What are the responsibilities and job description for the RN Utilization Review Behavioral Health position at UChicago Medicine AdventHealth GlenOaks?
All the benefits and perks you need for you and your family:
- Benefits from Day One (FT/PT positions)
- Paid Time Off from Day One (FT/PT positions)
- Student Loan Repayment Program
- Career Development
- Whole Person Wellbeing Resources
- Mental Health Resources and Support
- Paid Parental Leave (FT positions only)
- Debt-free Education (Certifications and Degrees without out-of-pocket tuition expense
Our promise to you:
Joining UChicago Medicine 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. UChicago Medicine 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.
Schedule: Full-Time 36 hours/week, 11am - 7pm or 10am - 6pm (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. The salary range reflects the anticipated base pay range for this position. Individual compensation is determined based on skills, experience and other relevant factors within this pay range. The minimums and maximums for each position may vary based on geographical location.
Category: Case Management
Organization: UChicago Medicine AdventHealth GlenOaks
Schedule: Full-time
Shift: 1 - Day
Req ID: 25006173
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.
