Utilization Review Clinician

Join us as a Utilization Review Clinician!

Schedule: Full time 40 hours/week. On-site in Auburn MA.

As a Utilization Review Clinician for The Vistas youll 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 will be responsible for pre-certification concurrent and discharge reviews appeals and denials and the compliance of contracted quality measures identified by managed care organizations and CMS.

• You will serve as liaison between the hospital and outside payor sources in accordance with the mission and core principals of The Vistas

The Utilization Review Clinician will have the following:

• Masters level clinician or RN.

• Previous utilization management experience 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 Vistas team as a Utilization Review Clinician youll 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 candidates relevant experience.

$82000 - $89000

The Vistas 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.