Medicaid Quality Coordinator (OSUS)

State of South Carolina; Cayce (SC); Sur place; USD 55 000 - 85 000; Plein temps

Avantages offerts par ce poste

Health, Dental, Vision Insurance

State Retirement Plan

Parental Leave

Holiday & Paid Leave

Telecommuting options

Résumé du poste

The Department of Behavioral Health and Developmental Disabilities, Office of Substance Use Services in South Carolina seeks a Medicaid Quality Coordinator to oversee administrative coordination and quality assurance for addiction services. You will collaborate with SCDHHS, local authorities, and MCOs to improve Medicaid service quality and billing practices, while guiding program improvement initiatives.

This full-time temporary grant position requires a master’s degree and current licensure,

Qualifications

• Master’s degree from an accredited institution.
• Current clinical license such as LPC or LISW-CP or similar licensure.
• Strong knowledge of behavioral health services and Medicaid policy.

Responsabilités

• Serve as liaison to SCDHHS for Medicaid policy and compliance.
• Audit clinical charts to ensure quality and compliant billing.
• Coordinate internal and state training and deliver technical assistance to improve quality.
• Lead development of annual program quality improvement reports.

Connaissances

Public speaking

Communication skills

Billing practices knowledge

PowerPoint skills

Excel / spreadsheets

Formation

Master’s degree

Licensed Professional Counselor (LPC)

LISW-CP or similar licensure

Outils

Electronic Health Records (EHR)

Word processing

Excel

PowerPoint

Description du poste

Job Responsibilities

Are you passionate about making a real difference in people's lives? Join our team at the Department of Behavioral Health and Developmental Disabilities (BHDD), Office of Substance Use Services (OSUS) where we are dedicated to providing compassionate and accessible care to our community. We are seeking a Medicaid Quality Coordinator to contribute to our team. If you want to use your skills to build a healthier, more resilient community, we encourage you to apply.

Under General Supervision, This Position Provides Administrative Coordination And Quality Assurance Oversight For Addiction Services, Working Closely With The South Carolina Department Of Health And Human Services (SCDHHS), County Alcohol And Drug Abuse Authorities (i.e., Local Service Providers), And Managed Care Organizations (MCOs) To Enhance The Coordination Of Rehabilitative Services For Substance Use Disorders (SUDs) Supporting Providers For Improved Quality Of Contracted Medicaid Services And Billing Through Clinical Technical Assistance And Training. This Position

• Acts as a substance use services liaison to SCDHHS for Medicaid policy and compliance providing support regarding Medicaid services for substance use and behavioral health services and collaborating with county authorities to ensure quality of services, and compliance with policy.
• Conducts audits of clinical charts to ensure treatment quality is reflected in appropriate clinical documentation, and billing practices adhere Medicaid standards. Collect treatment program data about beneficiary needs, services, costs and outcomes for monitoring purposes and evidence of cost effectiveness.
• Coordinates internal, state-level, and local training, learning collaboratives, and conducts topical technical assistance to drive improvement of program and service quality. Supporting development and implementation of continuous quality improvement plans that include performance outcome measures.
• Advises on quality assurance and/or compliance matters represents and leads in clinical quality improvement activities for enhanced substance use service and program provision internally, and in coordination with contractors. Leads development of annual report reflecting activities and tasks.
• This is a full-time temporary grant position*

Benefits

The South Carolina Department of Behavioral Health and Developmental Disabilities, Office of Substance Use Services, offers an exceptional benefits package for this Temporary Grant position that includes:

• 15 days annual (vacation) leave accrual per year
• 15 days sick leave per year
• 13 paid holidays
• Paid Parental Leave
• Health, Dental, Vision, Long Term Disability, and Life Insurance
• State Retirement Plan and Deferred Compensation Programs

Minimum And Additional Requirements

A master’s degree from an accredited institution of higher education, professional experience in human services or social services programs, and current clinical license such as Licensed Professional Counselor (LPC), Licensed Independent Social Worker - Clinical Practice (LISW-CP), or similar licensure.

Preferred Qualifications

Working knowledge of the delivery of behavioral healthcare services. Working knowledge of billing practices and quality assurance standards for healthcare services, Medicaid and managed care policy. Familiarity with electronic health records, Strong word-processing skills and intermediate spreadsheet and PowerPoint skills. Competence in public speaking and exceptional communication skills.

About Our Agency

The South Carolina Department of Behavioral Health and Developmental Disabilities, Office of Substance Use Services is South Carolina’s Single State Authority for Alcohol and Drug with a mission to ensure the availability and quality of a continuum of substance use service, thereby improving the health status, safety, and quality of life of individuals, families and communities across South Carolina. In the wake of the opioid epidemic, we are leading state agency in efforts to promote and establish evidence-based practices for prevention, treatment and recovery in our state.

EEO Statement

The South Carolina Department of Behavioral Health and Developmental Disabilities provides affirmative action and equal opportunity in employment for all qualified persons regardless of race, color, sex--including the basis of pregnancy, childbirth, or related medical conditions, national origin, age, religion, or disability.

Benefits For State Employees

The state of South Carolina offers eligible employees generous benefits, including health and dental insurance; retirement and savings plan options; and paid vacation and sick leave. Plus, work-life balance programs such as telecommuting and flexible work schedules are available to employees of some state agencies.

Insurance Benefits

Eligible employees may enroll in health insurance, which includes prescription coverage and wellness benefits. Other available insurance benefits include dental, vision, term life insurance, long term disability and flexible spending accounts for health and child care expenses.

Retirement Benefits

State employees are also offered retirement plan options, including defined benefit and defined contribution plans. Additionally, eligible employees may elect to participate in the South Carolina Deferred Compensation Program, which is a voluntary, supplemental retirement savings plan offering 401(k) and 457 plan options.

Workplace Benefits

State employees may also be eligible for other benefits, including tuition assistance; holiday, annual and sick leave; and discounts on purchases, travel and more.

Note

The benefits above are available to most state employees, with the exception of those in temporary positions. Employees in temporary grant and time-limited positions may be eligible for all, some or none of these benefits as benefits are associated with each position type. For these positions, contact the hiring agency to determine what benefits may be available.