Illinois Licensed Utilization Manager

Job Summary

Providing utilization management services, the full-time Illinois Licensed Utilization Manager will collaborate with the interdisciplinary team to ensure appropriate patient placement and insurance compliance for inpatient adolescent psychiatric care in a remote setting.

Key responsibilities

• Collaborates with the interdisciplinary team to facilitate patient placement and ensure insurance requirements are met
• Reviews patient admissions and records to determine the appropriateness of care levels and participates in treatment conferences
• Assists in quality improvement processes by collecting data, analyzing care factors, and participating in documentation revisions

Required qualifications

• Bachelor's Degree in Social Work, Psychology, or a related field
• Basic Life Support (BLS) certification within 30 days of hire
• Crisis Prevention Institute (CPI) Training certification
• Experience in behavioral health settings
• Knowledge of community resources and third-party regulations, including Medicare/Medicaid