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Care Coordinator (community Based Services) - Horizons - FT

Complete and audit SED Waiver documentation to ensure compliance and service approval
Hutchinson, Kansas, United States
2 weeks ago
Hutchinson Regional Healthcare System

Hutchinson Regional Healthcare System

A healthcare provider offering a range of medical services, including hospital care, in Hutchinson, Kansas.

1 Similar Job at Hutchinson Regional Healthcare System

Horizons Reno County Serious Emotional Disturbance (SED) Waiver Documentation Specialist

This position serves under the direction of the Community Based Services (CBS) Clinical Manager to complete Serious Emotional Disturbance (SED) Waiver documentation in order to fulfill the standards set forth by the State of Kansas and Horizons Mental Health Center. This position also serves to support the CBS Department in accurate and complete documentation for other programs under the CBS umbrella. Actively participates in outstanding customer service and accepts responsibility in maintaining relationships that are equally respectful to all.

Essential Functions:

  • Timely communication with the Managed Care Organizations (MCOs) and state agencies, including Kansas Dept. of Health and Environment (KDHE) and Kansas Dept. of Aging and Disability Services (KDADS), to gain approval for services and resolve eligibility issues
  • Working knowledge of State of Kansas systems used to enter information and check service authorizations (ex. KAMIS, MCO authorization websites) for children applying or currently on the SED Waiver
  • Collaborative with other departments within Horizons MHC to assist with claims filing and state/MCO audits
  • Audit SED Waiver Plans of Care (POCs) and work collaboratively with Health Information Management (HIM) to ensure compliance with State regulations and guidelines.
  • Assist HMHC staff as needed in completing all necessary documents required to determine a consumer's eligibility for SED Waiver
  • General data entry for CBS department
  • Other duties as assigned

Minimum Knowledge and Skills Required:

  • Basic familiarity with community mental health services in general and services within Horizons Mental Health Center preferred
  • Basic familiarity with Microsoft Office
  • Excellent communication and collaboration skills as well as attention to detail and time management skills

Preferred Behavioral Skills:

  • Integrity: A personal presence which is characterized by a sense of honesty and the willingness to do the right thing. The ability to role model, inspire and motivate others to promote the philosophy, mission, vision, goals and values of Hutchinson Regional Healthcare System
  • Compassion: A personal presence which is characterized by a sense of caring that is reflected in a high level of empathy and customer service with all that we come in contact. Ability to manage conflict, consider other points of view, and offer alternative solutions without jeopardizing overall project direction and the ability to manage customer expectations.
  • Accountability: Demonstrated track record of ownership of situations, projects and issues. Able to work autonomously and have a high degree of flexibility to adapt to changing projects, priorities and work volumes.
  • Respect: Demonstrated ability to collaborate with a diverse population. Treat all internal and external customers with a positive, proactive service orientation.
  • Excellence: Strong communication and presentation skills. Proven ability to think strategically but also must be able to lead day-to-day tactical processes.

Minimum Education and Experience Required:

  • One of the following is required:
    • Bachelor's degree, preferably in Social Work, Psychology, or some related field OR
    • Associate's degree with an additional 2 or more years' experience working with educating and teaching clients about self-care, improving daily living activities OR
    • Total combined years of schooling and experience (working with educating and teaching clients about self-care, improving daily living activities) to equal 4 or more years

Preferred Education and Experience:

  • Bachelor's degree in Social Work, Sociology, Psychology, or Special Education (with specialized training in human development and family dynamics)
  • Three to five years' professional experience in mental health services or a related field

Preferred Licensure or Registration:

  • LBSW

We offer competitive pay, a generous benefit package and a reason to be proud of what you do, every day.

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Care Coordinator (community Based Services) - Horizons - FT
Hutchinson, Kansas, United States
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About Hutchinson Regional Healthcare System
A healthcare provider offering a range of medical services, including hospital care, in Hutchinson, Kansas.