Utilization Review/Quality Assurance Coordinator

Upstate University Hospital   Syracuse, NY   Full-time
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Utilization Review/Quality Assurance Coordinator

Apply now Job no: 62901
Department: Psychiatry-Child Clinic
Employer: State of New York
Payroll Title: TH Utilization Review Quality Assurance Coordinator, NSSL3
Bargaining Unit: UUP (State University Professional Services Unit)
Salary: Commensurate with qualifications
Work type: Full-time
Location: Syracuse
Categories: Allied Health

Job Summary:
The Utilization Review Quality Assurance Coordinator is responsible for all compliance related paperwork and ensures paperwork is completed in a timely manner. Support clinic providers with training and re-education as it relates to Office of Mental Health regulations. Monitor open encounters and report any issues to the Business Manager. Review utilization of services in order to comply with regulatory and institutional requirements. Insure patient care services are appropriately documented and utilized. Review case records to determine if patients are receiving appropriate services and at the correct level of service. 
Minimum Qualifications:
Bachelors degree with 2 years of experience in a mental health or health care related setting OR Associates Degree and 4 years of experience in a mental health or health care related setting required. Excellent communication and customer service skills required for interface with health care providers, payers, regulatory agencies and other health care related entities.
Preferred Qualifications:
Bachelors degree in Social Work or health care related field preferred. NYS licensed Social Worker preferred. Understanding of Office of Mental Health regulations preferred.
Work Days:

Monday-Friday, days

Message to Applicants: This position has been reposted due to change in minimum qualifications.
Recruitment  Office: Human Resources
Executive Order: Pursuant to Executive Order 161, no State entity, as defined by the Executive Order, is permitted to ask, or mandate, in any form, that an applicant for employment provide his or her current compensation, or any prior compensation history, until such time as the applicant is extended a conditional offer of employment with compensation. If such information has been requested from you before such time, please contact the Governor's Office of Employee Relations at (518) 474-6988 or via email at info@goer.ny.gov.              

 

 
 
 

We are an Equal Opportunity Employer.
All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, protected veteran status or disability or other protected classes under State and Federal law.

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Upstate University Hospital

Syracuse, NY