Monitors contractual compliance, provides administrative oversight and clinical consultation to assigned clinical team members.

PROCESSING DUTIES

• Maintains and updates billing summaries for each assigned clinical staff member.
• Reviews case loads to ensure clinicians are maintaining an adequate case load.
• Reviews clinical documentation.
• Ensures clinicians keep up to date with contractual deadlines and documentation requirements.
• Ensures all documentation is completed for transferring and discharged clients.
• Maintains contact with managed care agencies and other providers to resolve administrative and clinical issues.
• Participates in peer reviews, case staffing, and department meetings as scheduled.
• Participates in all staff meetings (biweekly, supervisors, and monthly in-service training.
• Completes performance reviews on assigned team members
• Reviews Prior Authorizations.
• Responds to emergency calls and attends multidisciplinary meetings as required.

OTHER DEPARTMENT DUTIES AS ASSIGNED

• Attends and participates in staff development training and workshops.
• Enter data as required in the database system.
• Generate correspondence as required.
• Other department duties as assigned.

COMPETENCIES

TECHNOLOGY

• Proficient with Word Processing Software Applications such as Excel and Word. Familiar with web search engines, e-mail applications -Outlook

LEADERSHIP SKILLS

Communication:

• Expresses oneself effectively both orally and in written form
• Communicates in a manner that supports strategies for staff involvement
• Actively listens to others
• Skillfully settles differences by using win-win approach
• Disseminates information effectively among independent contractors.
• Reports to immediate supervisor issues that may impact the Program.
• Teamwork:
• Uses appropriate interpersonal style to steer team members towards the goal.
• Organizes resources to accomplish tasks efficiently
• Reinforces change by embracing it.
• Takes charge when the situation demands it.
• Promotes a productive culture by valuing individuals and their contributions
• Networks with peers and associates to build support base
• Flexibility
• Adapts to stressful situations
• Willingness to change in order to meet organizational needs
• Professionalism
• Sets an example (role model)
• Stays current in terms of professional development
• Contributes to and promotes the development of the profession through active participation in the community
• Reacts positively to key developments in area of expertise that may affect the Center.
• Contributes ideas/solutions for process improvement.
• Attends work consistently and on time.

DOCUMENTING AND RECORDING

• Entering, recording, storing or maintaining information in written or electronic format abiding by program, agency, and contractual requirements.

WORKING CONDITIONS

• Administrative Position requiring sitting, walking, light lifting, and bending.