UR COORDINATOR

UHS•West Jordan, UT

12h•Onsite

About The Position

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. They counsel, teach and mentor students who have psychiatric disorders, aiming 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 role is responsible for bridging communications between the hospital treatment team and insurance company/referral agencies. The specialist 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. They will track all authorization extensions or denials in an electronic system, schedule and coordinate Treatment Review meetings, and review daily incident reports for medical records and referral agencies. The UM Specialist will collaborate closely with admissions, accounts receivable, and the clinical team, with the position based in the facility office. Copper Hills Youth Center is part of Universal Health Services, Inc. (UHS), one of the nation’s largest hospital companies, a Fortune 500 corporation with annual revenue nearing $10 billion. UHS is committed to providing an environment of mutual respect and equal employment opportunities, valuing diversity and inclusion.

Requirements

High School Diploma Required
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

Nice To Haves

Bachelor’s degree highly preferred

Responsibilities

Bridging communications between the hospital treatment team and insurance company/referral agencies
Analyze clinical documentation to submit Prior Authorization requests to insurance companies for approval prior to admitting a patient
Submit concurrent review applications to extend a patient’s stay to ensure they receive appropriate services
Track all authorization extensions or denials in an expedient fashion in the electronic system
Schedule and coordinate Treatment Review meetings with all facility representatives, parents, and referral sources
Review daily incident reports, adding to the medical record and submitting to the referral agencies
Work closely with numerous departments including admissions, accounts receivable, and the clinical team