Utilization Review Supervisor
Sevita•Portage Lakes, OH
•Onsite
About The Position
REM Community Services, a part of the Sevita family, provides community-based services for individuals with intellectual and developmental disabilities. Here we believe every person has the right to live well, and everyone deserves to have a fulfilling career. You’ll join a mission-driven team and create relationships that motivate us all every day. Join us today, and experience a career well lived.
Requirements
- Bachelor’s degree required
- 1 year minimum work experience in human services required
- Basic Excel skills
- Ability to learn the Ohio state billing software
- Travel as needed
Responsibilities
- Develops plans to accurately measure documentation of services delivered to assure compliance with auditors
- Oversees service delivery authorizations and provides quality assurances of service delivery records
- Reviews all service delivery documentation
- Analyzes the delivery of services and coordination of required service documentation including corresponding billing tickets
- Tracks current and approved Individual Service Plan and corresponds with areas of support services and service delivery documentation records
- Verifies billing ticket/pre invoices submitted for processing with all required information
- Recommends service delivery utilization parameters
- Maintains knowledge of updated funding Rules and Contracts
- Notifies internal stakeholders for any updated information on service delivery, authorizations, and utilization of services
- Maintains organized and complete records and assures quality focused service delivery method strategies
- Monitors the regional office and storage filing systems
- Organizes records including availability for compliance audit file review
- Provides technical assistance to clinical staff in the service areas
- Facilitates timely and appropriate service authorization
- Monitors strategies
- Provides report analysis of actual service deliveries in comparison to authorized service approvals
- May direct and supervise clerical and administrative staff
- Provides feedback on performance evaluations
- Conducts scheduling, orientation, and training
- Resolves issues and serves as resource
- Performs other related duties and activities as required
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What This Job Offers
Job Type
Full-time
Career Level
Manager
