Ensures and promotes compliance and adherence to all relevant federal, state, and local laws, rules and regulations and requirements
Monitors progress of completion of regulatory trainings
Prepares HR compliance reports by compiling and analyzing internal audit data identifying compliance issues for various programs
Supports internal and external audits and requests for compliance evidence
Prepares reports in response to audits and plans of corrections
Monitors service requirements related to education assistance and new hire bonuses and coordinates collections process for employees who do not meet service requirements due to termination or status changes
Coordinates corrective action and/or suspension related efforts for employees who fail to complete TB screening, vaccine requirements, licenses/certification renewals, etc.
Communicate with insurance companies to verify coverage and obtain authorizations for medical treatments and procedures
Participate in regular team meetings, huddles, staff meetings and quality improvement projects to improve patient care
Generate department orders and accompanying documentation
Maintain confidentiality of patient data and condition to safeguard health information
Managed prescriptions, prior authorizations, tier copay reviews, and appeals on behalf
of providers
Processed medical records requests and subpoenas from outside providers according to facility, state, and federal law
Answered 30-40 incoming patient calls per day, greeted patients, provided information, and transferred calls to appropriate parties.
Multitasked general office duties by answering multiple telephone lines, responding to emails and completing assigned tasks
Provided psychoeducational support to 9 to 14 clients as guided by clinical leadership
Provided accurate and clinically minded documentation throughout shift according to policies and procedures
Supported planning and coordination of group therapy and program requirements
Performed high risk rounds and withdrawal screenings
Tracked client progress and medications via Kipu
Addressed behavioral and emotional needs of residents ages 12 to 18 through activities and interventions, increasing resident socialization, interpersonal and social skills
Delivered frequent summaries on resident progression and regression in treatment to provide recommendations towards treatment plan for success
Attended meetings to develop and implement individually tailored treatment plans to lead residents to successful reintegration into society