Massachusetts Jobs

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