UR COORDINATOR
Copper Hills Youth Center, West Jordan, UT, United States
Responsibilities
Utilization Management Specialist – Behavioral Health
Copper Hills Youth Center, located in West Jordan, Utah, is a 24/7 secure residential treatment center (behavioral health) for male and female adolescents aged 12 through 17. We counsel, teach and mentor students who have psychiatric disorders. Our goal is to provide treatment that results in positive changes, allowing these youth to return to their families and communities.
Copper Hills Youth Center is seeking a full time Utilization Management Specialist.
The Utilization Management Specialist is responsible for bridging communications between the hospital treatment team and insurance company/referral agencies. Will analyze clinical documentation to submit Prior Authorization requests to insurance companies for approval prior to admitting a patient and submit concurrent review applications to extend a patient’s stay to ensure they receive appropriate services. All authorization extensions or denials must be tracked in an expedient fashion in the electronic system. Will also schedule and coordinate Treatment Review meetings with all facility representatives, parents, and referral sources. In addition, will review daily incident reports, adding to the medical record and submitting to the referral agencies. The UM Specialist will work closely with numerous departments including admissions, accounts receivable, and the clinical team, as such this position is based in the facility office.
Benefits
Medical, Dental, Vision insurances at affordable rates
Student Loan Repayment and/or Tuition Reimbursement
Free Delicious and Healthy meals while on shift
Basic Life and Supplemental Life insurance
Short and Long-term Disability insurance
401k with Company Match
Generous Paid time Off
And more!!
Qualifications
High School Diploma Required with a Bachelor’s degree highly preferred
Full understanding of medical terminology, insurance terminology, and clinical / psychiatric disorders.
Time Management: flexible and able to assess the priorities of the department on a daily basis. Able to complete all tasks accurately and timely within tight timeframes and meet strict attendance guidelines.
Communication and analytical skills: able to work as a positive team member and compose professional documentation / appeals and efficient justifications based on accurately analyzing data.
Attention to detail and proficient with computers.
Personal Accountability is necessary as the individual is expected to meet high service excellence standards.
Must be able to pass a thorough background check.
Minimum 21 years old.
All UHS subsidiaries are committed to providing an environment of mutual respect where equal employment opportunities are available to all applicants and teammates. UHS subsidiaries are equal opportunity employers and as such, openly support and fully commit to recruitment, selection, placement, promotion and compensation of individuals without regard to race, color, religion, age, sex (including pregnancy, gender identity, and sexual orientation), genetic information, national origin, disability status, protected veteran status or any other characteristic protected by federal, state or local laws.
We believe that diversity and inclusion among our teammates is critical to our success.
#J-18808-Ljbffr
Utilization Management Specialist – Behavioral Health
Copper Hills Youth Center, located in West Jordan, Utah, is a 24/7 secure residential treatment center (behavioral health) for male and female adolescents aged 12 through 17. We counsel, teach and mentor students who have psychiatric disorders. Our goal is to provide treatment that results in positive changes, allowing these youth to return to their families and communities.
Copper Hills Youth Center is seeking a full time Utilization Management Specialist.
The Utilization Management Specialist is responsible for bridging communications between the hospital treatment team and insurance company/referral agencies. Will analyze clinical documentation to submit Prior Authorization requests to insurance companies for approval prior to admitting a patient and submit concurrent review applications to extend a patient’s stay to ensure they receive appropriate services. All authorization extensions or denials must be tracked in an expedient fashion in the electronic system. Will also schedule and coordinate Treatment Review meetings with all facility representatives, parents, and referral sources. In addition, will review daily incident reports, adding to the medical record and submitting to the referral agencies. The UM Specialist will work closely with numerous departments including admissions, accounts receivable, and the clinical team, as such this position is based in the facility office.
Benefits
Medical, Dental, Vision insurances at affordable rates
Student Loan Repayment and/or Tuition Reimbursement
Free Delicious and Healthy meals while on shift
Basic Life and Supplemental Life insurance
Short and Long-term Disability insurance
401k with Company Match
Generous Paid time Off
And more!!
Qualifications
High School Diploma Required with a Bachelor’s degree highly preferred
Full understanding of medical terminology, insurance terminology, and clinical / psychiatric disorders.
Time Management: flexible and able to assess the priorities of the department on a daily basis. Able to complete all tasks accurately and timely within tight timeframes and meet strict attendance guidelines.
Communication and analytical skills: able to work as a positive team member and compose professional documentation / appeals and efficient justifications based on accurately analyzing data.
Attention to detail and proficient with computers.
Personal Accountability is necessary as the individual is expected to meet high service excellence standards.
Must be able to pass a thorough background check.
Minimum 21 years old.
All UHS subsidiaries are committed to providing an environment of mutual respect where equal employment opportunities are available to all applicants and teammates. UHS subsidiaries are equal opportunity employers and as such, openly support and fully commit to recruitment, selection, placement, promotion and compensation of individuals without regard to race, color, religion, age, sex (including pregnancy, gender identity, and sexual orientation), genetic information, national origin, disability status, protected veteran status or any other characteristic protected by federal, state or local laws.
We believe that diversity and inclusion among our teammates is critical to our success.
#J-18808-Ljbffr