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(Archived) Copper Springs East Utilization Review Specialist

Last Updated: 10/16/21

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

Company Details

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...