Monitoring Specialist

Sandhills Center   West End, NC   Full-time     Other
Posted on July 21, 2022
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Monitoring Specialist:  Position #403328

Location: West End

Salary Hiring Range: $54,720 - $55,020

 

Sandhills Center is a Local Management Entity-Managed Care Organization (LME-MCO) serving people in nine counties in central North Carolina. We have a robust network of providers who offer treatment and support for mental health, intellectual/developmental disabilities and substance use disorders. It is the goal of Sandhills Center to make treatment options available to those who need them, to enrich and support our Provider Network, and to contribute to the overall well-being of the communities we serve.

 

Duties: This position will complete Post Payment Reviews and Investigative Monitoring of Network Providers. A Post Payment Review is completed based on guidelines from NC DHHS and Investigation occurs based on high risk criteria. Investigation may be the result from a complaint, quality of care concern, regulatory agency penalty, incident reporting and post payment reviews.

 

Minimum Requirements: Requires a Master’s degree in a human services field such as social work, counseling, psychology, special education, deaf education or rehabilitation counseling or related curriculum and one year experience in social work or counseling; preferably with the client population; or Bachelors’ degree in one of the fields listed above and two years of social work or counseling experience; or graduation from a four year college or university and four years’ experience in counseling or a related human services field providing experience in the techniques of casework, group work, or community organization; or an equivalent combination of training and experience. Medical Record review experience preferred.

 

EOE