Must be RN LICSW LMHD Ph.D. with current Massachusetts license with two years clinical experience working with psychiatric population preferred. Previous utilization management experience preferred.
All employees must possess basic computer skills to use a variety of electronic or online systems for communication clinical and administrative purposes.
It is the policy of McLean Hospital to affirmatively provide equal opportunity to all qualified applicants for employment and existing employees without regard to their race religion color national origin sex age ancestry protected veteran status disability sexual orientation gender orientation or any other basis that would be in violation of any applicable law or regulation.
McLean Hospital is a comprehensive psychiatric hospital committed to providing easy access to superior quality costeffective mental health services in the Boston area Massachusetts and beyond. Since 1811 McLean Hospital has been a world leader in the treatment of mental illness and chemical dependency research into the cause of mental illness and the training of generations of mental health care providers. McLeans multidisciplinary programs treat a broad range of psychiatric illnesses across the full continuum of care.
The Utilization Manager is responsible for carrying out patient care review program which facilitates appropriate use of resources and quality of care. Consult to administrative/clinical staff regarding utilization management related issues. Participate in daily clinical rounds or otherwise reviews cases with clinicians. Perform telephone reviews with managed care staff and make appropriate IDX entries and assists Patients Financial Services Department when indicated.
All McLean team members are expected to consistently demonstrate our values of integrity compassion respect diversity teamwork excellence and innovation in their work activities and interactions.
Required Experience:
Manager