Utilization Review (UR) Coordinator

Paycom - ATS; Des Plaines (IL); On-site; USD 60,000 - 69,000; Full time

Benefits offered by this job

401(k) + matching

Health insurance

Life insurance

Vision insurance

Dental insurance

Long term disability insurance

Paid time off

Paid holidays

Cafeteria on site +discounted meals

Employee engagement events

Employee assistance program

Employee recognition program

Free parking

Job summary

Chicago Behavioral Hospital, located in Des Plaines, IL, seeks a Utilization Review Coordinator to oversee the UR program, implement case management strategies, and ensure effective treatment plans for patients. You will collaborate with services, assess requests, and interface with payors and external reviewers.

Ideal candidates have 3+ years in psychiatric/mental health settings, with a nursing, social work, or related degree and Illinois licensure.

Qualifications

• Education & Licensure: Degree in nursing, social work, mental health/behavioral sciences, or related field required; Master’s degree preferred.
• Experience: At least 3 years direct clinical psychiatric/mental health experience; one year managing a related function preferred.
• License: LSW, LPS, LCSW, or LCPC or applicable Illinois license preferred.

Responsibilities

• Oversee the Utilization Review Program and implement case management scenarios.
• Consult with all services to ensure effective treatment plans for patients.
• Interface with managed care organizations, external reviewers, and payors.

Education

Degree in nursing, social work, mental health/behavioral sciences, or related field

Job description

Job Details: Job Location: Chicago Behavioral Hospital - Des Plaines, IL 60016, Position Type: Full Time, Salary Range: $60,000.00 - $69,000.00 Salary/year, JOIN OUR TEAM AS A UTILIZATION REVIEW COORDINATOR!

Schedule: Monday - Friday 7a-3:30p or 7:30a- 4p

Your Work MattersHow will you make a difference?

Are you a Utilization Review Coordinator with a passion for being part of a close-knit and compassionate team that truly makes a difference in the lives of patients? Are you eager to advance your career within a dynamic and expanding organization? Your perfect opportunity awaits at Chicago Behavioral Hospital!

We are looking for motivated, dependable, and dedicated caregivers to provide exceptional direct care and support to our patients. The Utilization Review Coordinator is responsible for overseeing the Utilization Review Program. This includes the implementation of case management scenarios, consulting with all services to ensure the provision of an effective treatment plan for all patients, oversees the response to requests for services and interfaces with managed care organizations, external reviewers, and other payors.

• Supervising and supporting performance improvement activities on a daily basis and assure that action is taken as needed and as authorized by organization policies and procedures.
• Receiving and reviewing department/service performance measures and documentation to evaluate performance improvement activities and coordinate reports of findings to the Quality Council, Medical Executive Committee and Board.
• Maintain records of the performance improvement performance measures and statistical tools used to describe studies performed or methodology.
• Advise and assist all departments/services and committees accountable for performance improvement activities and coordinate reports of findings to the Quality Council, Medical.

Your Experience MattersWhat we’re looking for:

• Education & Licensure:Degree in nursing, social work, mental health/behavioral sciences, or related field required; Master’s degree preferred.
• Experience:A minimum of three (3) years direct clinical experience in a psychiatric or mental health treatment setting, including one year of managing a related function preferred. Experience in patient assessment, family motivation, treatment planning and communication with external review organizations or comparable entities.
• License: LSW, LPS, LCSW, or LCPC or applicable Illinois license preferred.
• Additional Skill Requirements:May be required to work flexible hours and overtime.

Your Care MattersWhat we provide for our team:

• 401(k) + matching
• Health insurance
• 100% company-paid life insurance coverage up to 2x your annual salary
• Vision insurance
• Dental insurance
• 100% company-paid long term disability insurance
• Paid time off
• Paid holidays
• Cafeteria on site +discounted meals
• Employee engagement events
• Employee assistance program
• Employee recognition program
• Free parking

What sets us apart:

• Career & training development opportunities
• Dynamic and inclusive work environment
• Engaged management team dedicated to your success
• A guiding mission and set of values that serve as both our northstar and yours, anchoring our collective purpose and aspirations

Disclaimer: Select benefits are available to full-time positions only. Benefits are subject to change at the discretion of Chicago Behavioral Hospital.

Compensation:

This is a full -time role and the expected compensation range is $60,000.00 - $69,000.00 per year. We’re eager to engage with all qualified candidates, and consideration will be provided to experience and skill level. Join us as our Utilization Review Coordinator!

Qualifications: Get to know usOutstanding Care, Compassionate People, Unparalleled Service

Discover a fulfilling career atChicago Behavioral Hospital (CBH)!

Welcome to the heart of mental health treatment innovation in Des Plaines, Illinois! CBH, a cutting-edge 150-bed inpatient facility, is the leading provider of exceptional therapeutic care, prioritizing patient comfort and safety.

At CBH, we go beyond inpatient care by offering an outpatient partial hospitalization program, ensuring continuous support while respecting the rhythm of daily lives. Our commitment to accessible care knows no bounds, as we emphasize availability irrespective of one's ability to pay.

Join us in providing exceptional care and contributing to the well-being of individuals and families in need and be a part of the transformative healthcare experience at Chicago Behavioral Hospital.

To learn more about CBH, visit us at: https://www.chicagobehavioralhospital.com/

TOGETHER WE CAN MAKE POSITIVEI.M.P.A.C.T.S.

IndividualsMaintainingPositiveAttitude andCommitmentToService

At Chicago Behavioral Hospital, we value a diverse, inclusive workforce and provide equal employment opportunities for all applicants and employees. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, gender identity or expression, age, marital status, veteran status, disability status, pregnancy, parental status, genetic information, political affiliation, or any other status protected by the laws or regulations in the locations where we operate. Accommodations are available for applicants with disabilities.