Utilization Review CoordinatorHybrid Work Schedules/Flexible Schedules/No On-call
Job Location: This position will be domiciled at the Poplar Bluff Satellite Office, 1903 Northwood Drive.
Why you’ll love this position: The Missouri Department of Mental Health is dedicated to the prevention, treatment, and public understanding of mental illness and developmental disabilities. By joining our team YOU can make a difference in the lives of those impacted by a mental illness or developmental disability so they can have the opportunity to pursue their dreams, live their lives to the fullest, and be a valued member of their communities.
More reasons to love this position:The State of Missouri offers an excellent benefits package that includes a defined pension plan, generous amounts of leave and holiday time, and eligibility for health insurance coverage. Your total compensation is more than the dollars you receive in your paycheck. To help demonstrate the value of working for the State of Missouri, we have created an interactive Total Compensation Calculator. This tool provides a comprehensive view of benefits and more that are offered to prospective employees. The Total Compensation Calculator and other applicant resources can be found here .
Role Description:Review requests for services to ensure that they meet waiver guidelines and follow Missouri values; review individual’s Priority of Need. Assist TCM entities by providing information and guidance on meeting waiver guidelines. Present the requests to the Director/Assistant Director or designee with the recommendations.
Typical Qualifications:5 years of relevant experience or a Bachelor’s degree and 2 or more years of relevant experience.
Experience with Developmental Disability Services and knowledge of Department of Mental Health Developmental Disability Division rules and regulations preferred.
Expectations: - Has a thorough knowledge of Division rules, regulations, guidelines regarding eligibility for Regional Office Services, prioritization of funding, and due process.
- Ensures the implementation of the Division regulations regarding the review of support plans and budgets for consumers.
- Has thorough and effective knowledge of all Division services as well as state funded medical services and community resources.
- Has a thorough understanding and acceptance of the Division’s mission and values.
- Effectively tracks all plans and budgets submitted for review assuring completion of reviews and submission to the Regional Office Director/Assistant Director or designee.
- Assures that all forms and correspondence generated during Utilization Review Committee reviews are accurately and thoroughly completed.
- Accurately tracks all changes in Regional Office spending as specified by the Regional Office Director/Assistant Director or designee.
- Department performance expectations have been outline in the revised 2018 Employee Handbook.