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Posted: Thursday, January 25, 2018 10:15 AM

Utilization Review Coordinator Primary Location: CA\\-CARancho Cucamonga\\-9166 Anaheim Place Function: Finance Organization: Redwood California MENTOR Description
Every person needs the support of others, but we look for very special people to support individuals with disabilities\\. As a Utilization Review Coordinator with California MENTOR you ll be one of those special people\\.
For California MENTOR 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\\.
California MENTOR 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\\.
+ Assistsin collection of service provision \\(planned, actual, over utilized\\) and currentservice information for program supervisor\\(s\\) for upcoming team meetings orservice change review meetings\\.
+ ConductsService Authorization reviews and receives confirmation from programsupervisor\\(s\\) for approval of all pending and final service authorizations\\.
+ Providesanalysis to assure that service delivery \\(planned to actual\\) correspond inareas of service support hours and units, staff hours and assignments, payrollhours and billing tickets, etc\\.
+ Responsiblefor daily coordination and tracking systems of incoming service deliverydocumentation and corresponding billing tickets/pre invoice received forprocessing in the regional office\\. Performs weekly, bi\\-weekly, and monthlyreviews and verifies completeness of required information\\. Reports status ofvarious service delivery targets and projects outcomes to supervisor\\.
+ Assistsin communication with Interdisciplinary Planning Teams to address areas ofidentified errors, corrections, or needed services related to billing units andover/under utilization areas\\.
+ Assuresand maintains functional knowledge base and materials related to current andnew funding Rules and Contracts, provides updates and information to supervisorand/others specific to impact on service delivery, authorizations, andutilization of services\\.


• Location: Inland Empire

• Post ID: 158685907 inlandempire is an interactive computer service that enables access by multiple users and should not be treated as the publisher or speaker of any information provided by another information content provider. © 2018