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Copper Springs Utilization Review Specialist (5263)

Springstone, Inc

Last Updated: 3/01/21

Job Description

Overview

Copper Springs East is a 72-bed behavioral hospital located in Gilbert, AZ. The hospital offers inpatient and outpatient mental health and addiction treatment to adults, adolescents and their families. At Copper Springs East we are dedicated to Changing People’s Lives®.

The Utilization Review department plays an essential role in helping fulfill our mission of “Changing People’s Lives®”. Utilization Review team members advocate on behalf of our patients to managed care providers for necessary treatment. As a Utilization Review Specialist, you will accurately and timely complete utilization review activities.

Members of our team Enjoy:

  • Working with a highly engaged staff
  • Healthy staffing levels
  • Flexible scheduling
  • Career growth
  • Competitive compensation

Position Details

  • Actively Communicate with interdisciplinary team members to acquire information and give updates on authorizations
  • Ensure all pre-certifications are completed for inpatient and outpatient services.
  • Monitor hospital LOS, report appropriately.
  • Work with Director of Nursing to ensure documentation requirements are met
  • Interface with managed care organizations, external reviews, and other payers.

Qualifications

Requirements:

  • LPN and/or Bachelor’s degree in social work, counseling, or healthcare (7 years of experience in lieu of degree acceptable).
  • Current unencumbered clinical licensure and valid driver’s license
  • CPR and CPI Certification within 30 day of employment

Experience:

  • Previous utilization review experience in a psychiatric healthcare facility preferred



Company Details


Springstone, Inc

Louisville, Kentucky, United States

Springstone is a leading provider of high quality behavioral health services in numerous markets throughout the United States. The name Springstone represents the possibilities of hope and renewal anchored by a solid and secure foundation. Springstone fulfills its mission of Changing People's Lives® by: Engaging our employees through meaningful work that strengthens individuals, fami...