Utilization Review Clinician

Career Opportunities with TaraVista Behavioral Health A great place to work. Schedule Monday - Friday, 40 hours onsite. About the Role 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. You will be an active participant in the health care team. Responsibilities Pre‑certification, concurrent and discharge reviews, appeals and denials, and compliance of contracted quality measures identified by managed care organizations. Serve as liaison between the hospital and outside payor sources in accordance with the mission and core principles of MiraVista Behavioral Health Center. Qualifications 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. Excellent communication skills and ability to integrate clinical and financial information in the context of an overall utilization management program. Ability to work in a multidisciplinary, fast‑paced environment with a demonstrated sense of autonomy and professionalism. Benefits 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. Equal Opportunity 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. #J-18808-Ljbffr TaraVista