Program Specialist
Company: Advanced Behavioral Health, Inc.
Location: Middletown
Posted on: January 21, 2023
Job Description:
POSITION SUMMARY: The Program Specialist is responsible for the
recruiting and credentialing Provider Agencies for the Mental
Health Waiver. The Program Specialist is also responsible for the
collection of data, data recording and data management related to
Provider Agencies in the WISE program. The WISE program seeks to
move individuals with serious mental illness from nursing homes
into the community, or assist client already in the community to
remain there. The program arranges for housing, community supports,
and on-going services. ABH -'s roles include: (1) to identify,
credential, train and contract providers; (2) assist in program
implementation; (3) pay claims; (4) collect and report data; and
(5) manage quality improvement. This position will represent ABH -
and its services in a positive and professional manner and adhere
to ABH -'s best practices, guidelines, policies and procedures as
established, promoting ABH - as a leader in behavioral healthcare
in all interactions and work. DUTIES AND RESPONSIBILITIES:
- Assist in outreach and recruitment activities to obtain new
Mental Health Waiver Providers
- Review and process prospective Provider applications. Enter
data into an information system for tracking and reporting
purposes;
- Provide customer service functions for WISE providers;
- Monitor the work flow of Provider application requests and the
resultant determinations and approvals in regards to meeting or
exceeding the contractual requirements for WISE work
processing;
- Plan and coordinate trainings;
- Maintain and track re-credentialing spreadsheet. Process
re-credentialing paperwork and plan site visits as needed;
- Coordinate with DSS/DXC as needed to maintain Medicaid Provider
status for ABH and Providers;
- Assist in program implementation and program changes;
- Suggest enhancements to work flow processes, information
systems, and other non-personnel related processes;
- Comply and work towards goals established by DSS, DMHAS and ABH
-;
- Maintain internal communications; notify supervisors with all
relevant client or program-based information;
- Attend all required staff, supervision and training
meeting;
- Maintains confidentiality of all client protected health
information and adheres to all HIPAA and 42 CFR related policies
and procedures;
- Demonstrated ethical behavior and cultural sensitivity in all
activities involving individuals of diverse backgrounds;
- Performs other tasks/responsibilities as required to support
the business operations. EDUCATION AND EXPERIENCE REQUIREMENTS:
- Associate's Degree in Human Services or related field required;
Bachelor's Degree preferred;
- One - three years demonstrated work experience in the
behavioral health or home care industry;
- Attends annual Conflict of Interest training.
KNOWLEDGE/SKILLS/ABILITIES:
- Knowledge of substance abuse and mental health services;
- Knowledge of community resources in the local region;
- Knowledge and application of the principles of work
efficiencies;
- Demonstrated analytic problem solving skills;
- Must be flexible in order to respond quickly and positively to
shifting demands and change management opportunities;
- Demonstrated experience in project implementation and a
knowledge of projects management, including planning, scheduling
monitoring, and problem solving, budget development and
control;
- Must have reliable transportation;
- Strong attention to detail; ability to work on multiple tasks
and meet deadlines;
- Excellent PC skills with demonstrated experience using
Microsoft Office Package (MS Word, Excel, Power Point, Access,
Outlook); internet;
- Strong written and verbal skills required. PI201627709
Keywords: Advanced Behavioral Health, Inc., Middletown , Program Specialist, Other , Middletown, Connecticut
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