What are the responsibilities and job description for the Utilization Review Clinician position at TaraVista Behavioral Health?
Join us as a Utilization Review Clinician!
Schedule: Monday - Friday, 40 hours, onsite 5 days a week.
As a Utilization Review Clinician for MiraVista in Holyoke, Massachusetts, youll bring your experience and knowledge where your voice matters. A Utilization Review Clinician is an integral part of our multidisciplinary team.
As a Utilization Review Clinician:
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, youll 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.
Salary : $80,000 - $90,000