Role OverviewJoin MiraVista Behavioral Health Center as a Utilization Review Clinician, working Monday - Friday, 40 hours onsite. As a Utilization Review Clinician, you'll be an active participant in the healthcare team, responsible for pre-certification, concurrent and discharge reviews, appeals and denials, and compliance of contracted quality measures. You'll serve as a liaison between the hospital and outside payor sources.
What You Will Do
Pre-certification, concurrent and discharge reviews, appeals and denials, and compliance of contracted quality measures. Liaison between the hospital and outside payor sources.
Why It Might Be a Fit
Master's level clinician or RN with previous utilization management experience, preferably in an inpatient psychiatric setting. Excellent communication skills and ability to integrate clinical and financial information.
Requirements
- Master's level clinician or RN
- Previous utilization management experience, preferably in an inpatient psychiatric setting
- License eligible (LMHC or LICSW preferred) or RN
- 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
- 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
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