Utilization Management Coordinator

Streamwood Behavioral Healthcare System (SBHS) is looking for a dynamic career-oriented professional to join our Utilization Management team as a UM Coordinator.

EXPERIENCE/EDUCATION

Bachelor's Degree in nursing or Master's Degree in psychology or mental/health/human services field is

REQUIRED . A

minimum of three (3) years direct clinical experience in a medical-psychiatric, psychiatric or mental health setting and at least two years experience in utilization management is

REQUIRED

. Skills in consumer assessment, motivating families and other resources, treatment planning, and communicating with external review organizations or comparable entities is preferred.

LICENSURE/CERTIFICATION

LPC, LSW, LCPC, OR LCSW highly preferred. Primary Source Verification shall be required through Illinois Department of Professional Regulations The candidate selected will be responsible for the following: The Utilization Management Coordinator is responsible for conducting admission and concurrent reviews in accordance with the hospital wide Utilization Management Plan. The UM Coordinator serves as a liaison to 3rd and 4th party reviewers and conducts focused reviews as determined by the Utilization Management Committee. The UM Coordinator maintains all records/data required through the UM Plan and Committee and appeals denied authorizations of dates of services when medical necessity for continued care is evident. The UM Coordinator tracks and reports denials in MIDAS, participates in staff/physician education relative to medical record documentation and actively participates in the UM Committee by tracking data and trends to be reviewed in order to improve the quality of systems as it relates to the UM Plan.

Benefits include:

Challenging and rewarding work environment Competitive Compensation & Generous Paid Time Off Excellent Medical, Dental, Vision and Prescription Drug Plans 401(K) with company match and discounted stock plan SoFi Student Loan Refinancing Program Career development opportunities within UHS and its 300+ Subsidiaries!

Job Type:

Full-time Pay:

$68,500.00 - $85,000.00 per year

Benefits:

401(k) 401(k) matching Dental insurance Disability insurance Employee assistance program Employee discount Flexible spending account Health insurance Life insurance Paid time off Tuition reimbursement Vision insurance

Work Location:

In person