Behavioral Health Utilization & Authorization Specialist

Copper-Springs-1; Gilbert (AZ); On-site; USD 60,000 - 80,000; Full time

Benefits offered by this job

Comprehensive Benefits

Financial Protection & PTO

Financial & Career Growth

Employee Well-being

Professional Development

Job summary

Copper Springs East Behavioral Health is seeking an Utilization Review Specialist in Gilbert, AZ. You will facilitate clinical reviews for admissions and stays, interface with payers for authorization, and advocate for patients to obtain needed services. A clinical license is preferred and CPR/CPI certifications are desirable.

Full-time position with comprehensive benefits and opportunities for professional development within Lifepoint Health’s network.

Qualifications

• Bachelor’s degree required; Master’s degree preferred.
• Current unencumbered clinical license preferred.
• CPR certification and CPI preferred.

Responsibilities

• Facilitates clinical reviews for admissions and continued stays.
• Interfaces with payers and external reviewers to verify coverage.
• Advocates for patients to obtain necessary treatment with managed care.
• Completes precertifications and recertifications for services.
• Communicates with the team to update on authorizations.
• Works with DON to ensure documentation requirements are met.

Skills

Utilization review

Clinical documentation

Payer communications

Interdisciplinary coordination

Education

Bachelor's degree

Job description

Copper Springs East Behavioral Health is seeking an Utilization Review Specialist in Gilbert, AZ. You will facilitate clinical reviews for admissions and stays, interface with payers for authorization, and advocate for patients to obtain needed services. A clinical license is preferred and CPR/CPI certifications are desirable.

Full-time position with comprehensive benefits and opportunities for professional development within Lifepoint Health’s network.