Utilization Review Clinician

TaraVista Behavioral Health Center; Massachusetts; On-site; 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

It is an exciting time to join Team Tara. As a trusted leader in mental health and behavioral health care, TaraVista has built a reputation for clinical excellence, compassionate care and a commitment to the communities we serve. Whether you are a nurse, therapist, mental health counselor, intake coordinator or support professional, you'll find a rewarding career where your work matters and your contributions are valued.

Check out these Trending Career Opportunities

We have part and full time openings for these positions across our youth and adult programs:

Conveniently Located for Massachusetts and
Southern New Hampshire Professionals

TaraVista offers mental health and behavioral health careers for professionals throughout Central Massachusetts and Southern New Hampshire. Located in Devens, Massachusetts, TaraVista is easily accessible from Routes 2, 190 and 495, making it a convenient commute for team members across the region. Whether you're looking for a nursing career, therapist role, mental health counselor position or support services opportunity, you'll find a collaborative team, opportunities for growth and meaningful work at TaraVista.

Our team members commute from communities including:

• Fitchburg, MA
• Gardner, MA
• Worcester, MA
• Acton, MA
• Lowell, MA
• Nashua, NH
• Merrimack, NH

Health Insurance

Life Insurance

Paid Time Off (PTO)

Retirement Plan

Tuition Reimbursement

Continuing Education Credit (CEU) Support

Employee Assistance Program

Long-term and Short-term Disability

Why TaraVista?

Modern psychiatric hospital built in 2016

Collaborative multidisciplinary teams

Comprehensive orientation and apprentice style training

Leadership you can learn from

Experienced managers who have grown their careers at TaraVista

Large enough to offer opportunities. Small enough for your contributions to be recognized

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

As a Utilization Review Clinician for TaraVista in Devens, 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 TaraVista 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

TaraVista 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.

The kind of patient and kindness you gave me is rare. Thank you for being the safe place in the storm when I needed it the most.

Thank you note to Associate Chief Nursing Officer written nine years after hospital stay

Thank you for building such a beautiful hospital. TaraVista is simply gorgeous. This hospital is saving lives. I know this for a fact. Thank you!

I can not thank you enough for the care and support provided at this facility. You helped save my life and I am forever grateful.

Thank you for ALL you have done for me. You have been amazing and compassionate throughout my journey.

The kind of patient and kindness you gave me is rare. Thank you for being the safe place in the storm when I needed it the most.

Thank you note to Associate Chief Nursing Officer written nine years after hospital stay

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