Utilization Review Clinician

Utilization Review Clinician Join us as a Utilization Review Clinician!

Schedule:

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

Utilization Review Clinician for Mira Vista 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. 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 Mira Vista 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 Mira Vista 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 Mira Vista 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.