Manager-Utilization Management - Chicago, IL - Behavioral Health

Company: Montrose Behavioral Health Hospital (FKA Aurora Ch
Location: Chicago
Posted on: May 28, 2023

Job Description:

Manager-Utilization Management - Chicago, ILESSENTIAL FUNCTIONS:
-- Provide consultation and guidance regarding admissions and patient length of stay to a variety of payers.
-- Secure authorizations with insurance companies for inpatient treatment and continue to obtain authorizations for duration of patient stay.
-- Evaluate the utilization program for compliance with regulations, policies and procedures.
-- Review clinical documentation from denied stays against criteria to determine if documentation is adequate for requested treatment.
-- Provide staff management to including hiring, development, training, performance management and communication to ensure effective and efficient department operation.
EDUCATION/EXPERIENCE/SKILL REQUIREMENTS:
-- Associate's degree required. Bachelor's or master's degree in social work, behavioral or mental health, nursing or other related health field preferred.
-- Four or more year's clinical experience with the population of the facility and previous experience in utilization management required.
LICENSES/DESIGNATIONS/CERTIFICATIONS:
-- If applicable, current licensure as an RN within the state where the facility provides services; or current clinical professional license or certification, as required, within the state where the facility provides services.
-- CPR and de-escalation and restraint certification required (training available upon hire and offered by facility).
-- First aid may be required based on state or facility requirements.

Keywords: Montrose Behavioral Health Hospital (FKA Aurora Ch, Chicago , Manager-Utilization Management - Chicago, IL - Behavioral Health, Executive , Chicago, Illinois