Clinician

• Provide outpatient individual MI/PSB treatment according to client treatment plans
• Develop clinical formulations and individualized treatment plans
• Lead group therapy for individuals with MI/PSB needs at MMHC
• Participate as an active member of the MI/PSB team and attend weekly team meetings
• Assist with MI/PSB-specific consultations, record reviews, evaluations, and comprehensive assessments
• Identify treatment and risk-management needs for individuals in the Metro Boston area
• Provide MI/PSB-specific care coordination, outreach, and engagement
• Collaborate with collateral service providers through treatment planning, review, and informational meetings
• Contribute clinical perspectives to team meetings and provide emergency and planned client coverage
• Provide clinical supervision to staff and trainees
• Provide MI/PSB consultation and clinical support to HOT, ACCS programs, and case management services
• Collaborate with multidisciplinary teams to develop, implement, review, and update treatment plans
• Respond to emergencies in accordance with MMHC policies and procedures
• Develop and deliver MI/PSB-specific in-service training for MMHC staff, DMH staff, and ACCS providers
• Report critical incidents and fulfill mandated-reporting responsibilities
• Provide clinical support to supervisors and attend clinical meetings and presentations
• Maintain accurate, timely, and complete clinical documentation
• Complete assigned responsibilities within deadlines and report barriers to supervisors
• Uphold ethical and professional standards
• Report safety and security concerns
• Participate in teaching and related educational activities; psychology applicants may train psychiatric residents
• Attend required and recommended in-service training and develop MI/PSB clinical expertise
• Provide coverage for other MI/PSB staff
• Perform other assigned duties

Mental Illness/Problematic Sexual Behavior Licensed Clinician

• Perform utilization management, medical necessity determinations and benefit determinations for clinically complex services and coverage requests
• Apply coverage documents, purchased clinical guidelines and Medical Necessity Guidelines consistently within product-specific timeframes
• Collaborate with Medical Directors on denial determinations and ensure standard business processes are followed and documented
• Coach letter writers on appropriate medical necessity language for denial letters
• Communicate with physicians, practices, facilities, allied health providers and external customers regarding determinations and case status
• Orient new staff as needed
• Interface between Precertification staff and providers regarding policy interpretation, access availability and quality assurance issues
• Facilitate communication between Precertification and internal departments as a liaison or committee member for new programs
• Provide input to the Medical Policy Department on Medical Necessity Guidelines and purchased criteria through IMPAC medical systems
• Identify Utilization Management trends in precertification and outpatient UM processes
• Assist in screening appeal cases and provide clinical input
• Model professionalism and leadership
• Perform other projects and duties as assigned

Outpatient Clinician, RN Reviewer

• Perform clinical decision-making and utilization management for clinically complex services and coverage requests
• Determine medical necessity and benefit coverage using applicable coverage documents, clinical guidelines and Medical Necessity Guidelines
• Ensure consistent and timely coverage decisions within product-specific compliance and regulatory timeframes
• Collaborate with Medical Directors on adverse determinations and document process variances
• Coach letter writers on appropriate medical necessity language for denial letters
• Communicate with physicians, practices, facilities, allied health providers and external customers regarding determinations and case status
• Orient new staff as needed
• Liaise between Precertification staff and providers on policy interpretation, access availability and quality assurance issues
• Facilitate communication between Precertification and internal departments on new program development and implementation
• Provide input to the Medical Policy Department on Medical Necessity Guidelines and purchased criteria through IMPAC medical systems
• Identify Utilization Management trends in precertification and outpatient UM processes
• Assist with clinical screening of appeal cases
• Model professionalism and leadership
• Perform other assigned projects and duties

Outpatient Clinician RN Reviewer

• Manage a clinically complex caseload of varied service requests
• Perform utilization management, medical necessity determinations and benefit determinations using coverage documents, clinical guidelines and Medical Necessity Guidelines
• Ensure consistent and timely coverage decisions within product-specific compliance and regulatory time frames
• Collaborate with Medical Directors on denial determinations and business processes
• Coach letter writers on appropriate medical necessity language for denial letters
• Communicate with physicians, practices, facilities, allied health providers and external customers regarding determinations and case status
• Orient new staff as needed
• Interface between Precertification staff and providers regarding policy interpretation, access availability and quality assurance issues
• Facilitate communication between Precertification and internal departments on new program development or implementation
• Provide input to the Medical Policy Department on Medical Necessity Guidelines and purchased criteria through IMPAC medical systems
• Identify Utilization Management trends in precertification and outpatient UM processes
• Assist with screening appeal cases and provide clinical input
• Model professionalism and leadership
• Complete other projects and duties as assigned

• Provide behavioral health crisis consultation services and related service delivery for youth, adult and geriatric populations in a hospital-based setting
• Provide assessment, treatment interventions and crisis counseling
• Manage the acute phase of clients presenting in behavioral health crisis; assess, triage and refer clients to appropriate services
• Develop and maintain collaborative relationships with hospital-based staff and other providers
• Utilize supervision effectively, share pertinent information, accept feedback and seek guidance for difficult cases
• Maintain current knowledge and use of resources, policies, procedures, regulatory and compliance requirements
• Answer telephone as needed and provide timely assessment and next-step support
• Abide by emergency department performance specifications
• Meet productivity standards
• Maintain a professional demeanor
• Perform other related duties as assigned
• Conduct evaluations in the hospital either in-person or via telehealth; position conducted remotely via telehealth

Clinician jobs in Massachusetts

Mental Illness/Problematic Sexual Behavior Licensed Clinician

Outpatient Clinician, RN Reviewer

Outpatient Clinician RN Reviewer

Outpatient Clinician, RN Reviewer

Crisis Clinician, Telehealth – Emergency Services