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Job Details


Requisition Number 19-1221
Title UTILIZATION MANAGEMENT SPECIALIST - LAKE VILLA
Program Lake Villa - Adult
City LAKE VILLA
State IL
Full-Time
Description As Illinois’ largest provider of substance abuse treatment, joining the team at Gateway Foundation Alcohol & Drug Treatment offers valuable experience with a variety of treatment methods as well as an opportunity to collaborate with skilled experts about a diverse clientele. Gateway welcomes the challenge of constant improvement and is proud to uphold the Joint Commission Gold Seal of Approval. In addition to a competitive salary, Gateway offers employees health benefits, dental insurance, career advancement, training and development and on-site clinical supervision to individuals pursuing certifications and licensures.

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

Requirements Requirements:
• Current IL licensure as a Registered Nurse; or Masters’ degree in social work, psychology, mental health or substance abuse counseling and certification (CADC) or licensure (LPC, LSW, LCPC or LCSW) in the state of Illinois required
• 1+ years of experience with the utilization management process in a healthcare setting
• This is a full-time position working Monday – Friday, daytime hours


Competitive Compensation and Benefits:

Gateway Foundation values its employees and provides an inclusive and diverse work environment where dedicated employees can make a difference. We are committed to engaging and rewarding our employees in meaningful ways. For eligible employees, we provide a Total Rewards Package that includes:

• Health Insurance - Including a wellness premium incentive opportunity
• Dental & Vision Insurance
• Paid Time Off - Including 18 days of PTO and 9 paid holidays in the first year
• Catastrophic Absence Time (CAT) - Accrue up to seven days annually, to be used during an extended personal illness
• Flexible Spending Accounts
• Commuter Accounts
• 403(b) Retirement Plan with company match
• Life and AD&D Insurance
• Long-Term Disability (LTD)
• Employee Assistance Program (EAP)
• Gateway is a qualified employer for Public Service Loan Forgiveness (PSLF)
• Tuition Reimbursement
• Training & Development Programs


Gateway Foundation is an Equal Opportunity Employer: Race/Color/Sex/Sexual Orientation/ Gender Identity/Religion/National Origin/Disability/Vets.
  • 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.
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