Who is Timberline Knolls

Timberline Knolls is a residential treatment center located on 43 beautiful acres just outside Chicago, offering a nurturing environment of recovery for women and girls ages 12 and older struggling to overcome eating disorders, substance abuse, mood disorders, trauma and co-occurring disorders. An adult partial hospitalization program is available for step down and for women to direct admit. By serving with uncompromising care, relentless compassion and an unconditional joyful spirit, we help our residents and clients help themselves in their recovery.

Description:

We currently have openings for a PRN Utilization Review Manager to join our caring team of professionals. The position is working on a as needed basis which includes some weekends.

ESSENTIAL FUNCTIONS:

• Provide consultation and guidance regarding admissions and patient length of stay to a variety of payers.
• Secure authorizations with insurance companies for inpatient treatment and continue to obtain authorizations for duration of patient stay.
• Evaluate the utilization program for compliance with regulations, policies and procedures.
• Review clinical documentation from denied stays against criteria to determine if documentation is adequate for requested treatment.
• Provide staff management to including hiring, development, training, performance management and communication to ensure effective and efficient department operation.

OTHER FUNCTIONS:

• Perform other functions and tasks as assigned.

EDUCATION/EXPERIENCE/SKILL REQUIREMENTS:

• Bachelor's or master’s degree in social work, behavioral or mental health, Nursing or other related health field preferred.
• Four or more year's clinical experience with the population of the facility and previous experience in utilization management required.
• One or more years supervisory experience required.

LICENSES/DESIGNATIONS/CERTIFICATIONS:

• If applicable, current licensure as an LPN or RN within the state where the facility provides services; or current clinical professional license or certification, as required, within the state where the facility provides services.
• Licensure: LSW or LPC required. LCSW or LCPC preferred.
• CPR and de-escalation and restraint certification required (training available upon hire and offered by facility).
• First aid may be required based on state or facility requirements.

Education

• Masters or better in Social Work or related field

• Associates or better in Nursing/Healthcare

Licenses & Certifications

• Lic Social Worker
• Lic Prof Counselor

• Lic Clin Social Wkr
• Lic Clin Prof Cnslr
• Reg Nurse
• Lic Practical Nurse

Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities

The contractor will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor’s legal duty to furnish information. 41 CFR 60-1.35(c)