Quality Assurance Auditor - Behavioral Health

Join our team and grow with us! Are you looking for a career with meaning? Do you want to be part of a team who strives to improve the quality of a person’s life? Avita Community Partners gives you the opportunity to live out your passion, in an organization known for high quality care. We value, reward & recognize hard working committed staff and want you to be surrounded by a healthy team and strong leadership. Why Avita? 20 days Paid Time Off (PTO) per year with a full "cash out" for unused PTO 10 Paid Holidays, 1 Floating Holiday, plus Your Birthday as a Holiday just for you! Avita is also an approved organization for the Federal Public Student Loan Forgiveness (PSLF) program. Under general to limited supervision, the Behavioral Health Auditor works with other Avita departments, as needed, to evaluate the medical necessity, appropriateness and effectiveness of paraprofessional behavioral health services provided for the purpose of maintaining quality care through the appropriate use of resources. Coordinates and performs service eligibility authorization review, quality assurance and billing compliance audits, service access, and continued stay reauthorization reviews. Acts as liaison between Avita service providers and third‑party payers, managed care organizations, and external review organizations as needed in the performance of utilization and quality assurance management. Provides reports for internal and external use for performance evaluation and improvement. Interprets National and State standards, rules, regulations, and best practice guidelines relevant to Avita programs, policies, standards, and guidelines on corporate compliance, utilization management, and quality assurance. Minimum Qualifications Must have a bachelor’s degree. Avita Community Partners is an Equal Opportunity Employer and does not discriminate in its service practices or employment practices with regard to race color, religion, disability, gender, sexual orientation, age, or national origin. #J-18808-Ljbffr