UTILIZATION MANAGEMENT COORDINATOR

Hartgrove Behavioral Health System consists of a 160-bed leading psychiatric hospital dedicated to providing quality behavioral health services for a diverse population of all ages. A flagship behavioral health facility within Universal Health Services, Inc. and throughout Illinois, Hartgrove is a state-of-the-art facility offering some of the most advanced...

Hartgrove Behavioral Health System consists of a 160-bed leading psychiatric hospital dedicated to providing quality behavioral health services for a diverse population of all ages. A flagship behavioral health facility within Universal Health Services, Inc. and throughout Illinois, Hartgrove is a state-of-the-art facility offering some of the most advanced...

Responsibilities JOB SUMMARY: Performs timely, daily clinical reviews with all payer types, to secure authorization for initial and continued treatment based on payer's criteria and in accordance with the hospital wide Utilization Management Plan. Serves as liaison to 3rd and 4th party reviewers, effectively coordinating collection of all supporting data to...

Responsibilities JOB SUMMARY: Performs timely, daily clinical reviews with all payer types, to secure authorization for initial and continued treatment based on payer’s criteria and in accordance with the hospital wide Utilization Management Plan. Serves as liaison to 3rd and 4th party reviewers, effectively coordinating collection of all supporting...

Responsibilities JOB SUMMARY: Performs timely, daily pre-certifications, to secure initial authorization based on payer's criteria and in accordance with the hospital wide Utilization Management Plan. Coordinates with the Business Office, Admissions Department and Utilization Management Department. Obtains billing and insurance information, verification of...

Responsibilities JOB SUMMARY: Performs timely, daily pre-certifications, to secure initial authorization based on payer's criteria and in accordance with the hospital wide Utilization Management Plan. Coordinates with the Business Office, Admissions Department and Utilization Management Department. Obtains billing and insurance information, verification of...

**Responsibilities**: **JOB SUMMARY**: Responsible for all denial and appeal activities for the Utilization Management department, including Expedited Appeals, Standard Appeals, External Independent Reviews, Retrospective Reviews, and State Fair Hearings. Review clinical information for all appeals utilizing nationally recognized criteria to determine...

**Purpose**: Provides leadership in the development, support, and maintenance of the agency quality management systems. In a culturally competent and responsive manner, responds to requests for information from staff and external parties as required. Articulates C4s mission and vision. **Job Functions**: **Essential and Core Job Duties**: - Directs and...

ResponsibilitiesJOB SUMMARY: Responsible for all denial and appeal activities for the Utilization Management department, including Expedited Appeals, Standard Appeals, External Independent Reviews, Retrospective Reviews, and State Fair Hearings. Review clinical information for all appeals utilizing nationally recognized criteria to determine medical...

ResponsibilitiesJOB SUMMARY: Responsible for all denial and appeal activities for the Utilization Management department, including Expedited Appeals, Standard Appeals, External Independent Reviews, Retrospective Reviews, and State Fair Hearings. Review clinical information for all appeals utilizing nationally recognized criteria to determine medical...

Responsibilities JOB SUMMARY: Responsible for all denial and appeal activities for the Utilization Management department, including Expedited Appeals, Standard Appeals, External Independent Reviews, Retrospective Reviews, and State Fair Hearings. Review clinical information for all appeals utilizing nationally recognized criteria to determine medical...

Responsibilities JOB SUMMARY: Responsible for all denial and appeal activities for the Utilization Management department, including Expedited Appeals, Standard Appeals, External Independent Reviews, Retrospective Reviews, and State Fair Hearings. Review clinical information for all appeals utilizing nationally recognized criteria to determine medical...

**Job Summary**: Serving as the primary point of contact at wellness events, this role will assist an established wellness team with conducting numerous events both large and small. Some events will be led in-house by other team members, while others will be done in partnerships with vendors and healthcare providers. Making sure wellness initiatives and...

Association Management Center (AMC) is a trusted partner to more than 28 leading associations and professional societies. Our talented team of more than 150 professionals provides the day-to-day operational management our clients need to achieve their business goals. We are proud to support our clients in the impactful work they do and to create a workplace...

Job DescriptionJob DescriptionResponsible for performing specific tasks required for an efficient and effective hospital utilization review program for Behavioral Health (Psychiatric or Addiction) Services. The incumbent is responsible for carrying out activities that meet the objectives of the hospital utilization review program. The hospital Utilization...

Job DescriptionJob DescriptionResponsible for performing specific tasks required for an efficient and effective hospital utilization review program for Behavioral Health (Psychiatric or Addiction) Services. The incumbent is responsible for carrying out activities that meet the objectives of the hospital utilization review program. The hospital Utilization...

Job DescriptionJob DescriptionAssociation Management Center (AMC) is a trusted partner to more than 28 leading associations and professional societies. Our talented team of more than 150 professionals provides the day-to-day operational management our clients need to achieve their business goals. We are proud to support our clients in the impactful work they...

Job DescriptionJob DescriptionAssociation Management Center (AMC) is a trusted partner to more than 28 leading associations and professional societies. Our talented team of more than 150 professionals provides the day-to-day operational management our clients need to achieve their business goals. We are proud to support our clients in the impactful work they...

Project Manager/Coordinator Job Summary: Talent Software Services is searching for a Project Manager/Coordinator for a contract-to-hire position in Chicago, IL(Hybrid). The opportunity will be six months with a strong chance for a long-term extension. Position Summary: Performs a variety of administrative and clerical tasks, financial and human resources...

The Sales, Events, & Marketing Coordinator will participate as a member of the Sales, Events, & Marketing Department. This position must utilize skills including team-based interaction, project management, community outreach, and administrative support. The Sales, Events, & Marketing Coordinator is the onsite contact at parties and events, assists in the...