Utilization Review/Quality Assurance Coordinator - SUNY Upstate Medical University : Job Details

Job Summary:

The Utilization Review Quality Assurance Coordinator is responsible for all compliance related paperwork and ensures paperwork is completed in a timely manner. Support clinic providers with training and re-education as it relates to Office of Mental Health regulations. Monitor open encounters and report any issues to the Business Manager. Review utilization of services in order to comply with regulatory and institutional requirements. Insure patient care services are appropriately documented and utilized. Review case records to determine if patients are receiving appropriate services and at the correct level of service.

Minimum Qualifications:

Bachelors degree with 2 years of experience in a mental health or health care related setting OR Associates Degree and 4 years of experience in a mental health or health care related setting required. Excellent communication and customer service skills required for interface with health care providers, payers, regulatory agencies and other health care related entities.

Preferred Qualifications:

Bachelors degree in Social Work or health care related field preferred. Understanding of Office of Mental Health regulations preferred.

Work Days:

Monday-Friday, days

Message to Applicants:

Recruitment Office: Human Resources

Executive Order:

Pursuant to Executive Order 161, no State entity, as defined by the Executive Order, is permitted to ask, or mandate, in any form, that an applicant for employment provide his or her current compensation, or any prior compensation history, until such time as the applicant is extended a conditional offer of employment with compensation. If such information has been requested from you before such time, please contact the Governor's Office of Employee Relations at (518) ###-#### or via email at [email protected].