at NorthShore University Health System in Warrenville, Illinois, United States
Job Description
Position Highlights:
Position: Manager, Utilization Management
Location: Warrenville, IL
Full Time
Hours: M-F 8-30
Plans, manages, and coordinates all aspects of the Utilization Management team.Collaborates with internal and external partiesto ensure efficient revenue cycle workflows and processes for patients within the system.Develops education strategies for medical necessity to enhance financial viability of the organization.Responsible for analysis and education on revenue cycle and insurance trends pertaining to behavioral health.
What you will need:
Knowledge, Skills and Abilities (KSAs):
Knowledge of DSM IV-R (Diagnostic and Statistical Manual of Mental Disorders) diagnostic criteria and patient rights and law pertaining to mental health
Knowledge of the different levels of hospital mental health care-inpatient, Partial Hospitalization Program (PHP), Intensive Outpatient Program (IOP)
Minimum Education requirements:
Master's Degree in a behavioral health-relatedfield or Bachelor's of Science in Nursing or PHD in Psychology
Minimum Licensure Requirements:
Current State of Illinois licensure e.g. LCSW, LCPC, LSW, LPC, Clinical Psychologist License or RN
Minimum Work Experience:
Minimum two years of supervisory experience
Minimum three years of health care experience
A minimum of two years of previous experience as a UM associate or related job roles.
Benefits:
Career Pathways to Promote Professional Growth and Development
Various Medical, Dental, and Vision options,
Tuition Reimbursement
Free Parking at designated locations
Wellness Program Savings Plan
Health Savings Account Options
Retirement Options with Company Match
Paid Time Off and Holiday Pay
Community Involvement Opportunities
EOE: Race/Color/Sex/Sexual Orientation/ Gender Identity/Religion/National Origin/Disability/Vets, VEVRRA Federal Contractor.
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