REQUIREMENTS:

- Must have strong organizational and time management skills.

- Must have knowledge of medicaid and insurance authorization procedures, and awareness of how to verify insurance.

-Be a team player, have strong written and oral communication skills, and the ability to serve as spokesperson for the company.

- Must be proficient in Microsoft Word, Excel, Power point, and Publisher

-Must be proficient in using Google Drive and additional Google applications.

- Bachelor's Degree in Psychology, Clinical Rehabilitation, Social Work(Preferred) or Management in this field: 5 years (Required)

- Previously acted as a supervisor or within a leadership role.

- Be able to be on-call during management rotation.

- Own or have access to a vehicle that is properly inspected and insured.

- Criminal Background check and OIG Exclusion administered

- Have familiarity with CANS/ANSA, intake process and procedures to ensure agency compliance.

- Have Nurturing and Parenting Certification (preferred)

RESPONSIBILITIES:

- Schedule and conduct monthly face to face service meetings with staff to provide agency updates.

- Maintain role as a QMHP-CS by maintaining 10 billable direct care service hours per week.

-Implement the client’s ISP (Individualized Service Plan) by coordinating the access and delivery of supports and services chosen in the ISP/Backup/Emergency Preparedness Plan

- Maintain the documentation required as part of the consumer’s service coordination record to substantiate a vendor’s monthly billing for Federal and State audits and ensure enrollment in the Medicaid and/or HCBS Waiver is not interrupted.

- Maintain confidentiality of the recipient’s records and information based on Medicaid and HIPAA requirements

-Run monthly eligibility verifications for members to determine eligibility for care.

- Assures consumer satisfaction and that all families receiving services are provided opportunities to give feedback on the quality of services they are receiving.

- Report and document any incidents, complaints and or abuse immediately to the CEO.

- Submit all required reports and documents- EX: CIR (90L’s)

- Ensure that all Field Supervisors and Mental Health Practitioners maintain their caseload, to include but not limited to assisting in scheduling and staffing.

- Keep track of the services provided for each recipient.

- Request a written revision of the CPOC when an emergency arises, and the recipient needs a change in the number of hours of services

- Keep accurate and timely documentation regarding service delivery – file all client paperwork daily.

- Oversee and provide Quality Assurance of documentation submitted within the EMR system to ensure effective delivery of care.

- Provide guidance and support to all direct care staff in relation to scheduling, client's concerns/needs.

- Communicate and cooperate with the case managers in providing the services.

- Assist the case management agency with written documentation of services provided, documentation of progress toward the individual’s goals and outcomes, and documentation of authorized services remaining in the approved CPOC when a recipient request to change service providers.

- Maintain necessary monthly time sheets and daily logs of services and submit billing in a timely manner to the appropriate payroll personnel.

- Assist in sending authorization approvals for members, monitoring status of approvals, and ensuring completion of assessments required for enrollment.

- Facilitate and coordinate completion of intake and behavioral health assessments with clients and clinicians.

- Type letters at the executive CEO request with the CEOs approval.

- Meet all assurance of DHH and DSS licensing, Medicaid Enrollment

- Fill-in in absence of the Field Supervisor’s and/or Direct Service Worker as needed. -
- Assist the CEO (i.e., office supply ordering, form and documents inventory, filing, etc.)

- Human Resources, Payroll by process job applicants, administer new hire pre-employment and orientation activities, assist in benefit enrollment, timekeeping system set up, and termination processing.

- Manage and process client and vendor invoices weekly

- Always represent the organization in a positive and professional manner

- Coordinate with community entities on behalf of the agency to convey the mission of the agency and advocate for the services provided to the community.

- Human Resources task: Recruiting/Marketing, Other duties as assigned by the CEO

- Create and distribute marketing materials for community distribution, as well as participate in community events.

Benefits will be offered after a successful 90 day evaluation period.

Job Type: Full-time

Pay: From $15.00 per hour

Expected hours: 40 per week

Schedule:

• Monday to Friday
• Weekends as needed

License/Certification:

• Driver's License (Required)

Work Location: In person