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Job 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 Lisa.moore2@dmh.mo.gov
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. -
ABOUT THE COMPANY
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State of Missouri
Show moreBuild the Missouri of tomorrow.
Ensure a strong foundation today.
Join a group of innovative team members focused on driving the State of Missouri forward. As public servants, our team members have the opportunity to produce work that is both lasting and important. This work serves to protect families, communities, and our natural resources.
No matter where you are in your career, whether entry level or senior level, a career with the State of Missouri will challenge you to grow both personally and professionally. Though one employer, there is no shortage of exciting opportunities as there are many career paths you may take within the State. If you are searching for a job that transforms lives, including your own, a career with the State of Missouri is the perfect fit!
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