Job Description

Summary:

Provides oversight for clinical services, assuring quality care, compliance with Agency policies, state and federal guidelines, and CHAP standards of care provided for the Behavioral Health Program. Supports professional development of clinical staff. Meets qualifications as required by CMS/Palmetto guidelines for this Specialty Program position. Must be available for Clinical Support at all times in person or via telecommunications.

Responsibilities:

• Provides oversight of routine departmental functions which includes assessment of staff resources and productivity, assuring appropriate care is provided based on specific patient needs and staff abilities, maximizing referral acceptance
• Assists in determining proper utilization of service, supplies, and equipment
• Monitors accuracy of documentation and compliance with data entry deadlines, identifies problems and initiates resolution
• Participates in complaint resolution
• Ongoing responsibilities include recruitment of staff and evaluation of staff performance, assuring standards of care are established and maintained
• Establishes and monitors work improvement plans as needed
• Assists staff in determining need for changes to the patient's plan of care based on information obtained from supportive services and equipment
• Effectively serves as a leader and knowledgeable resource for staff
• Acts as Agency representative with physicians, payor sources, and management
• Collaborates inter/intra-departmentally to ensure patients receive appropriate care
• Assists as needed with clarification required for billing and claim denials
• Demonstrates current knowledge of trends in professional practice, Agency policies, state and federal guidelines, and CHAP standards
• Participates in performance improvement activities
• Assists in analyzing outcomes, reports, identifying problems and determining appropriate corrective actions
• Provides/arranges for educational activities as indicated
• Assists staff in utilization of patient-specific disease management models

Requirements:

• CPI
• BLS

Work Schedule:

5 Days - 8 Hours

Work Type:

Full Time

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