Utilization Management Specialist Holyoke, Massachusetts Req ID510271
CategoryBehavioral Health FacilityValley Springs Behavioral Health
Hospital 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. 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 experience in
Inpatient Psychiatric Facility Utilization Management