Behavioral Health Utilization Manager — Case & Care Coordination

Abraxas Youth & Family Services; Woodridge (IL); On-site; USD 54,000 - 66,000; Full time

Benefits offered by this job

Medical, Dental, and Vision Insurance

401(k)

Tuition Assistance Program

Paid Time Off

Life Assistance Program

Job summary

A nonprofit human services provider is seeking a Utilization Manager for its Woodridge location. The role involves monitoring concurrent reviews, requesting authorizations, and managing various clinical documentation to ensure compliance with healthcare regulations. Candidates should hold a Bachelor’s degree in a behavioral health field and have at least two years of case management experience. Benefits include medical insurance, a 401(k) plan, and tuition assistance, among other perks.

Qualifications

• 2+ years of behavioral health case management experience.
• Experience working with Medicaid and state-specific healthcare systems.
• CADC, LPC, or LSW required.

Responsibilities

• Monitor and track concurrent reviews for timeliness and content.
• Perform continued stay and retrospective reviews.
• Prepare and submit clinical appeals for inappropriate referrals.

Skills

Behavioral health case management

Hospital utilization review

Collaboration with state agencies

Knowledge of DSM IV

Education

Bachelor's degree in a behavioral health field

Job description

A nonprofit human services provider is seeking a Utilization Manager for its Woodridge location. The role involves monitoring concurrent reviews, requesting authorizations, and managing various clinical documentation to ensure compliance with healthcare regulations. Candidates should hold a Bachelor’s degree in a behavioral health field and have at least two years of case management experience. Benefits include medical insurance, a 401(k) plan, and tuition assistance, among other perks.