Community Medical Services (CMS) is hiring a Texas Grant Utilization Reviewer. Under the supervision of the Regional Operations Director, the Texas Grant Utilization Reviewer is responsible for monitoring Texas Grant Funded Client Tracker to ensure current client census is reflected, removing clients that have been discharged in a timely manner, and checking due dates and missing documentation for each client on funding and communicating updates needed to responsible staff and management.
As part of our mission to help individuals recover from substance use disorders, you’ll thrive in a supportive, engaging, and fulfilling work environment where your contributions are valued.
Along the way, we’ll invest in your well-being through a benefits package that includes:
- Subsidized medical, dental, and vision insurance
- Health savings account
- Short and long-term disability insurance
- Life insurance
- Paid sick, vacation, and holiday time
- 401K retirement plan with match
- Tuition and CME reimbursement up to 100%
- Employee assistance program to support your mental health and wellness
- Ongoing professional development
Responsibilities:
- Monitoring Texas Grant Funded Client Tracker to ensure current client census is
- reflected, removing clients that have been discharged in a timely manner, and
- checking due dates and missing documentation for each client on funding and
- communicating updates needed to responsible staff and management (KC)
- Completing Daily Capacity Reports in CMBHS for each service location to
- ensure slots are not over capacity for funding and sending to Regional Director
- Running Methasoft reports to compare against census, informing staff of
- discrepancies to resolve in timely manner including newly funded clients that need a
- change in billing episode.
- Running GRPA reports weekly from CMBHS and sending them directly to managers
- showing which staff are due/overdue to increase compliance. (Have not run report
- from CMBHS, I’ve been checking each client’s chart) Run Report Called GPRA Client
- due for assessment.
- Attending monthly GRPA webinar update
- Assisting other staff in trouble shooting errors, issues with service locations, revising
- documentation, etc.
- Responsible for making contact in person or over phone to complete updated
- Financial Eligibility with client (will make 3 attempts and document each prior to
- communicating need for other staff to assist with process.
- Documenting all services provided to client
Skills:
- Ability to communicate clearly and effectively between all organizational levels and with outside providers
- Advanced computer knowledge, including ability to navigate in electronic health records
- General knowledge and aptitude for working independently with adults of mixed ethnic groups
- Culturally competent and sensitive to client and employee needs
- Excellent organizational skills, accuracy, and attention to detail
- Problem solving, conflict resolution, time management, and strong customer service skills
- Strong team player comfortable working in a fast-paced setting
- Ability to maintain confidentiality to ensure compliance with HIPAA and 42 CFR, Part 2
- Flexible with the ability to work in a continuously changing environment
