Program Lead - PASRR (NC - Remote)

Description

Program Lead - PASRR

• Are you an experienced Program Lead looking for a new challenge?
• Do you value care management and quality improvement?
• Are you motivated, energetic, and excited to become part of the Kepro team?

If so, you might be our next new team member!

Note: This position is remote and does require travel to clients.

Candidates – please take note. Kepro holds significant contracts with the federal government. As of December 8, 2021, Kepro will require its employees to be fully vaccinated against COVID-19 as required by Executive Order 14042. New hires must be fully vaccinated as of their start date and provide proof of vaccination during the onboarding process. Medical and religious accommodations are available to those who qualify.

Who We Need

The Program Lead oversees the clinical team and functions, and manages and completes assigned work plan projects to comply with performance standards. The Program Lead coordinates with the Department on decisions and issues, and communicates with providers regarding determinations and other clinical matters. The Program Lead also develops and leads clinical staff in activities to facilitate and support clinical, quality, and cost-effective outcomes.

Why us?

Kepro is a rapidly growing national quality improvement and care management organization. We work to ensure that over 20 million people receive the right care, at the right time, in the right setting.

People Focused. Mission Driven.

Shape the future of healthcare with us. We are mission driven to improve lives through healthcare quality and clinical expertise.

We do this through our people.

At Kepro, you can do meaningful work that makes a real difference for the lives of individuals across the country. We are an organization that cares deeply about our employees and we provide the training and support to do the best work of your career.

Benefits are a key component of your rewards package at Kepro. These benefits are designed to provide you and your family additional protection, security, and support for both your career and your life away from work. They are comprehensive and fit a variety of needs and situations. Our benefits include comprehensive health plans, paid time off, retirement savings, corporate wellness, educational assistance, corporate discounts and more.

What You’ll Do

• Oversee, coordinate, and monitor all Clinical team activities.
• Ensure adequate staffing and contractual service levels are adhered to by implementing and monitoring clinical staff productivity and performance indicators. Maintains effective team member relations.
• Leads team members in improving skills, creativity, and problem-solving.
• Work with management team to develop and enhance the operational structure including skill set requirements, gap analysis, and training using workforce planning.
• Manages and completes assigned work plan objectives and projects on a timely basis.
• Provide advice and assistance to leaders in the planning, implementation, and evaluation of modifications to existing operations, systems, and procedures. Collaborate with leadership in the development of new and enhanced products and services.
• Represents the clinical department by participating on committees, task forces, work groups, and multidisciplinary teams.
• Maintains professional relationships with provider community and external customers and identifies opportunities for improvement.
• Participates in the development of policies and oversees clinical staff activities to ensure compliance with regulatory and accrediting standards, quality assurance and inter-rater reliability.
• Provides reports of compliance and other activities.

The list of accountabilities is not intended to be all-inclusive and may be expanded to include other duties that management may deem necessary from time to time.

Qualifications

What you’ll need:

• NC licensed Physician with minimum of three years of experience in diagnosing and treating mental illness and/or IDD/RC;
• NC licensed Psychology/Ph.D. with a minimum of three years of experience in diagnosing and treating mental illness and/or IDD/RC;
• NC licensed Social Work/Ph.D. with a minimum of three years of experience in diagnosing and treating mental illness and/or IDD/RC;
• NC licensed Psychology/Masters Level with a minimum of four years of experience in diagnosing and treating mental illness and/or IDD/RC;
• NC licensed Social Work/Masters Level with a minimum of four years of experience in diagnosing and treating mental illness and/or IDD/RC;
• NC licensed Registered Nurse with a master’s degree in Psychiatric Nursing and a minimum of four years of experience in diagnosing and treating mental illness and/or IDD/RC;
• Other – A mental health and/or Intellectual/Developmental disabilities (IDD/DD) professional with a combination of training and experience that is similar or equivalent to the qualifications stated above that includes:

For MI Evaluations

• Clinical training and experience that includes diagnosing and treating mental illness;
• A determination and certification by the Contractor that the individual is competent to perform PASRR Level II MI Evaluations.

For IDD/RC Evaluations

• Experience in the field of IDD/DD that includes direct experience assessing individuals for IDD/RC, including the use of standardized tests to assess intelligence, academic achievement, social development, adaptive behavior, and functional level;
• A minimum of four years of experience in performing PASRR Level II IDD/RC Evaluations.

Knowledge, Skills, Abilities

• Knowledge of NCQA/URAC standards strongly preferred.
• Knowledge of the organization of medical records, medical terminology, and disease process required.
• Strong clinical/social assessment and critical thinking skills required.
• Excellent verbal and written communication skills required.
• Ability to use independent judgment and discretion to address, resolve and process problems impeding the service needs.
• Proactively identify and resolves delays and obstacles.
• Ability to work in a team environment.
• Flexibility and strong organizational skills needed.
• Must be proficient in MS Office, Internet/Web Navigation
• Must have high-speed (no dial-up) internet at home.
• Must be willing to travel and have active, unrestricted license, reliable transportation and active auto insurance.
• Must have an OSHA complaint home workspace committed to confidentiality of PHI.

Experience

• 5 years of clinical experience required.
• 5 years staff/workload management experience required.
• Experience with stated State Medicaid program (PASRR/LCA), strongly preferred.
• Experience working with vulnerable populations, strongly preferred.
• Experience in Behavioral Health and Home Health services, strongly preferred.

Thank You!

We know your time is valuable and we thank you in advance for applying for this position. Due to the high volume of applicants we receive, only those who are chosen to advance in our interview process will be contacted. We sincerely appreciate your interest in Kepro and invite you to apply to future openings that may be of interest. Best of luck in your search!

~ The Kepro Talent Acquisition Team

Mental And Physical Requirements

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations will be made as required by law in an attempt to enable an individual with a disability to perform the essential functions of this job. While performing the duties of this job, the employee is regularly required to sit for prolonged periods of time; key and/or control objects; interact extensively with internal and external customers; occasionally lift and/or move objects weighing up to 10 pounds; and occasionally travel within the state.

EOE AA M/F/Vet/Disability

Kepro is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.