Thresholds

Clinical Review Specialist

Thresholds

Chicago, IL, USA
Full-TimeDepends on ExperienceSenior LevelMasters
Job Description

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:

  1. Evaluate patient needs and develop appropriate treatment plans
  2. Conduct assessments and utilization reviews
  3. Monitor and document patient progress
  4. Collaborate with multidisciplinary team to ensure quality care
  5. Provide patient advocacy throughout the care process
  6. Ensure compliance with relevant clinical regulations
  7. Analyze and interpret data to inform clinical decisions
  8. Maintain accurate and up-to-date patient records
  9. Maintain confidentiality of patient information at all times
Where is this job?
This job is located at Chicago, IL, USA
Job Qualifications
  • 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

Required Skills
  • Documentation

  • Research

  • Quality Assurance

  • Data Entry

  • Troubleshooting

  • Communication

  • Auditing

  • Claims Processing

  • Coding

  • Record keeping

  • Regulatory compliance

  • Analytical

  • Problem-Solving

  • Organizational

  • Interpersonal

Soft Skills
  • Communication

  • Conflict Resolution

  • Leadership

  • Time management

  • Interpersonal Skills

  • Critical thinking

  • Organizational skills

  • Teamwork

  • Adaptability

  • Problem-Solving

Compensation

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.

Additional Information
Thresholds is an Equal Opportunity Employer. We celebrate diversity and are committed to creating an inclusive environment for all employees. We do not discriminate based upon race, religion, color, national origin, sex, sexual orientation, gender identity, age, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics.
Required LanguagesEnglish
Job PostedSeptember 8th, 2023
Apply BeforeJuly 20th, 2025
This job posting is from a verified source. 
Reposted

Apply with Video Cover Letter Add a warm greeting to your application and stand out!

About Thresholds

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.

Frequently asked questions

Get interviewed today!

JobzMall is the world‘ s largest video talent marketplace.It‘s ultrafast, fun, and human.

Get Started