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Practice Management Consultant-Adult Behavioral Health

extra holidays - fully flexible
Remote: 
Full Remote
Contract: 
Salary: 
53 - 67K yearly
Experience: 
Mid-level (2-5 years)
Work from: 
North Carolina (USA), United States

Offer summary

Qualifications:

Bachelor's or Master's degree in Human Services or related field, Professional experience in NC Medicaid funded services, Fully licensed by NC governing board or as RN with relevant experience, Strong knowledge of MH/DD/SA system rules and practices in NC.

Key responsabilities:

  • Monitor medical records for quality compliance
  • Participate in DOJ reviews and provider monitoring
  • Develop and implement initiatives to support recovery-oriented services
  • Collect, report data, and facilitate meetings
Trillium Health Resources logo
Trillium Health Resources Insurance SME https://www.trilliumhealthresources.org/
501 - 1000 Employees
See more Trillium Health Resources offers

Job description

Pay Plan Title: Coordinator

Working Title: Practice Management Consultant-Adult Behavioral Health

FLSA Status: Exempt

Posting Salary Range: $53,045 - $66,837

Office Location: Remote in Catchment

POSTING DETAILS:

Make an Impact  

Trillium Health Resources is a local governmental agency (LME/MCO) in North Carolina that manages serious mental health, substance use, and intellectual/developmental disability services. Serving in 46 counties, we help individuals and their families strengthen well-being and build foundations for a healthy life.

Join our team as we empower others to live their best lives by providing access to quality healthcare. We offer a challenging, engaging work environment where staff take home more than a paycheck. Every day, we see the results of our dedication – in the smiles of children on our accessible playgrounds and in the pride on the face of an adult cooking a meal for the first time. Working at Trillium Health Resources is more than just a job; it is an opportunity to make a direct impact on the communities we serve.

At Trillium, we know that empowering others begins with supporting and developing our team. That’s why we offer competitive benefits and work-from-home flexibility so that our employees thrive outside of the office. We’re also committed to building a diverse, inclusive culture where all employees have the potential to grow professionally and personally.

What We’re Looking For:

We are seeking a Practice Management Consultant with expertise in NC Medicaid Adult Behavioral Health and experience in monitoring medical records to ensure the quality and compliance of services delivered by Trillium’s contracted providers. This role plays a critical part in supporting individuals with Severe and Persistent Mental Illness (SPMI) by facilitating recovery-oriented services, including (ACT), (CST)and  (TMS). As part of our team, you will ensure that these essential services align with Trillium’s mission to promote community inclusion and stability. This position is integral to Trillium’s efforts to meet the requirements of the Department of Justice Settlement Agreement The role requires a deep understanding of Federal, State, and Accreditation standards in behavioral health, ensuring compliance and quality across the board.

On a typical day, you might:

  • Participate in Department of Justice (DOJ) reviews. 
  • Develop, implement, and monitor initiatives to overcome barriers. 
  • Represent Trillium in the Provider Fidelity Review process. 
  • Assist external stakeholders as it relates to ACT, CST and TMS services. 
  • Schedule, coordinate, and perform ACT, CST and TMS provider monitoring. 
  • Collect and report data.
  • Facilitate meetings. 

Employee Benefits:

Trillium knows that work/life balance is important. That’s why we offer our employees competitive benefits and flexibility that is second to none. Take a look at what we have to offer:

  • Typical working hours are 8:30am-5pm
  • A remote work option available for most positions
  • Health Insurance - no premium for employee coverage
  • Flexible Spending Accounts
  • Paid Time Off (PTO) of 24 days, plus 12 paid holidays within first year of employment
  • NC Local Government retirement pension. This is a defined-benefit retirement plan that will pay you a monthly amount upon retirement, for the rest of your life, with as little as five years of service. For more information, go to: https://files.nc.gov/retire/documents/files/Actives/LGERSHandbook.pdf
  • 401k with 5% employer match & immediate vesting
  • Public Service Loan Forgiveness Qualifying Employer

Qualifications: 

Education: Bachelors, Masters, or Other (must be fully licensed)

Preferred Education: Prefer Human Services degree.

Experience: 

Required Experience:

Professional experience in North Carolina Medicaid funded services.

Must meet Mental Health QP status to include professional experience in North Carolina Medicaid funded service:

  • Fully licensed by the NC governing board regulating Human Services professions; OR Fully licensed RN who is licensed to practice in the state of NC by the NC Board of Nursing who also has four (4) years of full-time experience with the MH/DD/SA population served. 
  •  A graduate of a college or university with a Master’s degree in a human service field and has one year of full-time, pre or post-graduate degree accumulated MH/DD/SA experience with the MH/DD/SA population, or a substance abuse professional who has one year of full-time, pre or postgraduate degree accumulated supervised experience in alcoholism and drug abuse counseling. 
  • A graduate of a college or university with a bachelor's degree in a human service field and has two years of full-time, pre or post-bachelor's degree accumulated MH/DD/SA experience with the MH/DD/SA population, or a substance abuse professional who has two years of full-time, pre or post bachelor's degree accumulated supervised experience in alcoholism and drug abuse counseling.
  • A graduate of a college or university with a bachelor's degree in a field other than human services and has four years of full-time, pre or post-bachelor's degree accumulated MH/DD/SA experience with the MH/DD/SA population, or a substance abuse professional who has four years of full-time, pre or post-bachelor's degree accumulated supervised experience in alcoholism and drug abuse counseling.
  • Strong knowledge of state and federal rules, requirements, and practices related to the MH/DD/SA system in North Carolina.

Preferred Experience

  • Experience working on a team or as a team lead for Assertive Community Treatment, Community Support Team, and/or Transition Management Services (ACT, CST, and/or TMS). 
  • Experience with Quality Management processes and/or tools commonly used for monitoring and auditing purposes


License/Certification: Only if qualifying as an RN.

Must have a valid driver’s license

Must reside in North Carolina to be considered for remote status

Deadline for application: 11/01/2024 11:59 p.m.

To be considered for employment, all candidates are required to submit an application through ADP and upload a current resume.  Your resume must provide your level of education and detailed work experience, including: 

  • Employer Name
    1. Dates of service (month & year)
    2. Average number of hours worked per week
    3. Essential duties of the job as related to the position you’re applying for
  • Education
    1. Degree type
    2. Date degree was awarded
    3. Institution
  • Licensure/certification, if applicable

After submitting your application through our career center in ADP, your resume will be reviewed to ensure that your skills and experience meet the essential criteria for the role you have applied for.

Join our Talent Community through our ADP career center to stay informed about positions you may qualify for. Remember to keep an update resume in the Talent Community profile. 

The diversity of the communities we serve is reflected in our employees. Trillium Health Resources is an Equal Employment Opportunity (EEO) employer.

Trillium Health Resources is a drug-free workplace. Candidates are required to pass a drug test as a condition of employment.

#Innovation  #Technology  #Careers  #NorthCarolina  #BehavioralHealth


Required profile

Experience

Level of experience: Mid-level (2-5 years)
Industry :
Insurance
Spoken language(s):
English
Check out the description to know which languages are mandatory.

Other Skills

  • Verbal Communication Skills
  • Analytical Thinking
  • Problem Reporting
  • Teamwork
  • Problem Solving
  • Quality Assurance

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