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Utilization Manager- Region 3 Field Office- Atlanta

State of Georgia • Georgia, Georgia • 3d ago

?? Georgia - Fulton - Atlanta (https://ga.referrals.selectminds.com/jobs/80335/other-jobs-matching/location-only)

New

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Social Services

Behavioral Health and Developmental Disabilities, Georgia Department of - DBHDD

?? ? ? ?

4 hours ago Post Date

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Job Title: Utilization Manager- Region 3 Field Office- Atlanta Pay Grade: K Workplace: Hybrid- 1 to 2 days per week in office Travel: 10% Job Summary:

Serves as the Regional Field Office subject matter expert on the tiered funding structure and the additional staffing (AS) review and approval process

? Reviews and processes additional staffing (AS) requests within required timelines

? Communicates with providers to obtain all necessary information to allow timely completion of the AS process

? Identifies and tracks provider agencies in need of training based on incomplete or inappropriate submissions for AS

? Provides training or technical support to providers on the AS process as needed

? Incorporates assessment findings and performs calculations as necessary to determine appropriate levels of staffing for individuals, including shared staffing settings

? Uploads AS Letters, Adverse Action Letters and related documents into IDD Connects and collaborates with Operations Analysts to ensure that accurate prior authorizations are generated

? Coordinates with I&E Manager and PLA Supervisor to ensure timely completion of provider site visits by field office staff; ensures tracking of site visits is maintained

? Serves as the Regional Field Office subject matter expert on emergency respite supports

? Serves as Access Coordinator for language translation services

? Oversees outgoing and incoming region to region transfer requests and communicates with field office staff, counterparts in other field offices, or support coordination agencies to quickly resolve any issues that may result in delays

? Responds to requests for assistance from individuals in services, families, court systems, partner agencies and other stakeholders.

? Verifies that housemate matching and healthcare plans and protocols have been established and trained on prior to any move

? Monitors and approves community transfer requests and presents transfer requests for individuals in the ADA agreement group to the Transition Fidelity Committee or the Forensic Community Coordinator for approval

? Other duties as assigned by the Regional Services Administrator; this may include assisting in other regions

? Limited statewide travel including occasional overnight stays

Preferred Qualifications - External:

? Experience working with individuals supported via waiver funded intellectual/developmental disability services

? Proficiency with Microsoft Office Suite, primarily Word and Excel

? Experience with IDD Connects

For benefits information, please visit: https://careers.dbhdd.ga.gov/why-dbhdd/

Employment Requirements

To ensure the safety and wellbeing of our employees, individuals and communities we serve, certain positions within DBHDD may require evaluations, vaccinations, professional licensure and certifications. Licenses must be current and enable providers to practice within the State of Georgia.

The following are a listing of evaluations and vaccinations that may be required for employees, including those not involved with direct care:

Drug Screening

TB Evaluation

Annual Influenza*

*Limited exemptions may be made for documented medical contraindications or religious beliefs that object to vaccinations.

DBHDD is an Equal Opportunity Employer

It is the policy of DBHDD to provide equal employment opportunity (EEO) to all persons regardless of age, color, national origin, citizenship status, physical or mental disability, race, religion, creed, gender, sex, sexual orientation, gender identity and/or expression, genetic information, marital status, status with regard to public assistance, veteran status, or any other characteristic protected by federal, state or local law.

Due to the volume of applications received, we are unable to provide information on application status by phone or e-mail. All qualified applicants will be considered but may not necessarily receive an interview. Selected applicants will be contacted by the hiring agency for next steps in the selection process.

This position is subject to close at any time once a satisfactory applicant pool has been identified.

FOR THIS TYPE OF EMPLOYMENT, STATE LAW REQUIRES A NATIONAL AND STATE BACKGROUND CHECK AS A CONDITION OF EMPLOYMENT.

Bachelor's degree in a related field from an accredited college or university and four (4) years of professional job-related experience which includes one (1) year in a lead worker, team leader, or supervisory role; or two (2) years of experience at the lower level Social Svcs Prgm Consultant 2 (SSP041) or position equivalent.

Additional Information

Agency Logo:

Requisition ID: SOC0FYG

Number of Openings: 1

Shift: Day Job

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