Utilization Review Coordinator
Primary Location: WV-WVCharleston-5088 Washington St W
Function:Program Services Coordination/Case Management
REM West Virginia
Everybody needs a job but only extraordinary people work here!
Description Every person needs the support of others, but we look for very special people to support individuals with disabilities; children with emotional, behavioral or medical complexities; children and adults with brain injury. As a Utilization Review Coordinator with REM WV you’ll be one of those special people. For REM WV and The MENTOR Network, a Utilization Review Coordinator is critical to our success and exemplifies the wonderful mission driven work we do here every day. To that end, the Utilization Review Coordinator role is a fantastic role to continue your career path in Social and Human Services with a myriad of career options to move up and across the organization. The MENTOR Network is seeking a Utilization Review Coordinator to assist in ensuring adherence to Title XIX Waiver regulations/limitations and managed care authorizations. This individual will also assist in enhancing quality assurance measures as evidenced by increased compliance with applicable regulations. The Utilization Review Coordinator may also coordinate and distribute workflow for assigned staff.
- High School Diploma or equivalent
- Minimum of one year of experience working with Title XIX Waiver program rules, regulations and limitations
- Other education and experience plus licensure as required by state