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BH Trainer/Team Leader - Healthcare in Charleston, WV at KEPRO

Date Posted: 1/17/2018

Job Snapshot

Job Description

KEPRO is a rapidly growing national quality improvement and care management organization. We work to ensure that over 1 billion people receive the right care, at the right time, in the right setting. KEPRO is recruiting for the following excellent career opportunity in our Charleston, WV office:

                                                  Behavioral  Health Trainer/Team Leader

Provide leadership and oversight to Trainer/Consultants to ensure guidelines, policies, procedures and timelines are followed.  Review specific cases and clarify questions with Care Management and Training/Consultation staff and provide oversight of monthly Grand Rounds. 

  • Provide input on internal and external training needs related to clinical policies and procedures and based on the analysis of information obtained through provider audits and utilization data analysis.
  • Establish individualized recommendations for provider technical assistance and training related to clinical practices, based on information obtained through provider audit and utilization data analysis and provide agency specific technical assistance as needed and appropriate.
  • Review denials of service for private practitioner psychologists and non-physician rehabilitation services; conducts desk audits to monitor appropriateness of care and adequacy of provider documentation. This includes telephonic interventions as well as direct participation with providers as required.
  • Participate as needed in refining utilization review and management criteria, the record review process and policies and procedures as needed for all programs (MNS, SNS, MR/DD Waiver)

QUALIFICATIONS

  •          WV Licensed (active and unrestricted) Master's level Psychologist; Social Worker or Counselor
  •          Minimum 3 years experience in public sector human services or behavioral healthcare field 
  •          Strong verbal and communication skills with customer service focus
  •          Experience in a managed care and/or outpatient clinical setting is strongly preferred


KEPRO offers challenging careers, excellent benefits and opportunities for advancement.  Come grow with a progressive health care management leader. For consideration, please submit resume and cover letter with salary requirements.  Only those candidates identified for an interview will be contacted.  No phone calls, please.  Visit us at www.kepro.com for more information on the KEPRO Family of Companies.

 

EOE AA M/F/Vet/Disability

 

KEPRO is an E-Verify employer. E-Verify is an internet based system operated by the Department of Homeland Security (DHS) in partnership with the Social Security Administration (SSA) that allows participating employers to electronically verify the employment eligibility of their newly hired employees in the United States.

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