Mental Health Utilization Review Clinician

TaraVista Behavioral Health Center; Massachusetts, United States, Northern America, Americas; Hybrid; USD 80,000 - 90,000; Full time

Benefits offered by this job

Medical Insurance

Dental Insurance

Vision Insurance

401(k) match

Employer paid LTD

Short term disability

Life and AD&D Insurance

Paid Time Off

Flexible Spending Account

Tuition Reimbursement

Job summary

TaraVista Behavioral Health Center in Devens, MA is seeking an experienced Utilization Review Clinician to join our multidisciplinary team. You will handle pre-certification, concurrent and discharge reviews, appeals and denials, and ensure compliance with contracted quality measures.

The role requires a Master's level clinician or an RN, with prior utilization management in an inpatient psychiatric setting preferred.

Qualifications

• Previous utilization management experience, preferably in inpatient psychiatry.
• Master's level clinician or RN with relevant licensure
• Strong communication skills and ability to work in a multidisciplinary setting

Responsibilities

• Handle pre-certification, concurrent and discharge reviews, appeals and denials.
• Ensure compliance with contracted quality measures identified by managed care organizations.
• Serve as liaison between the hospital and external payor sources.

Skills

Utilization management

Communication skills

Multidisciplinary teamwork

Fast-paced environment

Education

Master's degree

Registered Nurse (RN)

Job description

TaraVista Behavioral Health Center in Devens, MA is seeking an experienced Utilization Review Clinician to join our multidisciplinary team. You will handle pre-certification, concurrent and discharge reviews, appeals and denials, and ensure compliance with contracted quality measures.

The role requires a Master's level clinician or an RN, with prior utilization management in an inpatient psychiatric setting preferred.