UR COORDINATOR

Utilization Management Specialist

Copper Hills Youth Center, located in West Jordan, Utah, is a 24/7 secure residential treatment center 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. This position is based in the West Jordan, Utah office.

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 offered to full time staff include: 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 include, but are not limited to: 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.