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Human Resources Director at Streamwood Behavioral Healthcare System
Are you someone who views challenges more like opportunities? Do you excel as a people motivator? Are you a skilled negotiator with a good understanding of hospitalization insurance? Are YOU A LEADER!??! Answering yes makes you who we are looking for to excel in an exciting career opportunity as the Director of Utilization Management for SBHS! MUST HAVE RELEVANT UTILIZATION MANAGEMENT EXPERIENCE The Director of Utilization Management is responsible for the oversight of the utilization management department. Responsibilities include monitoring team members to initiate authorization of benefits, Medical Necessity for ongoing treatment, and guiding teams to next level of care step down for patients. Work closely with several departments including Physicians, Nursing, and Therapist on documentation and importance of Medical Necessity. Help treatment teams with oversight of the flow of treatment activities offered to the consumer, including the clinical screening for appropriation of potential admissions, and appropriate level of care, initiation of treatment phase(s), interface with the treatment team, interface with external case managers and managed care organizations, oversight and implementation of discharge planning and customer service. The Director will analyze data to track trends including length of stay, documentation meeting medical necessity, and appropriateness of treatment for level of care. Provide trainings to improve clinical documentation and meet goals set on appeals and denials. Run UM committee meetings providing reports to the quality committee. EXPERIENCE/EDUCATION:
Bachelor’s Degree in Nursing or Master's degree in psychology or mental/health/human services field is
REQUIRED ; A minimum of five (5) years direct clinical experience in a medical-psychiatric, psychiatric or mental health setting and at least three years’ experience in utilization management is
REQUIRED . Skills in consumer assessment, motivating families and other resources, treatment planning, and communicating with external review organizations or comparable entities is preferred. A minimum of two (2) years supervisory experience is preferred. LICENSURE/CERTIFICATION:
R.N., LPC/LCPC, or LSW/LCSW
REQUIRED .
Primary Source Verification shall be required through Illinois Department of Professional Regulations. Other relevant credentials may be accepted at the discretion of the CEO and Director of Human Resources Seniority level
Seniority level Director Employment type
Employment type Full-time Job function
Job function Health Care Provider Industries Hospitals and Health Care Referrals increase your chances of interviewing at UHS by 2x Inferred from the description for this job
Medical insurance 401(k) Tuition assistance Disability insurance Vision insurance Get notified about new Director Healthcare jobs in
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#J-18808-Ljbffr
Are you someone who views challenges more like opportunities? Do you excel as a people motivator? Are you a skilled negotiator with a good understanding of hospitalization insurance? Are YOU A LEADER!??! Answering yes makes you who we are looking for to excel in an exciting career opportunity as the Director of Utilization Management for SBHS! MUST HAVE RELEVANT UTILIZATION MANAGEMENT EXPERIENCE The Director of Utilization Management is responsible for the oversight of the utilization management department. Responsibilities include monitoring team members to initiate authorization of benefits, Medical Necessity for ongoing treatment, and guiding teams to next level of care step down for patients. Work closely with several departments including Physicians, Nursing, and Therapist on documentation and importance of Medical Necessity. Help treatment teams with oversight of the flow of treatment activities offered to the consumer, including the clinical screening for appropriation of potential admissions, and appropriate level of care, initiation of treatment phase(s), interface with the treatment team, interface with external case managers and managed care organizations, oversight and implementation of discharge planning and customer service. The Director will analyze data to track trends including length of stay, documentation meeting medical necessity, and appropriateness of treatment for level of care. Provide trainings to improve clinical documentation and meet goals set on appeals and denials. Run UM committee meetings providing reports to the quality committee. EXPERIENCE/EDUCATION:
Bachelor’s Degree in Nursing or Master's degree in psychology or mental/health/human services field is
REQUIRED ; A minimum of five (5) years direct clinical experience in a medical-psychiatric, psychiatric or mental health setting and at least three years’ experience in utilization management is
REQUIRED . Skills in consumer assessment, motivating families and other resources, treatment planning, and communicating with external review organizations or comparable entities is preferred. A minimum of two (2) years supervisory experience is preferred. LICENSURE/CERTIFICATION:
R.N., LPC/LCPC, or LSW/LCSW
REQUIRED .
Primary Source Verification shall be required through Illinois Department of Professional Regulations. Other relevant credentials may be accepted at the discretion of the CEO and Director of Human Resources Seniority level
Seniority level Director Employment type
Employment type Full-time Job function
Job function Health Care Provider Industries Hospitals and Health Care Referrals increase your chances of interviewing at UHS by 2x Inferred from the description for this job
Medical insurance 401(k) Tuition assistance Disability insurance Vision insurance Get notified about new Director Healthcare jobs in
Streamwood, IL . Downers Grove, IL $125,000.00-$188,000.00 1 week ago Aurora, IL $93,080.00-$134,804.80 2 weeks ago Director of Operations - Medical Specialties
Downers Grove, IL $125,790.00-$188,690.00 1 month ago Director Solutions Health and Human Services
Harwood Heights, IL $100,000.00-$100,000.00 1 week ago Associate Director, Global Medical Affairs Learning
Mettawa, IL $137,500.00-$261,000.00 2 weeks ago Regional Director of Behavioral Health Operations and Development
Aurora, IL $132,080.00-$191,297.59 1 week ago Oak Brook, IL $98,000.00-$105,000.00 1 week ago Aurora, IL $93,080.00-$134,804.80 11 hours ago Downers Grove, IL $121,200.00-$177,900.00 1 day ago Des Plaines, IL $80,000.00-$100,000.00 2 weeks ago Regional Director of Patient Access (Meditech)
Aurora, IL $93,080.00-$134,804.80 3 weeks ago Medical Director, Patient Safety and Compliance
Lake Forest, IL $147,300.00-$294,700.00 1 month ago St Charles, IL $100,000.00-$140,000.00 1 week ago Client Success Director - Healthcare Provider Market
Rosemont, IL $128,000.00-$173,000.00 1 week ago Physician Practice Operations Manager Primary Care
Director of Nursing - $5000 Sign-On Bonus
Sr. Director of Resident & Hospitality Services
Burr Ridge, IL $135,000.00-$145,000.00 2 weeks ago Lisle, IL $100,171.61-$175,761.84 1 day ago Assistant DON (Director of Nursing) Office Based
Physician Practice Operations Manager Primary Care
Associate Director, Health Economics & Outcomes Research
Lake Forest, IL $125,300.00-$250,700.00 1 month ago Lincolnwood, IL $85,000.00-$110,000.00 2 days ago Aurora, IL $167,316.00-$195,202.00 2 days ago Health and Safety Director Governance & Programs
Deerfield, IL $184,000.00-$253,000.00 1 month ago Director of District Operations - Physical Therapist
Naperville, IL $80,000.00-$100,000.00 1 month ago We’re unlocking community knowledge in a new way. Experts add insights directly into each article, started with the help of AI.
#J-18808-Ljbffr