Utilization Review Specialist: Behavioral Health Insurance

Pavilionhospital; Champaign (IL); On-site; USD 60,000 - 80,000; Full time

Benefits offered by this job

Challenging and rewarding work environment

Competitive Compensation

Medical, Dental, Vision and Prescription Drug Plan

401(K) with company match

Generous Paid Time Off

Career development opportunities

Job summary

Pavilionhospital in Champaign, Illinois is seeking a Full-time Utilization Review Coordinator. This role is integral to ensuring that open charts are properly reviewed for service utilization, and you will interact with insurance to obtain necessary certifications for hospital stays. A Master’s degree in human services or an RN licensure is required, along with a preference for candidates with experience in behavioral health settings. Attractive benefits include competitive compensation, medical plans, and generous paid time off.

Qualifications

• Master’s degree in the human services field (counseling, psychology, social work) or RN licensure within Illinois required.
• Previous professional experience in a behavioral health setting preferred.

Responsibilities

• Ensure open charts are reviewed appropriately to identify utilization of services.
• Contact insurance and review companies to obtain certification for hospital stays.

Skills

Behavioral Health Knowledge

Communication Skills

Critical Thinking

Education

Master’s degree in human services or RN licensure

Job description

Pavilionhospital in Champaign, Illinois is seeking a Full-time Utilization Review Coordinator. This role is integral to ensuring that open charts are properly reviewed for service utilization, and you will interact with insurance to obtain necessary certifications for hospital stays. A Master’s degree in human services or an RN licensure is required, along with a preference for candidates with experience in behavioral health settings. Attractive benefits include competitive compensation, medical plans, and generous paid time off.