• UTILIZATION MANAGEMENT SPECIALIST – LAKE VILLA, IL

    Posted on June 12, 2020 by in
    Published
    June 12, 2020
    Location
    Lake Villa
    Job Type
    Full-Time
    Certification Type
    CADC
    Company Name
    Gateway Foundation
    Your Name
    Wajiha Khan

    Description

    Utilization Management Specialists are responsible for:

    Obtaining initial and subsequent authorizations of clinical services from insurance and government payors

    Reviewing clinical records and determining the appropriateness of patient admission, level of care, continued length of stay, and discharge

    Providing training and support to clinical treatment staff on the insurance authorization process

    Assisting staff with preparing peer-to-peer reviews and clinical appeals by advising them on presenting case information in accordance with established procedures

    Preparing regular summary reports and presentations on utilization management data

    Other duties as assigned

     

    Job Requirements:

    Current IL licensure as a Registered Nurse; or Masters’ degree in social work, psychology, mental health or substance abuse counseling and certification (CADC) or licensure (LPC, LSW, LCPC or LCSW) in the state of Illinois required

    1+ years of experience with the utilization management process in a healthcare setting

    This is a full-time position working Monday – Friday, daytime hours

    ***Please click on the link below to Apply:

     

    https://careers.gatewayfoundation.org/job/Lake-Villa-UTILIZATION-MANAGEMENT-SPECIALIST-LAKE-VILLA%2C-IL-IL-60046/649309800/

    Apply
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