Psychiatric Utilization Review Clinician - Onsite, M-F

MiraVista Behavioral Health Center; Holyoke (MA); On-site; USD 80,000 - 90,000; Full time

Benefits offered by this job

Medical Insurance

Dental Insurance

Vision Insurance

401(k) match

Long-term Disability

Short-term Disability

Life and AD&D Insurance

Paid Time Off

Flexible Spending Account

Tuition Reimbursement

Job summary

MiraVista Behavioral Health Center in Holyoke, Massachusetts seeks an Utilization Review Clinician to join a multidisciplinary team. You will manage pre-certification, concurrent and discharge reviews, and appeals, ensuring compliance with quality measures and coordinating with payors.

A Master’s level clinician or RN is required, with licensure eligibility for LMHC/LICSW preferred or RN. You will work in a hospital setting, communicating complex clinical and financial information within a

Qualifications

• Master’s level clinician or RN.
• License eligible (LMHC or LICSW preferred) or RN.
• Knowledge of psychiatric treatment and managed care environment.
• Excellent communication and ability to integrate clinical and financial information.

Responsibilities

• Handle pre-certification, concurrent and discharge reviews, appeals and denials.
• Ensure compliance with contracted quality measures identified by managed care organizations.
• Act as liaison between hospital and payor sources.
• Participate in a multidisciplinary, fast-paced utilization management program.

Skills

Strong communication

Multidisciplinary teamwork

Utilization management

Education

Master’s degree in clinical field

RN license

LMHC or LICSW eligibility preferred

Job description

MiraVista Behavioral Health Center in Holyoke, Massachusetts seeks an Utilization Review Clinician to join a multidisciplinary team. You will manage pre-certification, concurrent and discharge reviews, and appeals, ensuring compliance with quality measures and coordinating with payors.

A Master’s level clinician or RN is required, with licensure eligibility for LMHC/LICSW preferred or RN. You will work in a hospital setting, communicating complex clinical and financial information within a