Vaya Health
Location
North Carolina
Salary
$50,007 - $65,009 / YEAR
The IDD UM Care Reviewer facilitates the review of service plans and authorization requests to ensure appropriate service delivery for individuals. This includes screening requests for completeness, approving based on check-sheets, and referring complex cases to clinicians.
Requires a Bachelor's degree in Special Education, Psychology, Social Work, or a related Human Services field with two years of post-degree professional experience. Candidates must qualify as a Qualified Professional for Developmental Disabilities and reside in or near North Carolina.
Remote – must live in North Carolina or within 40 miles of the NC border. The person in this role is required to maintain residency in North Carolina or within 40 miles of the NC border.
The IDD UM Care Reviewer is responsible for facilitating the review of service plans and service authorization requests to ensure that individuals are receiving the most appropriate services at a given time. The IDD UM Care Reviewer screens authorization requests for completeness, approves or administratively denies some requests based on review check-sheets, and refers requests that cannot be approved to IDD UM Clinicians, Care Coordinators or other appropriate individuals when service provision is inconsistent with the approved plan.
• Participation in Post Payment Review or other quality assurance reviews as requested.
Other Duties as Assigned.
Education & experience requirements
Bachelor’s degree in Special Education, Psychology, Social Work or closely related Human Services area and two (2) years of post-degree professional experience. Must qualify as a Qualified Professional for Developmental Disabilities.
The person in this position is required to reside in North Carolina or within 40 miles of the NC border.
Depending on qualifications & experience of candidate. This position is non-exempt and is eligible for overtime compensation.
Deadline for application: Open Until Filled
Vaya Health accepts online applications in our Career Center, please visit https://www.vayahealth.com/about/careers/ [https://www.vayahealth.com/about/careers/].
Vaya Health is an equal opportunity employer.
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