Utilization Review Coordinator conducts utilization reviews to determine if patients are receiving care appropriate to illness or condition. Monitors patient charts and records to evaluate care concurrent with the patients treatment. Being a Utilization Review Coordinator reviews treatment plans and status of approvals from insurers. Collects and complies data as required and according to applicable policies and regulations. Additionally, Utilization Review Coordinator consults with physicians as needed. May require a bachelor's degree. Typically reports to a supervisor. Typically requires Registered Nurse(RN). The Utilization Review Coordinator contributes to moderately complex aspects of a project. Work is generally independent and collaborative in nature. To be a Utilization Review Coordinator typically requires 4 to 7 years of related experience. (Copyright 2024 Salary.com)
Chicago Behavioral Hospital (CBH) is a 147-bed acute care facility located in Des Plaines, IL that has been providing mental health treatment to the Chicagoland community and the state of Illinois since 2014. We offer specialized inpatient programs and outpatient services to adolescents and adults, proven to decrease symptoms of mental illness with a clear missionto help people in our community live healthier lives.
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We have an exciting opportunity to join our team as a Utilization Review Coordinator. If you are looking for a career where you can grow and make a difference in your community, we invite you to apply today!
Title: UR Coordinator
Department: Utilization Management
Location: 555 Wilson Lane, Des Plaines, IL 60016
Position Description:
The Utilization Review Coordinator is responsible for overseeing the Utilization Review Program. This includes the implementation of case management scenarios, consulting with all services to ensure the provision of an effective treatment plan for all patients, oversees the response to requests for services and interfaces with managed care organizations, external reviewers, and other payors.
Education: Degree in nursing, social work, mental health/behavioral sciences, or related field required; Masters degree preferred.
Experience: A minimum of three (3) years direct clinical experience in a psychiatric or mental health treatment setting, including one year of managing a related function preferred. Experience in patient assessment, family motivation, treatment planning and communication with external review organizations or comparable entities.
License: LSW, LPS, LCSW, or LCPC or applicable Illinois license preferred.
Chicago Behavioral Hospitaloffers competitive rates and benefits including:
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Equal Opportunity Employer
At Chicago Behavioral Hospital we value a diverse, inclusive workforce and we provide equal employment opportunity for all applicants and employees.We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, gender identity or expression, age, marital status, veteran status, disability status, pregnancy, parental status, genetic information, political affiliation, or any other status protected by the laws or regulations in the locations where we operate.Accommodations are available for applicants with disabilities.