McLean Hospital is a comprehensive psychiatric hospital committed to providing easy access to superior quality, cost-effective 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. McLean's 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 Patient's Financial Services Department when indicated.
This position will provide coverage for vacations and other leaves.
Must be RN, LICSW, LMHC, or 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.
Required to complete electronic medical records training, and demonstrate 80% accuracy on competency test within 30 days of hire.
Partners Healthcare System