Job Description
PRN/As Needed position requiring weekday, daytime availability. Coverage can range from one day a week to consecutive days or weeks. Remote employees must reside in IL, IN, MO, IA, FL, or MI. As a Utilization Reviewer, responsibilities include utilization review calls within BHS, covering precertification, continued stay review, discharge reviews, and retrospective reviews and appeals. Working under the Utilization Review Coordinator, you will collaborate with business office staff, clinical staff, and physicians to advocate for BHS patients with insurance and managed care companies, and you'll need a good understanding of DSM diagnoses and ASAM patient placement criteria to communicate patient status to external managed care.
About Northwestern Medicine
At Northwestern Medicine, every patient interaction makes a difference in cultivating a positive workplace.