UM Specialist – In-Person Training

Gateway Foundation

Utilization Management Specialist managing authorizations of clinical services at Gateway Foundation, a leader in recovery and treatment services. Involvement includes training staff and analyzing care data.

Posted 7/29/2026full-timeSpringfield • Illinois • 🇺🇸 United StatesMid-LevelSenior💰 $51,463 - $82,330 per yearWebsite

Core Competencies

Role fit

Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates comprehensive knowledge of treatment planning, behavioral healthcare documentation, and the utilization management process, with proficiency in data analysis and reporting. Capable of providing effective training and support to clinical staff while ensuring compliance with regulations and policies.

Highest-signal resume keywords

Utilization Management ProcessBehavioral Healthcare DocumentationData Analysis and ReportingAdvanced Communication SkillsClinical Training and Support

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Treatment PlanningClinical DocumentationMedical Records ReviewData InterpretationPeer-to-Peer ReviewsClinical AppealsInsurance AuthorizationAnalytical SkillsMicrosoft WordMicrosoft Excel

Soft Skills

Advanced CommunicationInterpersonal SkillsCollaborationProblem SolvingAdvisory Skills

Tools & Technologies

Electronic Health Record Systems

Certifications & Qualifications

Bachelor’s Degree in CounselingBachelor’s Degree in NursingMaster’s Degree Preferred

Industry Keywords

Healthcare SettingInsurance ContractsClinical ServicesPatient AdmissionLength of StayDischarge Planning

About the role

Key responsibilities & impact

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

What you’ll need

Comprehensive knowledge of treatment planning and behavioral healthcare clinical documentation, therapeutic services, intervention techniques, and medical records review.
Bachelor’s degree in counseling, nursing or a closely related field.
Master’s degree preferred.
Knowledge and familiarity with the utilization management process in order to maximize appropriate treatment as indicated by client needs and comply with regulations, policies and procedures.
Understanding of diagnoses and ability to collect, analyze and report on utilization management data at a level normally acquired through three to five years progressively more responsible related experience in a healthcare setting.
Proficiency in computer software applications such as Microsoft Word and Excel to complete required forms, reports, and analyses.
Familiarity with electronic health record systems to review patient records and determine appropriateness of patient care.
Advanced communication skills to effectively present information verbally and in writing and work collaboratively with others to establish single case agreements, identify process improvements, resolve problems and provide effective training.
Advanced interpersonal skills necessary to provide advice and counsel to managers and employees and to gather and exchange information with a variety of internal and external contacts.
High level analytical skill necessary to interpret insurance contracts and provisions, determine appropriateness of patient admissions and continued length of stay, and make recommendations to enhance services as needed for individual clients.
A current and valid driver’s license, in order to travel to others sites to participate in trainings and meetings.

Benefits

Comp & perks

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
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
Formal and informal guidance