Are you looking to find personal and professional fulfillment, and align your career with your values?

At Gateway Foundation, our employees have an opportunity to make a difference every day by helping people with substance abuse issues gain control of their lives.

Gateway Foundation is a recognized non-profit leader in evidence-based treatment proven to get results. Our experts in Addiction Medicine-including highly educated clinical and medical professionals and expert psychiatrists and nurses-deliver care that never stops. Throughout Gateway's proud history of helping others, dedicated and professional employees have been vital to accomplishing our life-saving mission.

If you are a collaborative professional who shares our commitment to helping people with substance abuse and mental health issues turn their lives around - GATEWAY IS THE PLACE FOR YOU!

Utilization Management Specialists are responsible for:

• 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

Job Requirements:

• Current IL licensure as a Registered Nurse; or Masters' degree in social work, psychology, mental health or substance abuse counseling and certification (CADC) or licensure (LPC, LSW, LCPC or LCSW) in the state of Illinois required
• 1+ years of experience with the utilization management process in a healthcare setting
• This is a full-time position working Monday - Friday, daytime hours

Physical Requirements:

• Proofreading and checking documents for accuracy on a continual basis (critical).
• Ability to use a keyboard and video display terminal to receive, retrieve, and/or audit information and data.
• Ability to respond to telephones, pages and speech.
• Normal or corrected vision in order to read and audit files.
• Ability to operate a motor vehicle safely and remain alert to traffic signs and conditions in order to travel to assigned sites.

Competitive Compensation and Benefits:

Gateway Foundation values its employees and provides an inclusive and diverse work environment where dedicated employees can make a difference. We are committed to engaging and rewarding our employees in meaningful ways. For eligible employees, we provide a Total Rewards Package that includes:

• Health Insurance - Including a wellness premium incentive opportunity
• Dental & Vision Insurance
• Paid Time Off - Including 18 days of PTO and 9 paid holidays in the first year
• Flexible Spending Accounts and Health Saving Account
• Commuter Accounts
• 403(b) Retirement Plan with company match
• Life and AD&D Insurance
• Short Term Disability (STD) and Long-Term Disability (LTD)
• Employee Assistance Program (EAP)
• Gateway is a qualified employer for Public Service Loan Forgiveness (PSLF)
• Tuition Reimbursement
• Training & Development Programs

Gateway Foundation is an Equal Opportunity Employer: Race/Color/Sex/Sexual Orientation/ Gender Identity/Religion/National Origin/Disability/Vets. Please view Equal Employment Opportunity Posters provided by OFCCP here.