Utilization Review Coordinator, (NY HELPS), New York City Children's Center - Bronx Campus, P26503

Utilization Review Coordinator

New York City Children's Center Bronx Campus is recruiting for a Utilization Review Coordinator to analyze and evaluate quality, effectiveness, and efficiency of psychiatric and medical services provided to individuals diagnosed with mental illness. Candidates from outside or within State Service can apply.

As a Utilization Review Coordinator, your duties will include:

• Reviewing clinical records for completeness and accuracy to ensure compliance.
• Collecting and analyzing data related to the utilization review process and preparing reports on findings, patterns, and trends.
• Reviewing medical records of new admissions, placement decisions, length of stays, and discharge plans against established criteria to determine if necessary and effective.

Candidates from outside or within State Service can be considered for hire under the Hiring for Emergency Limited Placement Statewide (NY HELPS) program if they have:

• Bachelor's degree in a human services field and 3 years of utilization review experience in a health care facility regulated by Centers for Medicare and Medicaid Services Utilization Review Standards, or
• Possession of a license and registration to practice nursing and 2 years of post-licensure nursing experience, one of which must have included utilization review and/or discharge planning.

OR

• Candidates within State Service can be considered for a competitive class appointment if they are reachable on the current Utilization Review Coordinator eligible list.
• Candidates within State Service can be considered for a competitive class appointment if they have 1 year of permanent competitive or 55-b/55-c service in a title eligible for transfer under Section 70.1 of the Civil Service Law.
• In accordance with Section 52.7 of the Civil Service Law, this notice advises all employees of the Office of Mental Health of our intention to conduct a non-competitive promotion examination for the position of Utilization Review Coordinator at New York City Children's Center. Permanent appointment may be made by non-competitive promotion of an applicant who meets the position's minimum qualifications if all requirements of non-competitive promotion are met.

All OMH employees receive a generous benefits package including:

• NYS medical, dental, & vision insurance
• Access to tuition assistance programs
• Excellent opportunities for advancement & professional growth
• Paid time off 13 paid vacation days in the first year, 5 paid personal days, 13 paid holidays, & paid sick leave
• NYS Retirement programs

Background checks will be required. This position is eligible for a Down State adjustment of $4,000. In order to be eligible for appointment and to maintain employment, you cannot be listed as an excluded individual or entity on any of the Federal and/or State Medicaid and Medicare exclusion lists (or excluded from any other Federal or Federally assisted program). If you are appointed and subsequently listed as an excluded individual or entity on any of these lists (or excluded from any other Federal or federally assisted program), you may be terminated from your employment.