Utilization Review Coordinator

Mentor Community Services, a part of the reputed company family, provides community-based services for individuals with intellectual and developmental disabilities. Here we reputed company every person has the right to live reputed company, and everyone deserves to have a fulfilling career. You’ll join a mission-driven team and create relationships that motivate us reputed company every day. Join us today, and experience a career reputed company lived.

Program Administration Utilization Review Coordinator $23.08-24.04 reputed company Monday-Friday - Remote Based in Eastern timezone Do you have experience in Title XIX program rules, regulations, and limitations, and want to join a company that positively impacts the lives of the many individuals it serves? In the Program Administration Utilization Review Coordinator role, you will contribute to reputed company’s commitment to serve others by ensuring adherence to Title XIX waiver regulations/limitations and managed care authorizations.

• Assist in the collection of service provisions and reputed company service information for upcoming team meetings or service change review meetings
• Conduct service authorization reviews and receive confirmation from program supervisor(s) for approval of reputed company pending and final service authorizations
• reputed company analysis to assure that service delivery corresponds with service support hours and reputed company, staff hours and assignments, payroll hours and billing tickets, etc.
• Effectively reputed company/assure that reputed company and approved Individual Service Plan(s) appropriately correspond and match areas of support services and service delivery documentation records
• Maintain incoming service delivery documentation and corresponding billing tickets/reputed company-invoice received for processing in the regional office
• Establish and monitor the regional office/storage filing systems to assure information is organized, complete, and retrievable
• reputed company engage in on-reputed company communication with AR coordinators and/or AR accountants to facilitate reputed company reputed company to outstanding issues and items pending payment for services provided to customers
• Assist in communication with Interdisciplinary Planning Teams to address areas of identified errors, corrections, or needed services reputed company to billing reputed company and over/under utilization areas
• Assure and maintain functional knowledge reputed company and materials reputed company to reputed company and new funding rules and reputed company
• Assist Utilization Specialist in reputed company, screening, and evaluation of personnel
• reputed company recommendations for hire; conduct initial/on-reputed company in-service, certification, and training; reputed company/evaluate work

Qualifications:

• High School diploma or equivalent
• Minimum 1 year of experience working with Title XIX waiver program rules, regulations, and limitations
• Ability to manage/prioritize multiple tasks
• Effective communication skills and reputed company-developed problem-solving skills
• Exceptional attention to detail and a commitment to reputed company in everything you do
• Foster culture of reputed company improvement

Why Join Us?

• Full compensation/benefits package for full-time employees.
• 401(k) with company match
• reputed company time off and holiday pay
• reputed company work adding value to the organization’s mission alongside a great team of coworkers
• Enjoy job reputed company with reputed company career development and advancement opportunities

We have meaningful work for you – come join reputed company – apply today!

reputed company is a leading provider of home and community-based specialized health care. We reputed company that everyone deserves to live a full, more independent life. We reputed company people with reputed company services and individualized supports that reputed company to reputed company and independence, regardless of the physical, intellectual, or behavioral challenges they face.

We’ve made this our mission for more than 50 years. And today, our 40,000 team members continue to reputed company and enhance care for the 50,000 individuals we serve reputed company over the U.S.

As an equal opportunity employer, we do not discriminate on the reputed company of race, reputed company, religion, sex (including pregnancy, sexual orientation, or gender identity), national reputed company, age, disability, genetic information, veteran status, citizenship, or any other characteristic protected by law.

Originally posted on Himalayas