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1 Quality Assurance Utilization Coordinator (Bilingual) - APEX Program - Norcross, GA Job in Lawrenceville, GA

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View Point Health
Lawrenceville, GA | Full Time
$106k-133k (estimate)
9 Months Ago
Quality Assurance Utilization Coordinator (Bilingual) - APEX Program - Norcross, GA
View Point Health Lawrenceville, GA
$106k-133k (estimate)
Full Time 9 Months Ago
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View Point Health is Hiring a Quality Assurance Utilization Coordinator (Bilingual) - APEX Program - Norcross, GA Near Lawrenceville, GA

View Point Health

Job Title: Quality Assurance Utilization Coordinator
Job Code: RCT071/Compliance Monitor
Shift: First – Full-Time (40 hours per week on average)
Job Hours: Times May Vary
Base Location: Norcross, GA. 
Division/Department/Program: Quality Control APEX

APEX Program is an innovative program that has been providing services to the students in the state of Georgia, supported by Georgia Department of Behavioral Health and Developmental Disabilities (DBHDD), and school systems.

Under general supervision, compiles reports of indicators pertaining to potential fraud. Reviews system reports to determine state or program compliance or changes in state or program guidelines. Examines documents to identify noncompliance with state policies and procedures.

Duties & Responsibilities:

  • Manage and track APEX Quality Control
  • Assist data collection
  • Assist in creating monthly reports
  • Assists in creating monthly reports to submit to school systems (Gwinnett, Rockdale, Newton)
  • Participate in QA workgroups, meetings, and trainings
  • Assist clinician with caseload management, and ensure the service provided is authorized by insurance as well as school systems.
  • Assist office manager as needed
  • Check and monitor insurance coverage at the beginning of the service and each month
  • Assist in monitoring failed activities
  • Participate in weekly and monthly meetings

Minimum Qualifications:

High School Diploma or GED with three (3) year experience in a technical job related to the area of assignment. May require a valid driver's license.

Preferred Qualifications:

  • Experience with data entry; Carelogic experience preferred, quality control.
  • Proficient in utilizing a computer, keyboard, and basic knowledge of office applications (Word, Excel)
  • Willing to work within a team.

Requirements/Competencies:

  • Must be at least 21 years old
  • Must be able to write, read, speak, and comprehend English and Spanish.
  • Must be able to operate Microsoft Office, Excel, Access and Windows applications fluently
  • Must have excellent human relations skills, having dealt with a variety of customers and employees
  • Must work well under pressure and act as problem solver and team player
  • Must understand and be willing to adhere to all team member policies, procedures, and processes included in the Team Handbook and the Patient’s Right Handbook.
  • Must have full insurance coverage on the vehicle used to work.
  • Submission to a fingerprint criminal background checks whose results allow employment with the organization.
  • Submission to a pre-employment drug screen

Benefits (for qualified employees):

  • State Health Benefits Package (medical, dental, vision, life insurance, disability, long-term care, legal services, flexible spending accounts)
  • Company contributes additional 7.5% of salary to 401(a) Retirement Plan
  • Generous PTO – plus 9 holidays per year – and a paid Cultural/Spiritual/Service Day!
  • No employee deduction for Social Security – means more money in your paycheck!
  • Additional benefits such as legal services, Employee Assistance Program and discounted tickets to attractions, shopping, technology and travel
  • Qualified employer for Public Service Loan Forgiveness (PSLF)
  • Clinical supervision, training, and continuing education opportunities available

View Point Health is an Equal Opportunity Employer: View Point Health is an Equal Opportunity Employer. View Point Health recruits qualified candidates for positions in View Point Health programs throughout its service area. It is the policy of View Point Health to provide equal employment opportunities to all employees and applicants for employment and prohibits discrimination or harassment of any type without regard to race, color, sex, religion, national origin, age, disability, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.

Job Summary

JOB TYPE

Full Time

SALARY

$106k-133k (estimate)

POST DATE

09/02/2023

EXPIRATION DATE

08/12/2024

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