Job description
Who is Timberline Knolls
Timberline Knolls is a residential treatment center located on 43 beautiful acres just outside Chicago, offering a nurturing environment of recovery for women and girls ages 12 and older struggling to overcome eating disorders, substance abuse, mood disorders, trauma and co-occurring disorders. An adult partial hospitalization program is available for step down and for women to direct admit. By serving with uncompromising care, relentless compassion and an unconditional joyful spirit, we help our residents and clients help themselves in their recovery.
Description:
We currently have openings for a full-time and PRN Utilization Review Manager to join our caring team of professionals. The full-time position is working 40 hours a week, with some weekends. The PRN position is on an as needed basis.
Salary: $56,000-$62,000
ESSENTIAL FUNCTIONS:
- Provide consultation and guidance regarding admissions and patient length of stay to a variety of payers.
- Secure authorizations with insurance companies for inpatient treatment and continue to obtain authorizations for duration of patient stay.
- Evaluate the utilization program for compliance with regulations, policies and procedures.
- Review clinical documentation from denied stays against criteria to determine if documentation is adequate for requested treatment.
- Provide staff management to including hiring, development, training, performance management and communication to ensure effective and efficient department operation.
OTHER FUNCTIONS:
- Perform other functions and tasks as assigned.
EDUCATION/EXPERIENCE/SKILL REQUIREMENTS:
- Associate's degree required. Bachelor's or master’s degree in social work, behavioral or mental health, Nursing or other related health field preferred.
- Four or more year's clinical experience with the population of the facility and previous experience in utilization management required.
- One or more years supervisory experience required.
LICENSES/DESIGNATIONS/CERTIFICATIONS:
- If applicable, current licensure as an RN within the state where the facility provides services; or current clinical professional license or certification, as required, within the state where the facility provides services.
- Current Licensure as an LCSW, LCPC, or LMFT preferred.
- CPR and de-escalation and restraint certification required (training available upon hire and offered by facility).
- First aid may be required based on state or facility requirements.
Job Types: Full-time, PRN
Pay: $56,000.00 - $62,000.00 per year
Benefits:
- 401(k) matching
- Dental insurance
- Flexible schedule
- Health insurance
- Vision insurance
Physical setting:
- Inpatient
Schedule:
- 8 hour shift
- Day shift
- Monday to Friday
- On call
- Weekend availability
Work Location: One location
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