Utilization Management Specialist
: Job Details :


Utilization Management Specialist

Lifepoint Hospitals

Location: Holyoke,MA, USA

Date: 2024-11-03T08:38:15Z

Job Description:

Description

Valley Springs Behavioral Health Hospital, a state-of-the-art hospital operated jointly with Lifepoint Behavioral Health and Baystate Health, seeks passionate, creative, and goal-oriented team members. We provide evidence-based mental health care, including programs for child/adolescent, adult, and geriatric populations. Our treatment is built on a psychosocial model of care and follows the core principles of resilience, recovery, and restoration. We offer a collaborative work environment, competitive compensation, and flexible scheduling so you can focus on what matters-providing quality patient care. Join our team in Holyoke, Massachusetts, to build a career that touches lives.

We Offer:

* Expansive Benefits Packages

* Tuition Reimbursment

* Professional Development and Advancment Opportunities

* New and competitive pay rates

What you will do in this role:

* Coordinates activity and functions in a multidisciplinary department with, Physicians, Social Workers and Nursing staff to provide comprehensive care coordination and discharge planning for each patient.

* Seeks out information and resources and uses creative problem solving for complex discharge planning, quality of care and utilization issues.

* Conducts review for appropriate utilization of services from admission through discharge, evaluates patient satisfaction, and evaluates quality of care provided.

* Performs reviews for third party payors in an accurate and timely manner.

* Communicates daily with physicians, hospital staff, family, community care providers, and patients to facilitate coordination of clinical activities and to enhance a seamless transition from one inpatient setting to alternative levels of care in hospital and outpatient settings.

* Other duties as assigned.

Qualifications

Education: Master's Degree in Social Work, Marriage and Family Therapy or Counseling from an accredited school, or posseses an RN or LPN

Licenses/Certification: Independent Practive Scope License in state of practice, LCSW, LMFT, LPC preferred, RN or LPN

Experience: Minimum one year experince in Inpatient Psychiatric Facility Utilization Management

Apply Now!

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