This job is archived
(Archived) Copper Springs East Utilization Review Specialist
Job Description
Overview
Copper Springs 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 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
Position Details:
- Liaise pertinent clinical information to patient’s insurance company to support need for treatment
- Collaborate with Treatment Team including Physicians, Nurses and Therapists to advocate for insurance coverage for necessary stabilizing treatment
- Pursue insurance pre-certifications, authorizations and conduct ongoing clinical reviews
- Managing ongoing case loads in order to appeal denied claims
- Care coordination for inpatient and outpatient mental health and substance use treatment
Qualifications
Requirements:
- Bachelor’s degree or 5 years experience in healthcare industry
- CPR and CPI Certification within 30 day of employment
Experience:
- Previous utilization review experience in a psychiatric healthcare facility preferred