Psychiatric Nurse Salary in Charlotte, NC

The UM Clinical Specialist-Behavioral Health performs professional and administrative work, primarily utilization reviews, utilization management and active care management to ensure economical and effective consumer service delivery by PHIP enrolled network providers; The position is responsible for providing medical necessity reviews of individualized service plans and requests for authorization of services to ensure consumers receive services in the least restrictive, most integrated setting appropriate to the individual’s needs; The primary role is to review for services under the Medicaid B waiver and state funded benefits; complete related work as required. This position will allow the successful candidate to work primarily remote and be a resident of North Carolina. There is no expectation of being in the office routinely but they could be required to come into the office closest to their residence, occasionally as needed. Responsibilities & Duties Utilization Reviews and Management Independently conducts medical necessity reviews of service requests submitted by service providers against developed clinical guidelines within contractually mandated turn-around times Conducts utilization reviews to monitor adherence to clinical practice guidelines and best practice standards and to determine if services were delivered as requested Engage in care management activities to ensures individuals receive appropriate referral for treatment including; consumer and provider follow-up calls, case staffing with psychologists and medical staff Monitors consumer person centered plans to ensure that effective treatment interventions are utilized, provide consultation to treating providers when person centered plan requires adjustments to better meet consumer needs Monitors and reports consumer and provider specific over/under utilization Conducts utilization reviews to monitor for over/under utilization Program Operation and Management Identify high risk consumers and those with special health care needs for referral to Care Coordination and case escalation Provides linkage, authorizations and level of care determinations, assisting providers and Care Coordinators with creative problem solving to recommend alternative approaches to care Ensures compliance with care management and quality improvement policies and procedures, utilization review laws and regulations, state standards Promote access to appropriate, effective and quality treatment Monitors for undesirable performance or deviations of practice standards through care management activities that may have a negative impact on consumers. Responds through additional follow-up with consumer and providers, provider technical assistance and/or referral to other departments within the MCO Administrative Functions Notifies members of adverse benefit determinations while preserving members’ Due Process rights Engages in routine follow-up to ensure consumers are engaged in treatment and services are being delivered as requested Documents utilization review decisions in computerized authorization management system Maintain professional licensure Engages in training as needed to stay informed of changes in best practice for supporting the needs of individuals with MH/SUD/IDD Minimum Requirements Master’s degree in a Human Services field (such as Psychology, Social Work or Counseling) and at least five years of post-degree progressive experience providing similar services to the population served (MH/SUD).    Requires current and active license issued by a North Carolina Professional Board, as a LCSW, LCMHC, LCAS, LP, LPA, LMFT, or RN. OR A Master's degree in psychiatric nursing which provides the knowledge, skills, and abilities needed to perform this work; or graduation from a State accredited school of nursing and two years of experience in psychiatric nursing which provides the knowledge, skills, and abilities needed to perform the work; or an equivalent combination of education and experience. Preferred: Experience in the public behavioral healthcare field is highly desired due to the complexity of the work.  Experience in a UM environment in Behavioral Healthcare would be valuable for this employee.  Knowledge, Skills, & Abilities Considerable knowledge of case management principles, practices and applications Considerable knowledge of agency and community programs and services which affect clients and applicants Knowledge of state and federal client rights protection statues and regulations applicable laws and regulations including but not limited to URAC, applicable Code of Federal Regulations and NC Administrative Code Effective  written and oral communication skills and interpersonal and presentation skills Ability to identify rights protection complaint issues; ability to set, monitor and evaluate standards for quality and to assess plans to measure how they meet the needs of individual clients Considerable knowledge in DMS 5 diagnostic criteria Ability to manage time, prioritize work and use problem-solving approaches Ability to coordinate effectively with staff from a various agencies as well as inter-departmental Ability to read, analyze, and interpret regulations, policies and procedures Coordinate work with a variety of individuals and agencies Ability to operate computer equipment and generate reports and records; ability to express ideas clearly and concisely orally and in written documents Proficiency in Microsoft Office products (such as Word, Excel, Outlook, etc.) is required Salary Range $66,240.00 to $84,456.00/Annually  Exact compensation will be determined based on the candidate's education, experience, external market data and consideration of internal equity.   An excellent fringe benefit package accompanies the salary, which includes:      Medical, Dental, Vision, Life, Long Term Disability Generous retirement savings plan Flexible work schedules including hybrid/remote options Paid time off including vacation, sick leave, holiday, management leave Dress flexibility See job description

How you'll change lives As a Registered Nurse (RN) at US Renal Care, you'll be an integral part of a cross-functional team, working under the supervision of a Charge Nurse and assisting and supervising Patient Care Technicians (PCTs) to care for patients living with kidney disease. What you'll be doing Patient care. You'll work directly with patients to provide safe, comfortable, and high-quality dialysis treatment. Responsibilities include completing and documenting physical assessments before and after treatments and monitoring patients during treatment. You'll ensure quality renal care by completing monthly reviews of patient medication profiles and administering medications according to physician orders. Teamwork. You'll be a critical member of an interdisciplinary team to provide all required patient assessment and care planning activities. You'll also make sure center staffing requirements are met at all times under the direction of the Administrator and according to state regulations for staffing ratios. Safety & Quality. Working under the supervision of a Charge Nurse, you'll adhere to all company policies and procedures and state and federal laws and regulations. You'll participate in all required staff meetings and continuing education offerings.

Are you a Licensed Clinical Addiction Specialist (LCAS) in North Carolina looking to launch a private practice, or grow your existing practice?Headway supports thousands of mental health clinicians across the United States in our mission to rewire the mental healthcare system for access and affordability. We equip mental health practitioners with the tools and resources they need to run a flourishing private practice.Psychiatric care practitioners use Headway in a number of ways, ranging from conducting psychotherapy sessions with patients to providing and overseeing medication management. Whether you're new to private practice or already have an established practice of your own, we're excited to support you in reaching your goals!By joining the Headway community, we'll help you:Accept insurance hassle-free by credentialing you with the nation's largest networks and handling the billing and admin paperwork for you.Maintain a flexible schedule by deciding how many clients you see through Headway, so that you can set the hours that work for you.Grow your caseload by providing marketing support and patient referrals.We'll also support your patients by:Providing customized support to clinicians and patients in order to streamline the process of both seeking and providing care.Verifying client insurance benefits instantly and automatically, so that access to care is never delayed, and you can see your patients with confidence.And we do this all without additional fees! Headways is a flexible service, meaning your hours are yours to set, and it's up to you whether you see your patients in-person or remotely via telehealth while working from home.Ready to get started?To join Headway's growing community, you have:Licensure: You're a fully licensed Licensed Clinical Addiction Specialist (LCAS) in North Carolina Please note, at this time we are unable to service mental health professionals that are not fully licensed. Your application will be rejected until you obtain a valid license.NPI Number and Malpractice Insurance: We can point you in the right direction if you don't have those yet!