Utilization Program SpecialistCity of Chesapeake • Chesapeake, Virginia, United States
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Utilization Program Specialist
City of Chesapeake
- Chesapeake, Virginia, United States
- Chesapeake, Virginia, United States
About
TYPICAL TASKS
- Performs provider site visits to ensure compliance with contract guidelines, evaluates service provision and make recommendations related to ongoing contracting for services.
- Performs utilization review of cases receiving the most intensive/restrictive services as assigned.
- Communicates concerns with compliance and provides recommendations to vendors in accordance with state and local laws as well as CSA policy and procedures.
- Acts as a support to the FAPT Coordinator by serving as a back-up as assigned and when and takes FAPT minutes weekly to ensure familiarity with cases.
- Gathers and maintains information to support periodic and special reports; documents activities and events for area of responsibility and provides report to CSA Coordinator.
- Performs administrative tasks such as researching files/records, charting, typing reports, telephoning, faxing, and photocopying.
- Attends staff, team, and other professional meetings to exchange information.
- Identifies training needs and works with FAPT Coordinator to facilitate training for FAPT members and stakeholders. Performs other related duties as assigned.
Required Qualifications
VOCATIONAL / EDUCATIONAL REQUIREMENTS : Requires a bachelor's degree or any equivalent combination of education and experience in social/behavioral science or closely related field.
EXPERIENCE REQUIREMENTS : In addition to satisfying the vocational/education standards, this class requires a minimum of one year full-time related experience with social services. Auditing experience preferred.
SPECIAL CERTIFICATIONS AND LICENSES : Requires a valid driver's license and driving record in compliance with City Driving Standards .
SPECIAL REQUIREMENTS : Employees may be expected to work hours in excess of their normally scheduled hours in response to short-term department needs and/or City-wide emergencies.
Preferred Qualifications
- Strong auditing and monitoring 3-5 years experience
- Ability to analyze data, contracts, and service agreements
- Knowledge of compliance, utilization review, and program oversight
- Excellent written and verbal communication skills
- Ability to work independently while collaborating with internal and external stakeholders
Languages
- English
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