JOB SUMMARY: Responsible for ensuring that Progress Notes and IRP's are completed on time. That notes, plans and all forms meet State and Federal Licensing requirements so that CCDoT can bill for services provided. Monitors and may recommend an increase or decrease in level of care based upon consumer's mental health condition and willingness to engage in treatment. Collects information required to authorize services, assess necessity and appropriateness of treatment. Develops relationships with psychiatrists, APN's, healthcare service providers and internal and external customers to help improve mental health outcomes for consumers.
ESSENTIAL FUNCTIONS:
1. Audit Charts, Progress Notes, and IRP's to ensure they meet standards and deadlines.
2. Review Suspense reports. Problem solve suspense/billing issues
3. Verify consumer insurance through the eMevs system.
4. Ensure consumers are insured for billing via Molina certification.
5. Regular contact with IME to verify status of IRP's. Record & track status of all IRP's.
6. Complete weekly bed and vacancy reports.
7. Develop forms to track status of projects.
8. Work with Residential Program Directors on gathering necessary data to complete and submit
quarterly QCMR reports to DMHAS
9. Provide input to Program Director regarding consumer needs, staff training and overall concerns.
10. Contribute to the development and updating of individualized rehabilitation plans.
11. Communicate, in written & verbal form, assessments & observations of consumers to other
treatment team members.
12. Responsible for maintaining electronic and paper charts which includes required documentation of
service agreements, complaints and grievances, consumer rights, IRPs and nursing assessments
13. Proactive assistance with screening, interviewing, new hire orientation and targeted training.
14. Collaborate with Director of Training and Standards Compliance to Review and revise PDSA
systems
15. Provides Anasazi training to staff as well as demonstrates solid competencies with navigating
Anasazi system. Demonstrate solid competencies with entering data into contractor systems.
16. Participate in weekly treatment team meetings
17. Assist Housing Specialists and Group Home mangers with consumer intake at time of admission
18. Identify and provide additional training needs in consultation with Director of Residential Services
for Housing Specialists and Group Home managers related to billable hours, units of service
produced, and required agency and state reports
19. Assist Director of Training and Standards Compliance in ensuring residential staff remain in
compliance with agency and state regulations.
20. Other duties as assigned by Director of Residential Services and BHS and Agency Leadership.
KNOWLEDGE/SKILLS/ABILITIES: Ability to multi-task and handle various responsibilities/duties/issues simultaneously while meeting timelines. Detail and problem solving oriented, possess strong organizational skills, excellent interpersonal, written and verbal communication skills, the ability to establish positive interpersonal relationships with staff and colleagues, as well as external community for networking and partnership building.
SUPERVISORY REQUIREMENTS: N/A
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