Northwestern Medicine
10,000+ employees
⚕️ Healthcare Insurance
💊 Pharmaceuticals
🧘 Wellness
💰 $25M Grant on 2018-06
Healthcare Insurance • Pharmaceuticals • Wellness
Northwestern Medicine is a renowned healthcare provider offering a wide range of medical services, including COVID-19 and flu vaccinations, cutting-edge treatments, and pioneering surgical procedures. The organization is deeply involved in clinical research, contributing to significant medical advancements such as exploring the causes of diseases like lupus and breakthroughs in cancer treatment. With a robust network of hospitals and specialized care centers, Northwestern Medicine is dedicated to patient wellness, community impact, and medical education. They emphasize accessibility, patient safety, and convenience through services like telehealth, financial assistance, and multilingual support. Whether it's immediate care, advanced procedures, or multidisciplinary care for complex conditions, Northwestern Medicine is committed to leading the way in healthcare innovation and patient-centered care.
Utilization Reviewer – Behavioral Health
🔥 0 minutes ago
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Northwestern Medicine
10,000+ employees
⚕️ Healthcare Insurance
💊 Pharmaceuticals
🧘 Wellness
💰 $25M Grant on 2018-06
Healthcare Insurance • Pharmaceuticals • Wellness
Northwestern Medicine is a renowned healthcare provider offering a wide range of medical services, including COVID-19 and flu vaccinations, cutting-edge treatments, and pioneering surgical procedures. The organization is deeply involved in clinical research, contributing to significant medical advancements such as exploring the causes of diseases like lupus and breakthroughs in cancer treatment. With a robust network of hospitals and specialized care centers, Northwestern Medicine is dedicated to patient wellness, community impact, and medical education. They emphasize accessibility, patient safety, and convenience through services like telehealth, financial assistance, and multilingual support. Whether it's immediate care, advanced procedures, or multidisciplinary care for complex conditions, Northwestern Medicine is committed to leading the way in healthcare innovation and patient-centered care.
📋 Description
• Responsible for utilization review calls within BHS • Advocate for BHS patients with insurance and managed care companies • Communicates insurance input to physicians and clinical staff • Assists clinical staff with assessments as needed • Communicates daily with Utilization Review Coordinator • Understands health care benefit plan provisions and managed care contracting
🎯 Requirements
• 2+ years of experience • Master's Degree in Social Work or Psychology or BSN with RN License • CERT BLS • CERT CADC • CERT CSADC • LIC CPC • LIC LCSW • LIC MSW • LIC RN
🏖️ Benefits
• Health insurance • 401(k) matching • Tuition reimbursement • Loan forgiveness • Lifecycle benefits
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