- Working with a highly engaged staff
- Healthy staffing levels
- Flexible scheduling
- Career growth
- Competitive compensation
- UKG Wallet Weve partnered with UKG Wallet, a voluntary Earned Wage Access benefit, to offer employees access to their pay on their schedule.
- Acts as a liaison between managed care organizations and the facilitys behavioral health clinical treatment team.
- Conducts clinical reviews in accordance with certification requirements of insurance plans or other managed care organizations.
- Monitors patient length of stay and conducts initial and concurrent reviews when indicated to provide clinical information needed to support medical necessity criteria for appropriate level of care.
- Facilitates peer to peer reviews between the facility treatment provider and the managed care physician.
- Assists the Assessment Department with completion of the pre-certification process for admissions.
- Provides ongoing support and training for staff on documentation requirements, admission and continued stay criteria, and medical necessity updates.
- Knowledge of mental health and chemical dependency terminology, symptoms, diagnoses, and treatment.
- Ability to communicate effectively with patients, internal and external treatment providers, and managed care clinical review care managers.
- Ability to multi-task, pay attention to detail, problem solve, utilize critical thinking skills, prioritize, and work both independently and as a part of a team.
- Strong computer skills and ability to navigate electronic systems applicable to job functions.
- Bachelors degree or current clinical license required in lieu of degree
- CPR and CPI Certification within 30 days of employment
- Previous utilization review experience in a psychiatric healthcare facility preferred
Education and experience in the field(s) of: Social Work, Psychology, Psychiatric Nursing, Marriage and Family and Child Counseling, Chemical Dependency Counseling, Registered Nursing or a closely related science field -
Utilization Review Specialist
3 weeks ago
Springstone, Inc. Gilbert, United StatesOverview: · **Copper Springs East **is a 72-bed behavioral hospital located near Gilbert, AZ. The hospital offers inpatient and outpatient mental health and addiction treatment to adults, adolescents and their families. At **Copper** **Springs East** we are dedicated to **Changin ...
-
Utilization Review Specialist
3 weeks ago
Springstone, Inc Gilbert, United StatesCopper Springs East is a 72-bed behavioral hospital located near Gilbert, AZ. The hospital offers inpatient and outpatient mental health and addiction treatment to adults, adolescents and their families. At CopperSprings East we are dedicated to Changing People's Lives. · The Uti ...
-
Utilization Review Specialist
3 weeks ago
Springstone Gilbert, United StatesOverview · Copper Springs East · is a 72-bed behavioral hospital located near Gilbert, AZ. The hospital offers inpatient and outpatient mental health and addiction treatment to adults, adolescents and their families. At · Copper · Springs East · we are dedicated to · Changi ...
-
Document Review Specialist
3 weeks ago
AANSEACORE INC. Glendale, United StatesWe are looking for talented and dynamic Order fulfillment associates to join our client located in the US. · **Qualifications**: · - Associates degree or equivalent experience. · - Minimum one year of customer service experience in a fast-paced environment. · - Experience in UCC, ...
-
Penalty Review Specialist
1 day ago
infinite Computing solutions Phoenix, United States**Position Description**: · Examine and analyze data as presented by the customer applicant for consideration of abatement. · Request clarifying information, evaluate both testimony and evidence to make findings of fact and render decisions in conformance with procedural standard ...
-
Claims Review Specialist
3 weeks ago
Aerotek Tempe, United States**Overview:** · **Aerotek has an immediate opening for a Claims Review Specialist - Workers Compensation at the corporate office in Tempe, AZ.** · **Job Summary:** · Reporting to the Workers Compensation Compliance Supervisor and Workers Compensation Compliance Manager, the Cl ...
-
Utilization Review Specialist Per Diem
2 weeks ago
HonorHealth Scottsdale, United StatesOverview: Looking to be part of something more meaningful? At HonorHealth, you'll be part of a team, creating a multi-dimensional care experience for our patients. You'll have opportunities to make a difference. From our Ambassador Movement to our robust training and development ...
-
Medical Review Specialist I-iii
2 weeks ago
Blue Cross Blue Shield of Arizona Phoenix, United StatesAwarded a Healthiest Employer, Blue Cross Blue Shield of Arizona aims to fulfill its mission to inspire health and make it easy. AZ Blue offers a variety of health insurance products and services to meet the diverse needs of individuals, families, and small and large businesses a ...
