Utilization Review Coordinator jobs in Missouri

Utilization Review Coordinator KCRO

(Developmental Disability Service Specialist)

Salary: $1,906.33 Semi-Monthly ($45,751.92 Annually)

**Typical working hours: 8:00 AM to 5:00 PM, Monday through Friday**

Hybrid Schedule Option available upon completion of training.

The Missouri Department of Mental Health is dedicated to the prevention, treatment, and public understanding of mental illness and developmental disabilities. By joining our team, YOU can make a difference in the lives of those impacted by a mental illness or developmental disability so they have the opportunity to pursue their dreams, live their lives to the fullest, and be a valued member of their communities.

Benefits of working with Missouri Department of Mental Health include: Health, Vision, and Dental Insurance, Sick and Vacation Leave, 13 Paid Holidays per year, and Retirement. https://oa.mo.gov/personnel/state-team-members/team-member-benefits

Kansas City Regional Office is recruiting a positive professional to join our Utilization Review Team. This role involves working with a team to manage the determination of priority of service need regarding purchase-of-service programs and Medicaid waiver services for persons with DD/ID, and coordinating the utilization review process, as per Missouri state regulations. This position requires the ability to solve problems creatively, and to quickly and independently make and apply critical decisions in accordance with policies and procedures. Additionally, we are seeking someone with excellent written and verbal communication skills who will be able to establish and maintain effective working relationships with the individuals we serve, their families and caregivers, contracted service providers, co-workers, and the public.

Primary Responsibilities:

• Review annual and amended person centered service plans to determine the individual consumers’ service needs and level of priority to receive funding through the Regional Office.
• Review plans for specific outcomes related to self-direction, employment, community inclusion, natural supports, and other factors specific to the enhancement of life quality for people with DD.
• Complete Division documentation for priority of need determination for each consumer.
• Identify service needs meeting eligibility for State Plan Medical Services, Senate Bill 40 County Board funds, or other state and/or local funding mechanisms.
• Determine prior authorization of funding under Federal and State programs.
• Provide recommendations to ensure efficient and effective delivery of supports and services based on review of consumer data.

Required Minimum Qualifications: Bachelor’s Degree and two or more years of relevant experience.

To Apply:

Upload a cover letter, resume, college transcript, and three professional letters of recommendation to:

https://mocareers.mo.gov/apply for applicants not yet employed with the State of Missouri.

https://mocareers.mo.gov/internal for applicants currently employed with the State of Missouri.

Documentation supporting your eligibility (transcripts, employment records, etc.) may be required at any time during the application and hiring process.

Please email additional questions to Cheryl.Wilson@dmh.mo.gov or Teddi.Castillo@dmh.mo.gov, Human Resources, Kansas City Regional Office, 821 Admiral Boulevard, Kansas City, MO 64106. Phone: 816-889-3400, Fax: 816-889-6909.

The State of Missouri is an Equal Opportunity Employer. We celebrate diversity and are committed to creating an inclusive environment for all employees.