Transitional Management Services Professional III

2 weeks ago

WinstonSalem, North Carolina, United States Monarch Full time

About This Opportunity:

The primary responsibilities of the Transitional Management Services Professional III are to provide clinically-based supervision and guidance to both staff and the individuals they support to enhance the quality of life through services that enable individuals to achieve their personal dreams and goals.

Key Responsibilities:

  • Provide initial and ongoing assessment, evaluate effectiveness of PCP and progress made by person receiving services, participate in team meetings/case reviews with other providers and natural supports as needed and give input into person-centered plan modifications.
  • Identify opportunities for community connections and development/enhancement of natural support networks for people served. Work with service staff to educate people served on these options and access opportunities.
  • Use a range of communication skills and strategies to establish a mutual relationship with the individual, staff, co-workers, supervisors, other stakeholders and people who are important to the individuals receiving services.
  • Ensure requests for services are made considering eligibility, continued stay and discharge criteria for the service definition. Services and supports that match the person-centered plan and the individual's needs shall be in place and be fiscally viable.
  • Conduct clinical authorization and billing systems that ensure all aspects including, but not limited to: timeframes, audits, following through on clinically related issues preventing authorization approval or billing, how to resolve issues locally/regionally, conducting reviews of clinical documentation to ensure that it meets the requirements for the service being provided.
  • Prepare and submit required or requested reports, documents, assessments, evaluations and paperwork. Review and signoff on clinical documentation as required. Designated to release confidential information within assigned department(s).
  • Identify methods whereby services can be provided utilizing existing community resources whenever possible. Continuously use person-centered approaches and positive approach strategies when interacting with consumers. Integrate strategies into program plans.
  • Provide direction to staff in regards to carrying out programs, services and supports related to participant needs. Monitor performance and implementation of these responsibilities by being present when day-to-day activities, routines and rhythms are taking place, on all shifts and by unannounced visits. Direct any concerns regarding performance to appropriate personnel.
  • Ensure staff are appropriately trained regarding plans and related programs and demonstrate an understanding of specific plan components (including but not limited to all privileging requirements as outlines by area programs). Assist in the design and presentation of agency wide training.
  • Attend and actively participate in meetings and training as required. Maintain certification in all agency, state and federal training requirements.
  • Demonstrate knowledge of emergency procedures including preventative and crisis services. Schedule and participate in on-call coverage.
  • Work with supervisor on the continual assessment and enhancement of services provided throughout the agency.
  • Demonstrate knowledge of and comply with all agency policies and procedures, as well as state and federal statutes and regulations related to specific program areas.
  • Follow service definition guidelines for services being provided.
  • Complete all other relevant responsibilities as assigned by the supervisor.
  • Driving and travel may be required.

Education We're Looking For:

Bachelors: Human Services, Bachelors (Required)

Certifications We're Looking For:

North Carolina Driver License (Valid) - NC Division of Motor Vehicles, QDDP - The National Association of QIDPs

Experience We're Looking For:

Adult Population Experience, Developmental and Intellectual Disability Experience, Mental Health Experience

Schedule:

Monday-Friday (8:00am-5:00pm). Schedule is flexible to meet the needs of the program.

Target Weekly Hours:

40

Employee Benefits:

Paid Time Off (PTO) Medical, Dental & Vision Insurance Employee Assistance Program 403(b) Retirement Plan Student Loan Forgiveness Flexible Spending Plan MD Live Merchant Discounts Monarch Employee Care Fund

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