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Responsibilities
Utilization Management Specialist \xe2\x80\x93 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\xe2\x80\x99s 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.
Benefits offered to full time staff include:
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