Utilization Review RN Behavioral Health

Utilization Review RN Behavioral Health Glendale Heights, IL

UChicago Medicine AdventHealth GlenOaks

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• Job Schedule: Full-time
• Pay Range: $33.6 - $50.4
• Job ID: 25001191
• Job Family: Behavioral
• Shift: 1 - Day
  
  

Serving patients since 1980, UChicago Medicine AdventHealth GlenOaks features 143 licensed beds, a Level II trauma center, and a therapeutic day school and transition program. Our key service lines are orthopedics, pain management, oncology, surgery and our Birth Center. UChicago Medicine AdventHealth Glen Oaks is the only disproportionate-share hospital in DuPage County. Staff members are committed to delivering highly personalized, compassionate care in a hospital complete with new technologies, aesthetic updates, recent renovations and all-private patient rooms.

Every day, our fellow team members show up to work, unified by one shared mission: Extending the Healing Ministry of Jesus Christ. As a faith-based health care organization, our story is one of hope as we strive to heal and restore the body, mind and spirit. Though our facilities are spread across the country, this unwavering belief binds us together. Across every office, exam and patient room, we’re committed to providing individualized, holistic care. This is our Christian mission, and it inspires us to help make communities healthier and happier.

All the benefits and perks you need for you and your family:

• Benefits from Day One
• Paid Time Off from Day One
• Student Loan Repayment Program
• Career Development
• Whole Person Wellbeing Resources
• Mental Health Resources and Support
• Paid Parental Leave
• Debt-free Education (Certifications and Degrees without out-of-pocket tuition expense
  
  

Schedule: Full-Time 36 hours/week, 11am - 7pm (hours may change based on business need), No weekends/holidays

Location: UChicago Medicine AdventHealth GlenOaks Hospital, Behavioral Health, 701 Winthrop Ave, Glendale Heights, IL

The Role You’ll Contribute

Provides health care services regarding admissions, case management, discharge planning and utilization review for Behavioral Health

The Value You’ll Bring To The Team

• Reviews admissions and service requests within assigned unit for prospective, concurrent and retrospective medical necessity and/or compliance with reimbursement policy criteria. Provides case management and/or consultation for complex cases.
• Assists departmental staff with issues related to coding, medical records/documentation, precertification, reimbursement and claim denials/appeals.
• Assesses and coordinates discharge planning needs with healthcare team members.
• May prepare statistical analysis and utilization review reports as necessary.
• Oversees and coordinates compliance to federally mandated and third-party payer utilization management rules and regulations.
  
  

Qualifications

The expertise and experiences you’ll need to succeed:

• Diploma from an accredited school/college of nursing required.
• Behavioral Health RN experience strongly preferred
• Experience in utilization review strongly preferred
• Registered Nurse credentialed from the Illinois Board of Nursing obtained prior to hire date or job transfer date.
  
  

This facility is an equal opportunity employer and complies with federal, state and local anti-discrimination laws, regulations and ordinances.

Category: Behavioral

Organization: UChicago Medicine AdventHealth GlenOaks

Schedule: Full-time

Shift: 1 - Day

Req ID: 25001191

We are an equal opportunity employer and do not tolerate discrimination based on race, color, creed, religion, national origin, sex, marital status, age or disability/handicap with respect to recruitment, selection, placement, promotion, wages, benefits and other terms and conditions of employment.

Apply Now

Apply Now

Internal Employees Apply Here

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Our Promise To You

Joining AdventHealth is about being part of something bigger. It’s about belonging to a community that believes in the wholeness of each person, and serves to uplift others in body, mind and spirit. AdventHealth is a place where you can thrive professionally, and grow spiritually, by Extending the Healing Ministry of Christ. Where you will be valued for who you are and the unique experiences you bring to our purpose-minded team. All while understanding that together we are even better.