Gateway Foundation Inc·Springfield, Illinois
The Utilization Management Specialist is responsible for obtaining clinical service authorizations from payors and determining the appropriateness of patient admissions and levels of care. They also provide training to clinical staff on authorization processes and prepare data reports regarding utilization management.
Gateway Foundation, Inc. is a national non-profit dedicated to helping individuals with substance use and mental health disorders.
Established in 1968, Gateway provides essential tools and knowledge for recovery, positively impacting hundreds of thousands of lives.
Operating through its Community Services, Corrections Divisions, and Corporate Headquarters, the organization is recognized for innovative, effective treatment approaches and maintaining high standards.
Why join us?
Consider joining our team, where your impact can be truly meaningful.
Our organization focuses on delivering high quality clinical services as a recognized leader in evidence-based treatment proven to get results.
By joining our team, you'll have the chance to provide essential services to underserved populations, all while working for an organization that values you and aims to be an employer of choice.
You can expect to be part of a vibrant culture that emphasizes teamwork and professional growth.
When you join us, you have the opportunity to find both personal and professional fulfillment by aligning your career with your values.
Springfield Residential - 2200 Lake Victoria Dr, Springfield, IL 62703
Residential Center - Adult Male and Female population
In-person training period lasts about six (6) months After that, work setting will be primarily remote, but employee will need to be able to work in the office a few times per month
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
Range begins at $51,463 - $82,330/year Gateway Foundation conducts annual reviews including merit increases.
Benefits: at Gateway Foundation:
Medical, dental, and vision insurance for employees and dependents Employee wellness program promoting health and fitness and offering cash-saving premiums Employee assistance programs focused on mental health
403(b) Retirement Plan with 3% employer match Short-term and Long-term Disability and Life and AD&D Insurance paid for by Gateway Flexible Spending Accounts for medical and dependent care Public Service Loan Forgiveness (PSLF)
18 paid time off days per year – accrual rates increase with years of service 9 paid company holidays Work-life-balance
Training & Development Programs Tuition Reimbursement - up to $5,250 per calendar year eLearning access to online courses that provide CEU’s and job-related training Clinical Supervision: Formal and informal guidance
Race/Color/Sex/Sexual Orientation/ Gender Identity/Religion/National Origin/Disability/Vets. Please view Equal Employment Opportunity Posters provided by OFCCP here.
Market context
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