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JOB SCOPE:Responsible for performing and monitoring activities related to internal Utilization Reviews including conducting case record reviews drafting and distributing associated reports and monitoring corrections when applicable. Additional specific responsibilities include involvement in program audit preparation staff trainings incident report submission conducting special investigations as well as incident monitoring and trending and participation in the and monitoring of quality improvement activities across all agency programs.
ESSENTIAL FUNCTIONS:
Salary: $(commensurate with experience)
Schedule Shift:MondayFriday 9AM to 5PM
Minimum Education/Requirements:Masters Degree and license required. Must be a Licensed mental health practitioner and/or social worker (LMSW LCSW LMHC LMFT LCAT) to ensure full compliance with regulatory requirements for PCMHs Clinical Residential and Community Care Programs (including Article 31 Outpatient Clinics Article 32 OASAS Clinics PROS ACT Teams Health Homes/ Care Coordination Licensed Housing Permanent Housing and Scatter Site Housing) reporting to the Director of Quality Improvement. Knowledge and experience with NYS regulations desirable.
Other Requirements:
1. Undergo background clearances priorto employment including fingerprinting with New York State Division of Criminal Justice Services State Central Registry (SCR) clearance the Staff Exclusion List (SEL) and Kchecks Exclusion Management.
2. Ability to maintain clearances throughout the duration of employment.
Required Experience:
Unclear Seniority
Full-Time