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Samaritan Daytop Village

Utilization Manager

Samaritan Daytop Village, Wawarsing, New York, United States

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Overview

Utilization Manager Healthcare staff can work anywhere….The BEST work with US! Monday-Friday 9am-5pm Salary: $63,000-$73,000 A nationally recognized comprehensive Health and Human Services Agency, with over 60 programs across New York City and greater New York Area. Samaritan Daytop Village serves over 33,000 New Yorkers annually within your neighborhoods and communities, and our success depends on those we employ. The Role

In concert with the agency’s mission and goal of sustaining high-quality care/service delivery to persons served, the Utilization Manager works to assist CASAC Counselors and supervisory staff as needed with ensuring compliance with external and internal utilization review, quality, and appropriateness requirements. Responsibilities

What You Will Do Conduct timely scheduled/required utilization reviews for Residential Services sites. Perform timely and complete quality and appropriateness reviews on a representative sample of treatment records for residential service sites. Attend monthly/other required UR Committee meetings. Prepare accurate and timely UR Committee minutes and reports. Participate in the agency’s Quality Improvement / Utilization Management Committee. Provide supervisory support to CASAC Counselors and Peer Workers as needed, with guidance from Management/Leadership. Monitor and evaluate ongoing audits of charts. Provide direct care services to clients as needed. Assist with maintaining the agency’s OASAS accreditation, including standards review and conformance auditing. Perform other duties as assigned. Qualifications

Who You Will Be OASAS CASAC Certification (with Bachelor’s Degree); OR Other QHP credential such as LMSW, LMHC, LMSW-LP, or MHC-LP (with Master’s Degree). Bachelor’s Degree in Human Services; AND OASAS CASAC certification; OR Master’s Degree in Social Work or a related field; AND Other QHP credential such as LMSW, LMHC, LMSW-LP, or MHC-LP. At least one (1) year of clinical or quality assurance experience in behavioral healthcare/human services organization or demonstrated clinical experience in substance use or mental health treatment. In-depth knowledge of HIPAA, OASAS, and 42 CFR regulations. Working knowledge of quality assurance and utilization review systems. Proficiency in Microsoft Office Suite and EHR. Experience working directly with people from diverse racial, ethnic, and socioeconomic backgrounds. Strong written, interpersonal, verbal, and computational skills to present and document records according to program standards. Ability to work independently.

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