Quality Improvement Specialist/Utilization Management Coordinator (UM) Coordinator

Job Description:

Quality Improvement Specialist/Utilization Management Coordinator (UM) Coordinator

Description

Job Location: 1010 West Columbia St. Farmington, MO 63640

Why you’ll love this position:

Southeast Missouri Mental Health is dedicated to the prevention, treatment, and public understanding of mental illness and developmental disabilities. There are many benefits to becoming a Quality Improvement Specialist/Utilization Management Coordinator including:

• Having a physically active job will lead to a healthier lifestyle.
• Gaining personal satisfaction from helping people and making a difference
• Working as part of a team.

• Having a physically active job will lead to a healthier lifestyle.
• Gaining personal satisfaction from helping people and making a difference
• Working as part of a team.
• *****SALARY RANGE FOR THIS POSITION IS $55,000.00 - $75,000.00 ANNUALLY

• What you’ll do:
  
  The duties listed below are not all inclusive,
  
  Conduct Admission UM Reviews
  
  Conduct Transfer UM Reviews
  
  Audit Continued Stay Reviews
  
  Review Declining Patient Reports
  
  Review Critical Lab Reports
  
  Review CIMOR Admit ORYX-Admissions (for NRI)
  
  Review CIMOR Discharge ORYX-Discharges (for NRI)
  
  Conduct Transition of Care Audits (includes medical, jail, court, discharges)
  
  Review Patient Transfer and Physician Order Form
  
  Compile Admission Stats
  
  Compile Admission Stats for APS
  
  Conduct Medical Record Reviews
  
  Conduct Open and Closed Billing Audits-(Monthly)
  
  Prepare Utilization Review Reports
  
  Lead UM and Corporate Compliance meetings
  
  Assist with other assigned Quality Management audits
  
  

All you need for success as a Quality Improvement Specialist/Utilization Management Coordinator :

In addition to those identified in the previous level: Knowledge of accreditation and certification standards and their application to state or privately operated facilities. Ability to formulate quality improvement plans to improve efficiency.

Typical qualifications

Master’s degree, but individuals with a bachelor’s degree will be considered who have years of clinical/medical experience. Understanding of medical billing and practices is a plus.

The State of Missouri offers an excellent benefits package that includes a defined pension plan, generous amounts of leave and holiday time, and eligibility for health insurance coverage. Your total compensation is more than the dollars you receive in your paycheck. To help demonstrate the value of working for the State of Missouri, we have created an interactive Total Compensation Calculator. This tool provides a comprehensive view of benefits and more that are offered to prospective employees. The Total Compensation Calculator and other applicant resources can be found here .

If you have questions about this position please contact: Human Resources: (573) 218-6800 or [email protected]

Note: disciplinary action(s) within the past six (6) months may disqualify applicants for promotional changes in classification. Any request for an exception to this criteria must be submitted to Human Resources for consultation with facility administration for final approval.

Salary:

per Year