Manager, Utilization Management LOH

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 parties to 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-related field 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

R12652