Utilization Review Clinician

Miravista; Holyoke (MA); Sur place; USD 80 000 - 90 000; Plein temps

Avantages offerts par ce poste

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

Résumé du poste

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.

Responsabilités

• 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

Connaissances

Master's level clinician

RN

Utilization management

Psychiatric setting

Formation

Master's degree in relevant field

Description du poste

Career Opportunities with MiraVista Behavioral Health Center

Current job opportunities are posted here as they become available.

Schedule: Monday - Friday, 40 hours, onsite 5 days a week.

As a Utilization Review Clinician for MiraVista in Holyoke, Massachusetts, you’ll bring your experience and knowledge where your voice matters. A Utilization Review Clinician is an integral part of our multidisciplinary team.

You will be an active participant in the health care team.

You are responsible for pre-certification, concurrent and discharge reviews, appeals and denials, and the compliance of contracted quality measures identified by managed care organizations.

You will serve as liaison between the hospital and outside payor sources in accordance with the mission and core principals of MiraVista Behavioral Health Center.

The Utilization Review Clinician will have the following:

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.

When you join the growing MiraVista team as a Utilization Review Clinician, you’ll receive:

Medical, Dental, and Vision

401(k) match

Employer paid long term disability (LTD)

Short term disability (STD)

Employer paid life and AD&D Insurance

Generous Paid Time Off

Flexible Spending Account

Tuition Reimbursement

Pay Range:

Compensation will be determined based on the candidate's relevant experience.

$80,000 - $90,000

MiraVista is an equal opportunity employer, and all qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.