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UTILIZATION MANAGEMENT SPECIALIST - LAKE VILLA

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Job Details
Job Order Number
6918586
Company Name
Gateway Foundation, Inc.
Physical Address
25480 WEST CEDARCREST LANE, Suite 1500
Lake Villa, IL 60046
Job Description

Requisition Number
19-1221

Post Date
10/16/2019

Title
UTILIZATION MANAGEMENT SPECIALISTLAKE VILLA

Code and Title
2246 – UTILIZATION MGMT SPEC

Program
Lake Villa – Adult

City
LAKE VILLA

State
IL

Full-Time

Job Description
As Illinois’ largest provider of substance abuse treatment, joining the team at Gateway Foundation Alcohol & Drug Treatment offers valuable experience with a variety of treatment methods as well as an opportunity to collaborate with skilled experts about a diverse clientele. Gateway welcomes the challenge of constant improvement and is proud to uphold the Joint Commission Gold Seal of Approval. In addition to a competitive salary, Gateway offers employees health benefits, dental insurance, career advancement, training and development and on-site clinical supervision to individuals pursuing certifications and licensures.

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

Requirements
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

Competitive Compensation and Benefits:

Gateway Foundation values its employees and provides an inclusive and diverse work environment where dedicated employees can make a difference. We are committed to engaging and rewarding our employees in meaningful ways. For eligible employees, we provide a Total Rewards Package that includes:

  • Health Insurance – Including a wellness premium incentive opportunity
  • Dental & Vision Insurance
  • Paid Time Off – Including 18 days of PTO and 9 paid holidays in the first year
  • Catastrophic Absence Time (CAT) – Accrue up to seven days annually, to be used during an extended personal illness
  • Flexible Spending Accounts
  • Commuter Accounts
  • 403(b) Retirement Plan with company match
  • Life and AD&D Insurance
  • Long-Term Disability (LTD)
  • Employee Assistance Program (EAP)
  • Gateway is a qualified employer for Public Service Loan Forgiveness (PSLF)
  • Tuition Reimbursement
  • Training & Development Programs
  • Gateway Foundation is an Equal Opportunity Employer: Race/Color/Sex/Sexual Orientation/ Gender Identity/Religion/National Origin/Disability/Vets.
  • Please view Equal Employment Opportunity Posters provided by OFCCP here.

Gateway Foundation is an Equal Opportunity Employer: Race/Color/Sex/Sexual Orientation/Gender Identity/Religion/National Origin/Disability/Vets


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