Utilization Reviewer - Medicaid Services / Developmental Disabilities

Liberty Healthcare Corporation Salisbury , MD 21802

Posted 4 months ago

Health and human services quality management professionals are encouraged to consider an exciting career opportunity with Liberty Healthcare Corporation.

Liberty Healthcare provides a wide array of health and human services to people throughout the United States. We serve people in their homes and communities as well as in hospitals and specialized treatment settings. We help people who have physical and mental illnesses get better through enabling access to needed services. We provide oversight and utilization management services for people who have disabilities, ensuring they receive vital services, are safe, well-cared for and live as independently as possible.

Liberty Healthcare endeavors to establish a new statewide program in Maryland which will provide strategies that enhance the quality of life and help to ensure the health and wellbeing for individuals with intellectual and developmental disabilities who receive publicly-funded supports and services.

Specific program services and objectives will include:

  • Monitoring of basic waiver assurances including level of care reviews; service record reviews; critical incident reviews; and quality provider reviews

  • Utilization reviews including verifying quality and quantity of services delivered by providers

  • Execution of the National Core Indicators Surveys including face to face consumer surveys, family member surveys and family guardian surveys

  • Achieving system and provider accreditation by the Council for Quality Leadership

To support this new potential program, Liberty Healthcare seeks qualified candidates for a newly-created Utilization Reviewer position.

Liberty Healthcare's Utilization Reviewer will enjoy a dynamic job description and primarily be responsible for verifying the provision and quality of publicly-funded services for individuals who have intellectual and developmental disabilities. This includes field-based work and travel throughout the region to conduct onsite provider reviews as well as client, family and guardian meetings.

As a Utilization Reviewer and full-time employee of Liberty Healthcare you can expect a competitive salary and comprehensive benefits package.

Click here to for a detailed overview of Liberty Healthcare's benefits package

You're a good fit for this position if you possess the following minimum qualifications:

  • At least three years of experience in utilization review of Medicaid services

  • Health and human services experience - preferably related to developmental disabilities services

  • Bachelor's degree in a health and human services field

  • Willingness to travel throughout the local region

Liberty Healthcare Corporation is an Equal Opportunity Employer. Veterans and people who have disabilities are strongly encouraged to apply for this position.

Click here to learn more about Liberty Healthcare Corporation

If you're looking for a challenging career opportunity which will allow you to make a difference in the lives of others Liberty Healthcare is looking for you!

Click "Apply" and submit your resume for immediate consideration.


icon no score

See how you match
to the job

Find your dream job anywhere
with the LiveCareer app.
Mobile App Icon
Download the
LiveCareer app and find
your dream job anywhere
App Store Icon Google Play Icon
lc_ad

Boost your job search productivity with our
free Chrome Extension!

lc_apply_tool GET EXTENSION

Similar Jobs

Want to see jobs matched to your resume? Upload One Now! Remove
Developmental Co Manager Wm Stores

Wal-Mart

Posted 3 days ago

VIEW JOBS 10/21/2019 12:00:00 AM 2020-01-19T00:00 Drives the financial performance and sales of the store by reviewing and evaluating P&L (Profit & Loss) statements; managing and assisting in budgeting, forecasting and controlling expenses to confirm they are indexed to sales; monitoring and ensuring effective merchandise presentation, seasonal transitions, inventory flow, and operational processes; and developing and implementing action plans to mitigate shrink and ensure sales and profit goals are achieved. Models and demonstrates exceptional customer centered standards to store associates by following and training the Clean, Fast, & Friendly (CFF) service model; managing and supporting customer service initiatives (for example, store of the community and community outreach programs); ensuring customer needs, complaints, and issues are successfully resolved; developing and implementing action plans to correct deficiencies; and providing process improvement leadership to ensure a high quality customer experience. Leads management team effectively by touring stores and providing feedback (Tour-to-Teach); communicating and collaborating with all levels of associates regarding store operations, utilizing technology, business initiatives, merchandising, and company direction; introducing and leading company change efforts; and providing clear expectations and guidance to implement business solutions. Leads and develops people by teaching, training, and actively listening to management and hourly associates; touring stores; assigning tasks; evaluating performance; collaborating with other store management to provide development opportunities; conducting training meetings; mentoring associates; providing associate recognition; recruiting and hiring; and ensuring diversity and inclusion is incorporated into people initiatives. Minimum Qualifications...Outlined below are the required minimum qualifications for this position. If none are listed, there are no minimum qualifications. Minimum Qualifications: 2 years general management experience to include financial accountability 2 years experience supervising 20 or more associates/employees to include the responsibility of performance management, mentoring, hiring, and firing For facilities that sell firearms, I acknowledge that the position for which I am applying will require successful completion of a firearms- specific Criminal Background Check (CBC) and Firearms Authorized Training. For facilities that sell only ammunition and have state specific requirements, I acknowledge that the position for which I am applying may require a current state issued Certificate of Eligibility. I acknowledge that the position for which I am applying will be required to successfully complete all job required trainings and assessments (effective 01/26/2019). Preferred Qualifications...Outlined below are the optional preferred qualifications for this position. If none are listed, there are no preferred qualifications. Finance - Corporate, Food - Fresh Food Inventory Management, Managing challenging workforce issues, Supervising Associates Minimum Qualifications Minimum Qualifications: 2 years general management experience to include financial accountability 2 years experience supervising 20 or more associates/employees to include the responsibility of performance management, mentoring, hiring, and firing For facilities that sell firearms, I acknowledge that the position for which I am applying will require successful completion of a firearms- specific Criminal Background Check (CBC) and Firearms Authorized Training. For facilities that sell only ammunition and have state specific requirements, I acknowledge that the position for which I am applying may require a current state issued Certificate of Eligibility. I acknowledge that the position for which I am applying will be required to successfully complete all job required trainings and assessments (effective 01/26/2019). About Walmart At Walmart, we help people save money so they can live better. This mission serves as the foundation for every decision we make, from responsible sourcing to sustainability—and everything in between. As a Walmart associate, you will play an integral role in shaping the future of retail, tech, merchandising, finance and hundreds of other industries—all while affecting the lives of millions of customers all over the world. Here, your work makes an impact every day. What are you waiting for? All the benefits you need for you and your family * Multiple health plan options * Vision & dental plans for you & dependents * Associate discounts in-store and online * Financial benefits including 401(k), stock purchase plans and more * Education assistance for Associate and dependents Frequently asked questions * On average, how long does it take to fill out an application? On average, it takes 45-60 minutes to complete your application for the first time. Subsequent applications will take less time to apply as our system saves some of your application information. Please note that some positions require the completion of assessments in order to receive consideration for that role. Those would take additional time. * Can I change my application after submitting? No, you cannot change your application after submitting, so please make sure that everything is finalized before you hit the submit button. * How do you protect my personal information? Processing of information on paper is minimal, and Walmart processes application information using an applicant tracking system (ATS). Access to the data within the ATS is restricted to authorized personnel, and the system itself is held to high security standards by Walmart. * What are the recommended Internet Browsers for applying for open roles? * Internet Explorer 8.0+ * Firefox 4.0+ * Safari 4.0+ * Chrome 12+ See All FAQs Recently viewed jobs Wal-Mart Salisbury MD

Utilization Reviewer - Medicaid Services / Developmental Disabilities

Liberty Healthcare Corporation