Utilization Review Counselor – Behavioral Health

RosecranceRockford, IL
Onsite

About The Position

Rosecrance is seeking dedicated individuals to join their team as Utilization Review Counselors for Behavioral Health. This role is crucial in coordinating Managed Care services and ensuring continuity of program services in an ethical, legal, and moral manner, adhering to regulatory and accreditation standards. The position involves participating as a team member in delivering assessment and admission services to clients and their families, facilitating the integration of recovery principles into daily living.

Requirements

  • Bachelor's Degree in Social Work, Psychology or a related field or a nursing license
  • Five years experience in behavioral health treatment
  • Adequate written skills to accurately complete required documentation within the time frames prescribed
  • Skilled in conducting individual, family and group counseling
  • Ability to present and coordinate lectures for clients, parents, staff or community resources
  • CADC Certification (or CARS Certification) or ability to obtain
  • Computer proficiency in a Windows environment

Responsibilities

  • Provide managed care and utilization review support for inpatient and outpatient adolescent or adult services.
  • Provide financial case management support in conjunction with Patient Accounts Representative.
  • Maintain communication with Patient Accounts Representative and assist in communicating with families to ensure 100% client funding.
  • Maintain an accurate, up-to-date system of managed care contacts utilizing the system designated by Rosecrance.
  • Participate in daily capacity management meetings and communicate funding changes as they affect the treatment team.
  • Compile and submit reports on activities of Managed Care as directed.
  • Serve as a member of the Access Team and participate in all team meetings.
  • Understand and comply with all of the principles established by the Rosecrance Corporate Compliance Program and Code of Conduct.
  • Perform all responsibilities in compliance with the mission, vision, values, and expectations of Rosecrance.
  • Deliver exceptional customer service consistently to every customer.
  • Serve as a role model for other staff, clients, and customers and demonstrate positive guest relations in representing Rosecrance.
  • Assume other related responsibilities as assigned by management.

Benefits

  • Medical, dental, and vision insurance (multiple plan options to meet your needs)
  • 401(k) with employer match & discretionary contribution
  • Group Life Insurance, LTD and AD&D
  • Tuition assistance & licensure/certification reimbursement
  • Paid Time Off, sick time, bereavement leave
  • Referral program earning up to $1,000 per hire!
  • Wellness program, including an on-site gym at select facilities
  • Discounts at participating retailers
  • Daily pay available through UKG Wallet for financial flexibility
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