
Clinical Review Specialist
Thresholds is currently seeking a highly-skilled and motivated Clinical Review Specialist to join our team. Our ideal candidate will possess the qualifications, knowledge, and experience necessary to provide the highest quality of care to our patients. The Clinical Review Specialist will be a passionate professional who is committed to providing our clients with an exceptional experience and will demonstrate a compassionate, empathetic approach.The ideal candidate must have a Bachelor’s degree in psychology, social work, or a related field and a minimum of two years of experience in a clinical care setting. Additionally, this individual should have experience in conducting assessments and utilization reviews, as well as an in-depth understanding of relevant clinical regulations. We are looking for someone who is organized, detail-oriented, and capable of working independently while collaborating with a multidisciplinary team. Above all, we seek a candidate with a commitment to providing quality care and patient advocacy.
Responsibilities:
- Evaluate patient needs and develop appropriate treatment plans
- Conduct assessments and utilization reviews
- Monitor and document patient progress
- Collaborate with multidisciplinary team to ensure quality care
- Provide patient advocacy throughout the care process
- Ensure compliance with relevant clinical regulations
- Analyze and interpret data to inform clinical decisions
- Maintain accurate and up-to-date patient records
- Maintain confidentiality of patient information at all times
Computer Proficiency
Experience In The Behavioral Health Field
Clinical Licensure (Lcsw
Lcpc
Lmft
Psyd
Etc)
Knowledge Of Managed Care Organizations
Knowledge Of Reimbursement Systems
Knowledge Of Behavioral Health Standards Of Practice
Skill In Problem Solving And Critical Thinking
Ability To Communicate Effectively
Documentation
Research
Quality Assurance
Data Entry
Troubleshooting
Communication
Auditing
Claims Processing
Coding
Record keeping
Regulatory compliance
Analytical
Problem-Solving
Organizational
Interpersonal
Communication
Conflict Resolution
Leadership
Time management
Interpersonal Skills
Critical thinking
Organizational skills
Teamwork
Adaptability
Problem-Solving
According to JobzMall, the average salary range for a Clinical Review Specialist in Chicago, IL, USA is $45,000 to $71,000 per year. The salary range is based on factors such as experience, education, certifications, and skills.
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Established in 1959, Thresholds provides healthcare, housing, and hope for thousands of persons with mental illnesses in Illinois each year. Through care, employment, advocacy, and housing, Thresholds assists and inspires people with mental illnesses to reclaim their lives. Thresholds is one of the oldest and largest providers of recovery services for persons with mental illnesses in Illinois. We reject the notion that anyone is a lost cause, utilizing evidence-based practices and a wide range of supports to treat the whole person, rather than just the disease.

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