Intercept Youth Services
  • Richmond, VA, USA
  • Salary
  • Full Time

Summary:   Responsible for the leadership and supervision of the Utilization Review department whose function is the ongoing, objective evaluation of Intercept's services and associated client records. Will provide oversight and assistance to all service divisions with regards to risk, compliance, and quality assurance to ensure that Intercept meets the requirements of all regulatory bodies, and promote safe work practices, quality care, and services by providing intervention and education related to risk management issues.

Experience/ Education:  
Bachelor's in a Human Services field required; and at least three years of relative supervisory experience.  Experience with accreditation highly preferred.

Essential duties include the following. Other duties may be assigned as needed.

 

DEPARTMENT SUPERVISION

  • Responsible for direct supervision of the Risk Manager, Quality Assurance Supervisor, and Utilization Review Supervisor, and indirect supervision of all other department staff.
  • Coordinates/facilitates department training on new services and/or new regulations and requirements.
  • Responsible for department monthly staff schedules of reviews to ensure that each service and location receives a minimum quarterly review.
  • Ensures team development within the department and with other Intercept departments.

INTERNAL SERVICES PROVISIONS

  • Responsible for the on-going review of all reports to members of the Intercept management team.
  • Confers with Business Unit Directors to ensure specific effective reporting.
  • Regular coordination and collaboration with the Business Unit Directors for training as it relates to compliance, risk, and quality assurance.
  • Collaborate with Business Unit Directors on outcomes of licensing reviews and assist with development of corrective action response.
  • Participates in monthly committee meetings to identify high risk programs.
  • Chair policy and procedure committee to ensure all policies and procedures are updated as necessary. 

REGULATORY

  • Responsible for overseeing the on-going review of Medicaid and regulatory compliance and quality assurance requirements for all services.
  • Responsible for overseeing the on-going review of risk assessments and potential high risk programs.
  • Assist the Risk Manager with compiling and producing the annual risk assessment.
  • Assist in the development of an action plan for mitigating risk.
  • Assists in retrieval of client records/documentation and collaborates with service directors during regulatory audits.
  • Attend trainings, conferences, or events regarding regulatory changes, updates, or revisions. 

UTILIZATION REVIEW

  • Ensures completion of Medicaid pre-authorizations, re-authorizations, and discharges for Community Homes divisions and assists Utilization Review Supervisor with overflow of initial and/or continued stay reviews.
  • Provides program guidance on EMR to align with regulatory compliance.

 

Intercept Youth Services
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