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You are a caring, hard-working individual who thrives in a team environment and is committed to excellence. You have experience in a setting and are comfortable interacting with patients, as well as managing administrative responsibilities.
The Dimock Center is a federally qualified community health center that heals and uplifts individuals, families and communities. Our vision is to redefine the model of a healthy community by creating equitable access to comprehensive health care and education. We promote a culture of respect, excellence, equal opportunity, and commitment to our employees and the communities we serve.
Our Behavioral Health Services programs provide residential and outpatient treatment for those struggling with mental illness, developmental disabilities, or substance use disorders. For many individuals, our programs literally save lives.
The Utilization Reviewer in the Behavioral Health department is responsible for obtaining initial and concurrent insurance authorizations for all applicable coverage and for appropriate level of clinical care across the Substance Use Disorder treatment/Behavioral Health spectrum at The Dimock Center.
Education: LPN, RN, LCSW, 2-4 years experience
-Experience in healthcare/behavioral health settings preferred
-Knowledge of ASAM criteria and co-occurring disorders
-Working knowledge of MassHealth/managed care products
-Knowledge of behavioral health/substance use utilization review process
-Understanding of medical necessity and evidence-based practices
-Able to organize/structure own workload
40 hours a week – Monday-Friday
Compensation between $33 and $42 per hour depending on experience and qualifications.
Full Time
$81k-100k (estimate)
04/19/2024
05/05/2024
dimock.org
Roxbury, MA
200 - 500
The following is the career advancement route for Utilization Reviewer positions, which can be used as a reference in future career path planning. As an Utilization Reviewer, it can be promoted into senior positions as a Clinical Outcomes Manager that are expected to handle more key tasks, people in this role will get a higher salary paid than an ordinary Utilization Reviewer. You can explore the career advancement for an Utilization Reviewer below and select your interested title to get hiring information.