What are the responsibilities and job description for the Outreach Specialist SA 1034 position at AFMC?
SCOPE OF POSITION:
Responsible for reviewing behavioral health/substance use treatment and DYS setting client records to determine appropriateness and quality of treatment services in compliance with Medicaid licensure policies and DYS program deliverables. Collaborate with medical and other professional staff to accomplish goals within designated timeframes. Answers directly to the Behavioral Health supervisor/department manager and is accountable for ensuring services are implemented according to strategic directives and contract deliverables. Ensures that AFMC’s mission, vision and values are upheld by personal example. Support the organization’s mission, vision and values by exhibiting the following behaviors: Honesty, Excellence, Accountability, Respect and Teamwork.
ESSENTIAL JOB FUNCTIONS:
- Review each selected record accurately and according to AFMC, state and federal policies and procedures.
- Function as a resource for non-clinical staff by providing oversight and follow-up for clinically related questions or issues
- Write effective and accurate review summaries and submit within appropriate time frame.
- Maintain files for recording and reporting in accordance with established procedures.
- Perform site surveys as required or directed if relevant to your department. Must be able to travel within the State as needed to accomplish required site visits if relevant to your department.
- Prepare monthly reports and/or statistics as directed.
- Communicate effectively with internal and external clients. Upon request, verbally informs patients, facility personnel, the attending physician and other ordering providers, and health professionals of specific utilization management requirements and procedures
- Seek direction from Clinical Review Manager, Assistant Clinical Director, Clinical Director of Review, Associate Medical Director, or VP Chief Medical Officer for any clinical related questions or issues during the review process.
- Daily quotas may be added to meet contract deliverables as needed.
- Adhere to format, content and style guidelines, considering usability and ensuring accuracy, consistency, and quality.
- Follow AFMC, state and federal protocols regarding data confidentiality/security and HIPAA compliance.
- Additional duties as assigned.
KNOWLEDGE, SKILLS AND ABILITIES:
- Intermediate level computer skills (Excel, Word, Access, PowerPoint and Outlook).
- Type 50 wpm.
- Exceptional skills in business English and spelling are required.
- Ability to maintain confidentiality.
- Strong oral and written communication skills.
- Customer service.
- Ability to meet deadlines.
- Attention to detail.
- Flexibility.
- Knowledge of HIT/EHR.
- Behavioral Health/Substance Use terminology.
- Ability to work collaboratively and independently to achieve stated goals.
- Initiative.
- Ability to relate professionally and positively with staff, business partners, customers, constituents, recipients and the public.
- Ability to multitask.
- Ability to prioritize.
- Strong organizational skills.
- Problem solving skills.
- Professionalism.
- Project management skills.
- Ability to read, interpret and apply laws, rules and regulations.
- Knowledge of quality improvement processes and techniques.
- Time management skills.
- Ability to travel, including overnight travel.
Physical and Sensory Requirements (With or Without the Aid of Mechanical Devices):
Mobility, reaching, bending, lifting, grasping, ability to read and write, ability to communicate with personnel, ability to remain calm under stress and ability to travel as needed. Must be able to lift and transport 25 pounds. Must be capable of performing the essential job functions of this job, with or without reasonable accommodations.
EDUCATION:
Required: Bachelor’s Degree. Must be certified by one of the following: The Arkansas Substance Abuse Certification Board (ASACB) as an Advanced Alcohol Drug Counselor (AADC) or Alcohol Drug Counselor/Alcohol and Other Drug Abuse (ADC) or Certified The Arkansas State Board of Examiners of Alcoholism and Drug Abuse Counselors (SBEADAC) as a Licensed Alcoholism and Drug Abuse Counselor (LADAC) or Licensed Associate Alcoholism and Drug Abuse Counselor (LAADAC); The National Association of Alcoholism and Drug Abuse Counselors Certification Commission (NAADAC), the International Certification Reciprocity Consortium/Alcohol and Other Drug Abuse (ICRC), or the National Board of Certified Counselors, Inc. and Affiliates/Master Addictions Counselor (NBCC). At least 3 years in juvenile justice setting also required.
Desirable: Master’s Degree in a mental health related field. Licensed mental health professional in the state of Arkansas.
EXPERIENCE:
Required: Three (3) years’ experience in social service, behavioral health, and juvenile justice. Must be trained and possess experience in proper investigative techniques and detailed instruction on writing deficiencies.
Desirable: Quality Assurance / Utilization
INTERNET REQUIREMENTS:
Reliable, high-speed wireless internet service (Wi-Fi)