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Utilization Review Coordinator - Kansas City

State of Missouri

Job Title Utilization Review Coordinator Job Location This position is domiciled at the Kansas City Regional Office, 821 East Admiral Blvd, Kansas City, MO 64106. Schedule Flexible schedules. No on‑call duties. Role Description Review requests for services to ensure that they meet waiver guidelines and follow Missouri values; review individuals’ priorities of need. Assist TCM entities by providing information and guidance on meeting waiver guidelines. Present the requests to the Director/Assistant Director or designee with the recommendations. Typical Qualifications 5 years of relevant experience or a Bachelor’s degree and 2 or more years of relevant experience. Experience with Developmental Disability Services and knowledge of Department of Mental Health Developmental Disability Division rules and regulations is preferred. Expectations Has a thorough knowledge of Division rules, regulations, guidelines regarding eligibility for Regional Office Services, prioritization of funding, and due process. Ensures the implementation of the Division regulations regarding the review of support plans and budgets for consumers. Has thorough and effective knowledge of all Division services as well as state‑funded medical services and community resources. Has a thorough understanding and acceptance of the Division’s mission and values. Effectively tracks all plans and budgets submitted for review, assuring completion of reviews and submission to the Regional Office Director/Assistant Director or designee. Assures that all forms and correspondence generated during Utilization Review Committee reviews are accurately and thoroughly completed. Accurately tracks all changes in Regional Office spending as specified by the Regional Office Director/Assistant Director or designee. Benefits Defined pension plan. Generous amounts of leave and holiday time. Eligibility for health insurance coverage. Total compensation exceeds base payroll; interactive Total Compensation Calculator available for prospective employees. #J-18808-Ljbffr State of Missouri

Vacancy posted 4 days ago
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