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Long-Term Support Services Clinical Reviewer (Remote Opportunity in Boulder, CO)

Company: KEPRO
Location: boulder
Posted on: May 3, 2021

Job Description:

KEPRO is a rapidly growing national quality improvement and care management organization. We work to ensure that over 20 million people receive the right care, at the right time, in the right setting. KEPRO is seeking resumes for a highly experienced HCBS/LTSS professional.AccountabilitiesPerforms all applicable review types as workload indicates, accurately and timely.Conduct reviews of Enrollees' long-term supports and services (LTSS) and/or Home and Community-Based Services (HCBS) needs.Act as clinical resource for eligible individuals and community agencies/providers.Monitor the provision and outcomes of LTSS and HCBS services including quality of outside agency documentation.Maintains current knowledge base related to LTSS/HCBS review and assessment processes and clinical practices related to the processes.The list of accountabilities is not intended to be all-inclusive and may be expanded to include other duties that management may deem necessary. Qualifications Nursing Diploma, Associates, or Bachelor's degree required.Non-restricted, clear RN license required.Case Management Certification preferred.Behavioral Health (adult or pediatric), TBI, LTSS, or HCBS experience required.Knowledge, Skills, AbilitiesWork independently and as a team member.Work effectively with individuals with diverse disabilities and cultures.Prioritize and meet deadlines.Problem solve.Familiarity with Independent Living issues and philosophy.Familiarity with Community resources and local service system for persons with disabilities. Experience 2+ years of clinical experience.Experience with State Medicaid programs, strongly preferred.2+ years of experience in human services working in or involved with the disability community.Mental and Physical Requirements The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations will be made as required by law in an attempt to enable an individual with a disability to perform the essential functions of this job. While performing the duties of this job, the employee is regularly required to sit for prolonged periods of time; key and/or control objects; interact extensively with internal and external customers; occasionally lift and/or move objects weighing up to 10 pounds; and occasionally travel within the state.KEPRO offers challenging careers, excellent benefits and opportunities for advancement. For consideration, please submit resume and cover letter with salary requirements. Only those candidates identified for an interview will be contacted. No Phone Calls Please. Visit our website at www.KEPRO.com for more information on the KEPRO Family of Companies.EOE AA M/F/Vet/DisabilityKEPRO is and Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran. Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities The contractor will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor's legal duty to furnish information. 41 CFR 60-1.35(c)

Keywords: KEPRO, Boulder , Long-Term Support Services Clinical Reviewer (Remote Opportunity in Boulder, CO), Other , boulder, Colorado

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