acute and residential treatment facility providing balanced, top-notch clinical care to children, adolescents and young adults. We provide a carefully-structured and supportive environment, and our education program is accredited through the Georgia Accrediting Commission.Job Duties:Review clinical content of medical recordsParticipate in treatment team meetingsCollaborate with physicians, therapist, nurses and pertinent staff on gathering the necessary data to communicate with insurance companies/authorizing entities to ensure initial precertification and continued authorization is achievedUtilization Review/Business Office Coordinator will ensure input of pre-certifications and continued stay reviews into MidasFollow-up on unfinished pre-certifications from the day beforeCoordinate with the treatment team on any follow-ups necessaryVerify insurance coverage at the first of the month, and post patient payments into MS4Trained in all aspects relative to timely gathering clinical criteria, communication of clinical criteria, and entry of supporting clinical criteria into computer based systemsAdditional job dutiesBenefit Highlights:Referral Bonus ProgramChallenging and rewarding work environmentCompetitive Compensation & Generous Paid Time OffExcellent Medical, Dental, Vision and Prescription Drug Plans401(K) with company match and discounted stock planSoFi Student Loan Refinancing ProgramCareer development opportunities within UHS and its 300+ SubsidiariesPet InsuranceQualifications:Education and Experience: Registered Nurse (RN) preferred or License Professional Nurse (LPN)Current GA or Multistate Valid RN or LPN licenseMust have 2 years of experience in a psychiatric health care setting, delivery of care to psychiatric and/or chemically dependent patients and utilization reviewEEO Statement: All UHS subsidiaries are committed to providing an environment of mutual respect where equal employment opportunities are available to all applicants and teammates. UHS subsidiaries are equal opportunity employers and as such, openly support and fully commit to recruitment, selection, placement, promotion and compensation of individuals without regard to race, color, religion, age, sex (including pregnancy, gender identity, and sexual orientation), genetic information, national origin, disability status, protected veteran status or any other characteristic protected by federal, state or local laws.