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Emergency management specialist • springfield il
Utilization Management Specialist - Springfield, IL
Gateway Foundation IncSpringfield, IL, USManagement Team
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Gateway Foundation IncSpringfield, IL, US- serp_jobs.job_card.full_time
Who is Gateway Foundation?
Gateway Foundation, Inc. is a national non-profit dedicated to helping individuals with substance use and mental health disorders. Established in 1968, Gateway provides essential tools and knowledge for recovery, positively impacting hundreds of thousands of lives. Operating through its Community Services, Corrections Divisions, and Corporate Headquarters, the organization is recognized for innovative, effective treatment approaches and maintaining high standards.
Why join us?
Consider joining our team, where your impact can be truly meaningful. Our organization focuses on delivering high quality clinical services as a recognized leader in evidence-based treatment proven to get results. By joining our team, you'll have the chance to provide essential services to underserved populations, all while working for an organization that values you and aims to be an employer of choice. You can expect to be part of a vibrant culture that emphasizes teamwork and professional growth. When you join us, you have the opportunity to find both personal and professional fulfillment by aligning your career with your values.
Utilization Management Specialists are responsible for :
- Obtaining initial and subsequent authorizations of clinical services from insurance and government payors
- Reviewing clinical records and determining the appropriateness of patient admission, level of care, continued length of stay, and discharge
- Providing training and support to clinical treatment staff on the insurance authorization process
- Assisting staff with preparing peer-to-peer reviews and clinical appeals by advising them on presenting case information in accordance with established procedures
- Preparing regular summary reports and presentations on utilization management data
- Other duties as assigned
Job Requirements :
Physical Requirements :
Compensation (based on experience and credentials) :
Benefits at Gateway Foundation :
Health and Wellness :
Financial Wellbeing :
Flexibility and Time Off :
Personal Development :
Gateway Foundation is an Equal Opportunity Employer : Race / Color / Sex / Sexual Orientation / Gender Identity / Religion / National Origin / Disability / Vets. Please view Equal Employment Opportunity Posters provided by OFCCP here .