What makes Kindred Healthcare a great place to work? Our people, of course! Our clinicians answer this special calling because they have a fundamental, internal drive to directly help people. In return, we serve, develop and respect our employees in environments created to optimize their job effectiveness, experience, and satisfaction. This is who we are.
Who are you? To succeed in our high-energy, high-reward environment, our clinicians provide compassionate critical care and deliver exceptional patient experiences , meaningful outcomes, and bonds for life.
As our most acute level of care, Kindred's transitional care hospitals offer the same critical care patients receive in a traditional hospital or intensive care unit , but for an extended recovery period. Our clinicians play a vital role in the recovery process for chronic, critically ill and medically complex patients .
As a Utilization Management Specialist you will:
Coordinate utilization management reviews for all assigned inpatient, partial hospitalization and intensive outpatient program patients.
Follows patients throughout the continuum of care and ensures optimum utilization of resources, service delivery and compliance with external review agencies.
Obtains authorizations for services, coordinates peer-to-peer reviews for assigned caseload.
Understands medical necessity criteria and facilitates accurate and timely documentation to support advocacy of services.
Coordinates closely with Director of Utilization Management, Nursing and Clinical Services.
As a Utilization Management Specialist you will have:
Master's Degree in Social Work, Marriage and Family Therapy or Counseling from an accredited school or BSN, RN
Independent Practice Scope License in state of practice, LCSW, LMFT, LPC or BSN RN
Minimum one year experience in Inpatient Psychiatric Facility Utilization Management or three years' experience in an Inpatient Psychiatric setting in Clinical or Nursing Departments
Job : Behavior/Mental Health Primary Location : IL-Chicago-BU Chicago North Organization : 4237 - BU Chicago North Shift : Day