Behavioral Health Utilization Review Clinician (Onsite)

Miravista; Holyoke (MA); On-site; USD 80,000 - 90,000; Full time

Benefits offered by this job

Medical Benefits

Dental Benefits

Vision Benefits

401(k) Match

Long Term Disability

Short Term Disability

Life Insurance

AD&D Insurance

Paid Time Off

Flexible Spending Account

Tuition Reimbursement

Job summary

MiraVista Behavioral Health Center in Holyoke, Massachusetts, seeks a Utilization Review Clinician to join our multidisciplinary health care team on-site.

Responsibilities include pre-certification, concurrent and discharge reviews, appeals and denials, and ensuring compliance with managed care quality measures. LMHC/LICSW preferred or RN; Master’s level clinician or RN.

We offer comprehensive benefits and a competitive pay range based on experience.

Qualifications

• Master's level clinician or RN
• Previous utilization management, preferably in an inpatient psychiatric setting
• License eligible (LMHC or LICSW preferred) or RN
• Possess sufficient knowledge regarding clinical treatment of psychiatric patients, the mental health care delivery system, and the managed care environment
• Display excellent communication skills and an ability to integrate clinical and financial information in the context of an overall utilization management program
• Requires the ability to work in a multidisciplinary, fast paced environment with a demonstrated sense of autonomy and professionalism.

Responsibilities

• Pre-certification, concurrent and discharge reviews, appeals and denials
• Ensure compliance of contracted quality measures identified by managed care organizations
• Serve as liaison between the hospital and outside payor sources

Skills

Master's level clinician

RN

Utilization management

Psychiatric setting

Education

Master's degree in relevant field

Job description

MiraVista Behavioral Health Center in Holyoke, Massachusetts, seeks a Utilization Review Clinician to join our multidisciplinary health care team on-site.

Responsibilities include pre-certification, concurrent and discharge reviews, appeals and denials, and ensuring compliance with managed care quality measures. LMHC/LICSW preferred or RN; Master’s level clinician or RN.

We offer comprehensive benefits and a competitive pay range based on experience.