Clinical Resource Manager
1 week ago
Sierra Vista Hospital is seeking a full-time Clinical Resource Manager (MSW, MFT, MA, RN, LVN) for the Utilization Management Department.
We are looking for a dedicated professional who is passionate about working in a mental health environment and wants to join a team of healthcare professionals committed to serving our patients.
Key Responsibilities- Manage, review, and monitor the utilization of patient-related resources and maximize the effectiveness of care by evaluating clinical appropriateness.
- Act as a liaison between payers, the business office, and the treatment team, providing information and feedback to ensure optimal patient care and reimbursement.
- Review with payers and receive authorization for the type and volume of services through all levels of care and post-care review.
- Education: A bachelor's degree from an accredited university in nursing or a master's degree in social work, mental health, or a related field is preferred.
- Experience: A minimum of one (1) year of experience with communication with external review organizations or comparable entities or four (4) years of direct clinical experience in a psychiatric or mental health setting.
- Licensure: RN, LCSW, MFT, MSW, LVN/LPT, or applicable licensure.
CPI training is required within the first 30 days of employment. Training is provided by Sierra Vista Hospital.
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Human Resources Operations Manager
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Clinical Utilization Management Specialist
1 week ago
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Senior Cultural Resource Manager
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Clinical Manager for Outpatient Services
1 week ago
Sacramento, California, United States Sierra Vista Hospital Full timeJob Overview We are seeking a dedicated Clinical Manager for our Outpatient Services, possessing extensive experience in the psychiatric and mental health sectors. The ideal candidate will have a minimum of two (2) years in advanced clinical and management roles, along with a Master's Degree in Counseling, Psychology, or Social Work, and hold a valid...
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2 weeks ago
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2 weeks ago
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