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Role Description

This position is responsible for facilitating the review of service plans and service authorization requests to ensure that individuals are receiving the most appropriate services at a given time.

• Review of Service Plans and Authorization Requests to ensure that all required documents are submitted
• Approve requests based on an algorithm for “auto approval” of the plan and authorization requests
• Refer plan and authorization requests that cannot be “auto approved” to Licensed Utilization Management Reviewer for medical necessity review
• Administratively deny incomplete requests
• Onboarding/training/mentoring of new staff as requested by leadership
• Other duties as needed to support the Supervisor, Manager, and Director

Qualifications

• Comprehensive knowledge of mental illness and diagnostic categories
• Knowledge of the assessment and treatment of developmental disabilities, with or without co-occurring mental illness
• Knowledge of the 1915 (b) (c) waiver
• Knowledge of psychiatric medications and side effects
• Knowledge of evidence-based practices
• Knowledge of appropriate treatments for major diagnostic categories
• Exceptional interpersonal skills and highly effective communication ability
• Problem solving, negotiation, and conflict resolution skills
• Awareness of cultural diversity
• Excellent computer skills including proficiency in Microsoft Office products (such as Word, Excel, Outlook, etc)
• Detail oriented, able to independently organize multiple tasks and priorities

Requirements

• A Bachelor’s Degree in a Human Services field
• Two (2) years of post-degree I/DD experience

Benefits

• Annual incentive bonus plan
• Medical, dental, and vision insurance with low deductible/low cost health plan
• Generous vacation and sick time accrual
• 12 paid holidays
• State Retirement (pension plan)
• 401(k) Plan with employer match
• Company paid life and disability insurance
• Wellness Programs
• Public Service Loan Forgiveness Qualifying Employer