Utilization Reviewer – Behavioral Health

Northwestern Medicine

Utilization 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

Core Competencies

Role fit

Core Competencies

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

Demonstrates expertise in utilization review processes and advocacy for patients within behavioral health settings, with a strong understanding of health care benefit plans and managed care contracting.

Highest-signal resume keywords

Utilization ReviewPatient AdvocacyHealth Care Benefit PlansManaged Care ContractingClinical Assessment Support

ATS Keywords

Tailor your resume

Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Soft Skills

CommunicationCollaboration

Certifications & Qualifications

CERT BLSCERT CADCCERT CSADCLIC CPCLIC LCSWLIC MSWLIC RN

Industry Keywords

Behavioral Health ServicesInsurance CommunicationManaged CareClinical Staff Support

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