Clinical Care Specialist

3 weeks ago


Brookline, Massachusetts, United States Alita Care, LLC Full time
About the Role

At Alita Care, LLC, we are seeking an experienced Clinical Care Specialist to join our team. As a Clinical Care Specialist, you will play a vital role in conducting ongoing clinical reviews with insurers to obtain authorization for care levels.

Key Responsibilities:
  • Coordinate appeals as requested by the UM Director and participate in data collection for QI indicators.
  • Act as liaison and represent the department at QI Committee meetings.
Requirements:
  • Masters-level clinician (MSN, MSW, MA) preferred.
  • 5 years of experience in behavioral health, preferably with utilization review process and insurances.

We offer a competitive salary of $120,000 per year, along with a comprehensive benefits package that includes medical, dental, and vision coverage, as well as a 401(k) plan.



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