What are the responsibilities and job description for the Utilization Specialist position at Behavioral Health Group?
Utilization Specialist
Behavioral Health Group (BHG) is the largest network of Joint Commission-accredited treatment centers and the leading provider of opioid addiction treatment services. We are dedicated to helping individuals overcome substance use disorders. With over 115 locations in 24 states, our team of more than 1,900 employees serves over 42,000 patients.
Job Summary
The Utilization Specialist is responsible for performing comprehensive audits of client charts to ensure compliance with Minnesota's 245G substance use disorder (SUD) program standards. Additionally, the specialist will gather and submit the required documentation for the 1115 SUD waiver program, supporting adherence to state and federal regulations. This role plays a critical part in maintaining program integrity, enhancing quality of care, and meeting reporting requirements.
Responsibilities
- Chart Auditing
Conduct detailed audits of client charts to ensure compliance with 245G Minnesota state requirements.
Collect, organize, and submit all necessary documentation required under the 1115 SUD waiver program.
Identify trends or recurring issues in chart audits and propose strategies for improvement.
Responsible for complying with all federal, state, and local regulatory agency requirements.
Participate in community and public relations activities as assigned.
Demonstrates the belief that addiction is a brain disease, not a moral failing.
Participate in and provide in-service training as required by federal, state, local, and accrediting agencies.
Minimum Requirements
Qualifications
In addition to meeting the qualifications, the ideal candidate will embody the following characteristics and possess the knowledge, skills, and abilities listed below :
Physical Requirements and Working Conditions
The physical demands described here are representative of the requirements that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions to the extent such accommodation does not create an undue hardship on the business.
Why Join BHG?
At BHG, we thrive on the greatness of our people. Join us and become part of a community that values excellence, integrity, and making a real difference in the lives of others.
BHG is an equal opportunity, affirmative action employer providing equal employment opportunities to applicants and employees without regard to race, color, religion, age, sex, sexual orientation, gender identity / expression, national origin, protected veteran status, disability status, or any other legally protected basis, in accordance with applicable law.
