Utilization Review Coordinator Greater Binghamton health Center P22526

Profile

Contact
Agency
Mental Health, Office of
Title
Utilization Review Coordinator, Greater Binghamton health Center, P22526
Occupational Category
Health Care, Human/Social Services
Salary Grade
19
Bargaining Unit
PS&T - Professional, Scientific, and Technical (PEF)
Salary Range
From $63323 to $80429 Annually
Employment Type
Full-Time
Appointment Type
Permanent
Jurisdictional Class
Competitive Class
Travel Percentage
0%
Workweek
Mon-Fri
Hours Per Week
40
Workday
From
6 AM
To
6 PM
Flextime allowed?
No
Mandatory overtime?
No
Compressed workweek allowed?
No
Telecommuting allowed?
No
County
Broome
Street Address
Greater Binghamton Health Center
425 Robinson Street
City
Binghamton
State
NY
Zip Code
13904
Minimum Qualifications
Candidates must be reachable for appointment on the current Civil Service eligible list for the title;
OR
Transfer Opportunity:
Candidates must have permanent status as a Utilization Review Coordinator, Grade 19, and be eligible for lateral transfer; OR be eligible to transfer via Section 70.1 of the Civil Service Law. In order to be eligible for 70.1 transfer, candidates must have one year of permanent competitive or 55-b/55-c service in a qualifying title within two salary grades of the SG-19 level.
OR
Provisional Opportunity:
In the event there is not a valid eligible list, candidates who meet the following promotion qualifications may apply for the position, and if hired, may be provisionally appointed. Candidates appointed provisionally must apply for the next examination and receive a score that is reachable on the resulting eligible list before they can be permanently appointed. If you do not pass the examination or achieve a reachable score, you may not be retained.
Candidates must be qualified employees of the **MEMBERS ONLY**SIGN UP NOW***. or the Office For People With Developmental Disabilities and have one year of permanent competitive or 55 b/55-c service as a:
Either A. Community Mental Health Nurse, Community Mental Health Nurse (Spanish Language), Health Care Surveyor 1 (Nursing), Health Care Surveyor 2 (Nursing), Health Services Nurse, Infection Control Nurse, Medical Care Representative, Mental Hygiene Staff Development Specialist 3 (Nursing), Nurse 2, Nurse 2 (Manual Communications), Nurse 2 (Psychiatric), Nurse 2 [Psychiatric] (Chinese Language), Nurse 2 [Psychiatric] (Manual Communications), Nurse 2 [Psychiatric] (Spanish Language), Nurse 2 (Rehabilitation), Nurse 3 (Correctional Services), Nurse 3 (Geriatric), Nurse 3 (Psychiatric), Nurse 3 [Psychiatric] (Manual Communications), Nurse 3 [Psychiatric] (Spanish Language), Nurse 3 (Rehabilitation), Nurse Administrator 1, Nurse Administrator 1 (Psychiatric), Nurse Administrator 1 (Rehabilitation), Nurse Administrator 2, Nurse Administrator 2 (Psychiatric), Nurse Administrator 2 (Rehabilitation), Senior Utilization Review Nurse, Supervising Health Services Nurse, Teaching & Research Center Nurse 2, Teaching & Research Center Nurse 3, Teaching & Research Center Specialty Nurse;
Or B. Licensed Master Social Worker 1, Licensed Master Social Worker 1 (Korean Language), Licensed Master Social Worker 1 (Spanish Language), Licensed Master Social Worker 2, Licensed Master Social Worker 2 (Chinese Language), Licensed Master Social Worker 2 (Korean Language), Licensed Master Social Worker 2 (Manual Communications), Licensed Master Social Worker 2 (Spanish Language), Social Worker 1, Social Worker 1 (Spanish Language), Social Worker 1 (Chinese Language); Social Work Assistant 3, Social Work Assistant 3 (Spanish Language), or Social Work Assistant 3 (Chinese Language) and have a bachelor’s degree or higher in a human services field.*
* For the purpose of this posting, a degree in a human services field includes the professional disciplines of audiology, community mental health, nursing, nutrition, occupational therapy, physical therapy, psychology, rehabilitation counseling, social work, speech/language pathology, and therapeutic recreation (including concentrations in art, dance, drama, music, or physical education). Also included are related academic disciplines associated with the study of human behavior (e.g., gerontology, human services, sociology, and speech communication) or human skills development (e.g., counseling, education, and human development).
Examples of non-qualifying degrees include but are not limited to: anthropology, criminal justice, political science, liberal arts, and business.
Duties Description
As a Utilization Review Coordinator, you would assist in maintaining the quality and efficiency of health care delivery by assuring health care services are medically necessary and appropriate and are provided in the most cost-efficient manner. You would be responsible for analyzing individual medical records to determine appropriateness of admission, treatment, and length of stay in a facility, in accordance with agency, governmental and accrediting body standards. You would review treatment plans against established OMH criteria and standards to assure treatment is consistent with standard medical practice. You will be involved in discharge planning, concurrent planning, precertification, and clinical case appeals. In addition, you would participate in developing quality improvement monitoring criteria, conducting medical record reviews, addressing and aggregating record review data, and preparing reports for administrative and oversight committees’ reviews.
Notes:
In order to be eligible for appointment and to maintain employment, you cannot be listed as an excluded individual or entity on any of the Federal and/or State Medicaid and Medicare exclusion lists (or excluded from any other Federal or Federally assisted program). If you are appointed and subsequently listed as an excluded individual or entity on any of these lists (or excluded from any other Federal or federally assisted program), you may be terminated from your employment.
Additional Comments
Background Investigation/Justice Center Review: Prospective appointees will be: 1) Checked against the Staff Exclusion List (SEL) maintained by the Justice Center for the Protection of People with Special Needs. Prospective employees whose names appear on the SEL as having been found responsible for serious or repeated acts of abuse or neglect will be barred from appointment and may have their names removed from the eligible list(s) for the title(s) if applicable. 2) Investigated through a Criminal Background Check (CBC), which includes State and federal Criminal History Record Checks. All convictions must be reported; conviction of a felony or misdemeanor, or any falsified or omitted information on the prospective appointee’s employment application, may bar appointment or result in removal after appointment. Each case will be determined on its own merits, consistent with the applicable provisions of State and federal laws, rules, and regulations. Prospective employees will be fingerprinted in order to obtain a record of their criminal history information, and may be required to pay any necessary fees. 3) Screened against the Statewide Central Register of Child Abuse and Maltreatment (SCR). Prospective employees may be required to pay any necessary fees. Additionally, prospective employees whose names are indicated on the SCR may be barred from appointment.
Additional Comments:
Office of Mental Health (OMH) hospital employees must be fully vaccinated against COVID-19. OMH does not allow for testing in lieu of vaccination.
Some positions may require additional credentials or a background check to verify your identity.
Name
Human Resources
Tele****
Email Address
****
Address
Street
Greater Binghamton Health Center
425 Robinson Street
City
Binghamton
State
NY
Zip Code
13904

Company info

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