-
Commercial Insurance Review Specialist
20 hours ago
Wells Fargo Chandler, United States**About this role**: · Wells Fargo is seeking a Commercial Equipment Insurance Review Specialist within Collateral Management Insurance and Tax as part of Commercial Banking Operations division. The collateral monitoring team is responsible for the ongoing monitoring of insurance ...
-
Claims Review Specialist
3 weeks ago
Aerotek Tempe, United States**Overview:****Aerotek has an immediate opening for a Claims Review Specialist - Workers Compensation at the corporate office in Tempe, AZ.****Job Summary:**Reporting to the Workers Compensation Compliance Supervisor and Workers Compensation Compliance Manager, the Claims Review ...
-
Penalty Review Specialist
2 days ago
Texcelvision Phoenix, United StatesJob Description · Job DescriptionJob Location: Phoenix, AZ, 85007 · Work Mode: This position is Hybrid, mostly telework · Shift Hours: 07:00 AM to 05:00 PM · Candidate Location: Only local to Arizona · Position Description: · Primary Duties and Responsibilities: · Examine and ...
-
Claims Review Specialist
3 weeks ago
Aerotek Tempe, United StatesOverview: · Aerotek has an immediate opening for a Claims Review Specialist - Workers Compensation at the corporate office in Tempe, AZ. · Job Summary: · Reporting to the Workers Compensation Compliance Supervisor and Workers Compensation Compliance Manager, the Claims Review ...
-
Utilization Review Specialist
4 weeks ago
Amityfdn Phoenix, United StatesAmity Foundation an internationally acclaimed teaching, and therapeutic community is seeking compassionate and enthusiastic individuals with a desire to teach, learn and join our community as a · Utilization Review Specialist · at our campus in Tucson, AZ. With this groundbreak ...
-
esa purchase review specialist 1
3 weeks ago
Arizona Official Website of State of Arizona Phoenix, United StatesJob Summary: · • This position will be responsible for addressing purchase compliance inquiries and requests, providing effective customer communication and support through various channels, and ensuring adherence to statutes, rules, and compliance with the ESA Parent Handbook. ...
-
Medical Review Specialist I-III
1 week ago
Blue Cross Blue Shield of Arizona Phoenix, United StatesAwarded a Healthiest Employer, Blue Cross Blue Shield of Arizona aims to fulfill its mission to inspire health and make it easy. AZ Blue offers a variety of health insurance products and services to meet the diverse needs of individuals, families, and small and large businesses a ...
-
Payroll Specialist
2 weeks ago
AB Staffing Solutions Gilbert, United States**Payroll Specialist** · **Are you an experienced Payroll Specialist looking to build your career with an established and growing company?** · Join AB Staffing Solutions, a respected local company with over 22 years of experience. We have consistently been recognized by Inc. 5000 ...
-
Ap Specialist
3 weeks ago
Pacific Network Solutions Gilbert, United States**Company Overview**: · Join a leading general contractor in the telecommunications industry, headquartered in Gilbert, AZ. We specialize in building and maintaining communication networks for major carriers, handling everything from underground drilling to tower construction. Co ...
-
Town Clerk Specialist
2 weeks ago
Town of Gilbert Gilbert, United States**We Are Seeking**: · With every job we fill, our focus is on providing best-in-class service to our citizens while offering the opportunity for professional growth in a rewarding and innovative work environment. The Clerk's Office has an exciting opportunity for a highly motivat ...
-
Retail Sales Specialist
3 weeks ago
Advantage Solutions Gilbert, United StatesAre you skilled in fostering business relationships, confident in asking for the business, and view objections as an opportunity to learn more and educate? · If so, we are looking for a _**High Energy**_ and _**Self-Motivated**_ individual to be a part of our DRT team · Advantage ...
-
Safety Specialist
3 weeks ago
Hunter Contracting Co. Gilbert, United States**_Are you looking for a company you can grow with? A company where you feel like part of the family and not just another employee number? Do you want to be a part of something great? Hunter Contracting Co. is a family-owned, heavy civil contracting firm serving Arizona since 196 ...
Utilization Review Specialist - Gilbert, United States - Copper Springs East
Description
Overview:
Copper Springs East is a 72-bed behavioral hospital located near Gilbert, AZ. The hospital offers inpatient and outpatient mental health and addiction treatment to adults, adolescents and their families. At CopperSprings East we are dedicated to Changing Peoples Lives.
The Utilization Review department plays an essential role in helping fulfill our mission of Changing Peoples 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:
Qualifications:
Requirements:
Experience: