Position Summary:

• Conducts certification, pre-certification and continuing certification requirements for Medicaid, Medicare and insurance clients.
• Effectively communicates outcomes of precertification and concurrent reviews to appropriate members of the treatment team, leadership and UR Supervisor.
• Communicates routinely with UR Supervisor regarding specific reimbursement issues.
• Serves as resource for treatment team related to medical necessity interventions and documentation.
• Assists treatment team members in discharge planning in obtaining authorization for the next level of care as needed.
• Participates in data collection related to patient status and needs.
• Identifies and reports quality-of-care issues/concerns to supervisor.
• Ensures that insurance information is current with background investigation if no insurance card available.
• Performs data entry of assigned cases in a timely manner.

Minimum Education and Experience:

• Registered nurse with a license to practice in the State of New Jersey or a Bachelor's Degree in the Mental Health field.
• Must have at least three (3) years of mental health experience.

City: Piscataway

State: NJ

Physical Demands and Work Environment:

Posting Number: 24ST2773

About Rutgers University

Rutgers, The State University of New Jersey, is a leading national public research university and the state's preeminent, comprehensive public institution of higher education. Rutgers is dedicated to teaching that meets the highest standards of excellence; to conducting research that breaks new ground; and to turning knowledge into solutions for local, national, and global communities. As it was at our founding in 1766, the heart of our mission is preparing students to become productive members of society and good citizens of the world. Rutgers teaches across the full educational spectrum: preschool to precollege; undergraduate to graduate and postdoctoral; and continuing education for professional and personal advancement. Rutgers is New Jersey's land-grant institution and one of the nation's foremost research universities, and as such, we educate, make discoveries, serve as an engine of economic growth, and generate ideas for improving people's lives.

Connections working at Rutgers University