Join us as a Utilization Review Clinician!
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:
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, 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
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.
TaraVista Behavioral Health Center is an inpatient psychiatric hospital serving children, adolescents and adults. Our purpose is to provide compassionate, effective, inspiring care for those suffering from emotional distress and substance misuse. To deliver our care, we operate by our Vista Values:
Visionary - We aspire to set the standard for how behavioral healthcare services are provided
Integrity - We conduct ourselves in an honest and ethical manner
Safety - We strive to provide a safe environment for patients and caregivers
Transformational - We inspire our team members, our patients and their families to lead fulfilling lives
Advocacy - We advocate for patients and the services we provide and work to decrease health disparities in our communities
We are a growing healthcare organization and hiring clinical and operations staff for our state-of-the-art hospital which is only five years old. We are located in easy-to-access Devens, Massachusetts - 30 minutes from Worcester, Lowell, Concord, Lexington, and Gardner, and close proximity to Southern New Hampshire.
Come help us reimagine care.
