Network Provider Monitoring Lead
Agency Name: Easterseals MORC
Agency Contact: Juliana Harper
- Position Type: Full Time
- Job Type: Permanent
- County: Oakland
- Salary Range: 60,000-70,000 per Year
- Send applications to: https://recruiting.ultipro.com/EAS1013ESMI/JobBoard/36188628-b181-4d9a-9829-e157ff41c2c1/OpportunityDetail?opportunityId=b7fbd70b-0e1e-4ad5-bb18-878cc1a2d894
- Please include your resume when applying.
- Download this job posting.
Easterseals MORC is hiring for a Network Provider Monitoring Lead to help make a difference and become part of something bigger than yourself!
We are looking for Game Changers!
The types of people who wake up excited to make a difference. The superheroes of their field who care about the people they serve. If that sounds like you, we want you on our team.
Benefits of Being a Superhero!
Benefits:
Low-cost Dental/Health/Vision insurance
Dependent care reimbursement, and up to 5 days paid FMLA for maternity, paternity, foster care and adoption.
Generous 401K retirement plan
Personal Time Off (PTO) available for full time employees
Up to $125 bonus for taking 5 days off in a row.
10 paid holidays and 3 floating holidays
Wellness Programs
We are a PSLF (Public Service Loan Forgiveness) Employer.
We provide bonuses and extra incentives to reward hard work & dedication.
Mileage reimbursement in accordance with IRS rate.
Free financial planning services through our partnerships with the LoVasco Consulting Group, and SoFi.
Student loan repayment options
Pet Insurance
Qualifications:
Possess a Bachelors Degree from an accredited college or University in public health or related field
Two years of experience monitoring qualifications through a related grant
Duties and Responsibilities:
Participates in Contract Management and Provider Management meetings to review the progress of DCO monitoring efforts and coordinate plans for ongoing provider oversight under Certified Community Behavioral Health Clinic (CCBHC)
Coordinates with contract management, quality assurance, program and administrative staff in developing and modifying monitoring tools in alignment with CCBHC standards.
Facilitates meetings quarterly with DCO partners to review CCBHC requirements including contract, credentialing, training and data requirements. Coordinates with CCBHC team and department leads to update Staffing and Training Plans.
Creates and maintains a master audit schedule and coordinates internally and externally to ensure contract requirements are adhered to. Maintains ongoing schedule of provider performance audits, corrective action plans and follow up.
Collaborate with DCO and CCBHC Leads to ensure data is collected and distributed in accordance with the monitoring plan, corrective action plans, and follow up.
Maintain active and open lines of communication between the CCBHC and DCO provider, including responses to DCO relationship questions and liaison for CCBHC requirements.
Collaborates with the Corporate Compliance Team and Program Liaison to address any provider concerns or grievances related to the monitoring effort.
Easterseals MORC was awarded Metro Detroit and West Michigan 101 Best & Brightest Companies to Work For!