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Utilization Reviewer – Behavioral Health
Northwestern MedicineUtilization Reviewer managing utilization review calls and advocating for behavioral health patients. Collaborating with clinical staff and insurance companies, ensuring patient care quality.
Posted 6/30/2026part-timeRemote • Illinois • 🇺🇸 United StatesJuniorMid-Level💰 $37 - $52 per hourWebsite
About the role
Key responsibilities & impact- 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
What you’ll need- 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
Comp & perks- Health insurance
- 401(k) matching
- Tuition reimbursement
- Loan forgiveness
- Lifecycle benefits
ATS Keywords
✓ Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Soft Skills
CommunicationCollaboration
Certifications
CERT BLSCERT CADCCERT CSADCLIC CPCLIC LCSWLIC MSWLIC RN