at Four County Mental Health, Inc. in Coffeyville, Kansas, United States
Job Description
MINIMUM QUALIFICATIONS:
- Bachelor’s Degree in Healthcare Policy, Public Health, Healthcare Administration, or Social Services, or other degree, or experience in these areas, or a combination of education and experience to equal four years
- Ability to relate well with people in person and on the phone
- Ability to work under pressure and to meet multiple, concurrent deadlines
- Demonstrated skills working with relevant computers programs required
- Work independently as well as be a productive member of a team
- Dependable vehicle, valid driver’s license, and compliance with agency’s liability carrier’s requirements may be required depending on job assignment
- Communicate positively and effectively with others
- Basic proficiency in math
- Effective utilization of basic office technology
GENERAL RESPONSIBILITIES: Supports the Utilization Review / Quality Improvement / Accreditation / Auditing efforts of the organization through review of completed administrative services in the Electronic Health Record, completes special projects for areas across the organization. Maintain a current knowledge base of Staff roles/functions, policies and procedures, forms and their application, and provide support for Four County Mental Health Center’s programs.
ESSENTIAL JOB FUNCTIONS:
- Assist in managing utilization review process, conducting standard utilization review activities and completing associated workflows, as well as reviewing potential restricted charts for unauthorized access
- Assist in managing completion/submission of required documentation for CMHC and CCBHC licensure renewals, including required updates/reviews and MOU/Care Coordination agreements with community partners/organizations
- Assists QI/UR Director in reviewing and responding to audits from MCOs
- Assists QI/UR Director in reviewing, investigating, and responding to quality management tasks
- Assists QI/UR Director in updating core policies and procedures in policy management software
- Exhibit and promote decisions / behavior consistent with the Center’s established Vision, Mission, and Values
OTHER JOB FUNCTIONS:
- Any deviations to the work schedule and all overtime must be approved in advance.
- Other duties as assigned by Supervisor.
