Join us as a Utilization Review Clinician!
Schedule: Monday - Friday, 40 hours onsite.
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.
As a Utilization Review Clinician:
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You will be an active participant in the health care team.
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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.
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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:
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Master's level clinician or RN.
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Previous utilization management, preferably in an inpatient psychiatric setting
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License eligible (LMHC or LICSW preferred) or RN
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Possess sufficient knowledge regarding clinical treatment of psychiatric patients, the mental health care delivery system, and the managed care environment
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Display excellent communication skills and an ability to integrate clinical and financial information in the context of an overall utilization management program
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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:
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Medical, Dental, and Vision
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401(k) match
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Employer paid long term disability (LTD)
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Short term disability (STD)
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Employer paid life and AD&D Insurance
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Generous Paid Time Off
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Flexible Spending Account
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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.
Skills Required
- Master's level clinician or RN
- Previous utilization management experience
- Experience in an inpatient psychiatric setting
- License eligible (LMHC or LICSW preferred) or RN
- Knowledge of clinical treatment of psychiatric patients and the mental health care delivery system
- Knowledge of the managed care environment and contracted quality measures
- Excellent communication skills and ability to integrate clinical and financial information
- Ability to work in a multidisciplinary, fast-paced environment with autonomy and professionalism
What We Do
TaraVista Behavioral Health Center is a regional provider of inpatient psychiatric care serving Massachusetts and Southern New Hampshire. Based in Devens, the center provides expert, patient-centered, and family-focused treatment for children, adolescents, and adults. Their inpatient programs focus on stabilization, recovery, and relapse prevention, aiming to empower patients of all ages to achieve healthier lives through compassionate, hospital-level behavioral health care.
