CSA Utilization Management Coordinator

Description

The City of Roanoke is seeking a CSA Utilization Management Coordinator to be responsible for monitoring the quality of service delivery to at risk youth and families under the Children's Service Act (CSA). Job responsibilities include providing utilization review of treatment foster care and residential treatment services, including site visits to treatment programs; analyzing data to ensure quality and effectiveness of service delivery and efficient use of fiscal resources; and providing assistance to the CSA Coordinator. Bachelor's degree in Human Services or related field or equivalent training/experience, plus two years related experience.

Strong skills in group facilitation. Significant knowledge of the Virginia system of care for at risk youth and families, High Fidelity Wraparound processes, children's mental health treatment, family systems, and CSA policy. Limited day travel with the use of agency vehicles is required.

The City of Roanoke is an Equal Employment Opportunity/AA/M/F/Disability Employer.

To elevate the performance of the organization, we are committed to respecting, celebrating, and embracing the collective mixture of differences and similarities between our employees as a rich tapestry. Our behaviors will demonstrate open communication, and we will seek opportunities to learn, recognizing and rewarding actions that promote acceptance while suspending judgment. By doing this, we will foster an inclusive, open work environment that delivers excellent service and creates a more vibrant and inviting community.

This is an exempt position.

Examples of Duties

SUMMARY

Ensures that sound business, clinical and cost management practices are integrated throughout the Children's Services Act (CSA) service deliver system, and seeks to contain costs and maximize revenues through monitoring as well as intensive utilization review of targeted cases.

ESSENTIAL DUTIES AND RESPONSIBILITIESinclude the following. Other duties may be assigned.

Ensures that the development, monitoring, and periodic review of individual service plans for youth and families occur in compliance with state and local CSA policies and procedures.

Conducts independent evaluations of need for services, goals and objectives, appropriateness of services to goals, faithful application of services, and evaluations of clinical progress; makes recommendations for appropriate transition planning and step down services as needed for specific children

Communicates and coordinates regularly with case managers from the core CSA agencies for mental health, juvenile justice, social services, and public schools.

Makes scheduled site visits to vendors/service providers to ensure compliance with local and state CSA policies and procedures, and to ensure that service delivery is congruent with approved individual service plans developed by FAPT.

Develops expertise about vendor qualifications; makes recommendations for specific vendor/interventions based on this knowledge; performs assessments as needed on new vendors

Conducts periodic review of both quantitative and qualitative data for trend analysis and continuous quality improvement

Assists with management of contracts with private vendors to purchase residential and community based services; assists in vendor negotiation for a targeted group of CSA-funded children such as difficult to place children

Creates or enhances a standardized utilization management system or tracking system for designated CSA-funded children

In conjunction with CSA/FAPT Coordinator, provides recommendations to FAPT, CSA committees and the Community Policy and Management Team (CPMT) regarding the most effective and efficient use of CSA expenditures

Facilitates CSA program in the absence of the CSA/FAPT Coordinator

SUPERVISORY RESPONSIBILITIES

This job has no supervisory responsibilities.

Typical Qualifications

QUALIFICATIONS

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

EDUCATION and/or EXPERIENCE

Bachelor's degree in Human Services or related field, or equivalent training/experience, and two years of related experience. Master's degree preferred.

Significant knowledge of the Comprehensive Services Act policy and procedures with regard to both locality and state specific regulations. Strong skills in group facilitation. Strong ability to collaborate with others while balancing competing interests.

Significant knowledge of the Virginia system of care for at risk youth and families, High Fidelity Wraparound processes, children's mental health treatment, family systems, and CSA policy. Experience in clinical assessment and policy development. Limited day travel with the use of agency vehicles is required.

Supplemental Information

LANGUAGE SKILLS

Ability to read, analyze and interpret technical journals, financial reports and legal documents. Ability to respond effectively to inquiries both orally and in writing. Ability to effectively present information and respond to questions from groups of managers, clients, customers and the general public.

REASONING ABILITY

Ability to define problems, collect data, establish facts and draw valid conclusions. Ability to interpret a variety of instruction in mathematical form and deal with several abstract and concrete variables.

CERTIFICATES, LICENSES, REGISTRATIONS

Must possess a valid appropriate driver's permit issued by the Commonwealth of Virginia.

PHYSICAL DEMANDS

The physical demands described here are representative of those 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.

While performing the duties of this job, the employee is regularly required to use hands to finger, handle, or feel; reach with hands and arms; and talk or hear. The employee frequently is required to sit.

The employee is occasionally required to stand; walk. The employee must regularly lift and/or move up to 10 pounds. Specific vision abilities required by this job include ability to adjust focus.

Travel, to include some overnights, with the use of agency vehicles is required.

WORK ENVIRONMENT

The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

The noise level in the work environment is usually moderate.

This is a job description and not an individualized position description. A job description defines the general character and scope of duties and responsibilities of all positions in a job classification, but it is not intended to describe and does not necessarily list the essential job functions for a given position in a classification.