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Network Auditing Coordinator

extra holidays - fully flexible
Remote: 
Full Remote
Contract: 
Salary: 
53 - 67K yearly
Experience: 
Mid-level (2-5 years)
Work from: 
North Carolina (USA), United States

Offer summary

Qualifications:

Master’s or Bachelor’s degree in a human service field, Fully licensed by NC governing board or registered nurse with relevant experience, Minimum of 1-4 years of experience with MH/DD/SA population depending on education level, Valid driver's license, Must reside in NC for remote status.

Key responsabilities:

  • Support development and management of Provider Network
  • Oversee monitoring activities of the provider network
  • Conduct monitoring reviews, audits, and document findings
  • Communicate with providers and develop intervention strategies
  • Ensure compliance with Federal, State, and Accreditation requirements
Trillium Health Resources logo
Trillium Health Resources Insurance SME https://www.trilliumhealthresources.org/
501 - 1000 Employees
See more Trillium Health Resources offers

Job description

 
 

Pay Plan Title: Coordinator 

Working Title:  Network Auditing Coordinator

Cost Center: 45/Network

Position Number: 81377, 81152

FLSA Status:  Exempt

Posting Salary Range: $53,045 - $66,837

Office Location: Remote in Catchment for the following counties: West Team- Guilford, Randolph, Montgomery, Moore, Anson, Richmond, Hoke, Lee

POSTING DETAILS:

Make an Impact  

Trillium Health Resources is a local governmental agency (LME/MCO) in North Carolina that manages serious mental health, substance use, and intellectual/developmental disability services. Serving in 46 counties, we help individuals, and their families strengthen well-being and build foundations for a healthy life.

Join our team as we empower others to live their best lives by providing access to quality healthcare. We offer a challenging, engaging work environment where staff take home more than a paycheck. Every day, we see the results of our dedication – in the smiles of children on our accessible playgrounds and in the pride on the face of an adult cooking a meal for the first time. Working at Trillium Health Resources is more than just a job; it is an opportunity to make a direct impact on the communities we serve.

At Trillium, we know that empowering others begins with supporting and developing our team. That’s why we offer competitive benefits and work-from-home flexibility so that our employees thrive outside of the office. We’re also committed to building a diverse, inclusive culture where all employees have the potential to grow professionally and personally.

What We’re Looking For:

The Network Coordinator will support the development and management of the Provider Network for members who have been identified as having Mental Health, Developmental Disabilities or Substance Use needs and be responsible for overseeing the monitoring activities of the provider network. This position will be responsible for maintaining knowledge of applicable Federal, State, and Accreditation requirements and ensuring that the organization maintains compliance with these requirements.

On a typical day, you might:

  • Provide monitoring reviews and audits
  • Issue, review, and accept plans of correction
  • Conduct quality audits
  • Document and communicate with Providers
  • Develop interventions aimed at providing technical assistance, training, and support to help reduce and/or eliminate patterns and trends of non-compliance

Employee Benefits:

Trillium knows that work/life balance is important. That’s why we offer our employees competitive benefits and flexibility that is second to none. Take a look at what we have to offer:

  • Flexible Work Schedules
  • Health Insurance - no premium for employee coverage
  • Flexible Spending Accounts
  • Paid Time Off (PTO) of 24 days, plus 12 paid holidays within first year of employment
  • NC Local Government retirement pension, plus 401k with 5% employer match & immediate vesting
  • Public Service Loan Forgiveness Qualifying Employer

Qualifications: 

Education: Master’s, Bachelor’s or Other (if fully licensed)

Required Experience:

Must meet QP status

  • Fully licensed by the NC governing board regulating Human Services professions; OR 
  • Fully licensed RN who is licensed to practice in the state of NC by the NC Board of Nursing who also has four (4) years of full-time experience with the MH/DD/SA population served. OR 
  • A graduate of a college or university with a Master’s degree in a human service field and has one year of full-time, pre or post-graduate degree accumulated MH/DD/SA experience with the MH/DD/SA population, or a substance abuse professional who has one year of full-time, pre or postgraduate degree accumulated supervised experience in alcoholism and drug abuse counseling; OR 
  • A graduate of a college or university with a bachelor's degree in a human service field and has two years of full-time, pre or post-bachelor's degree accumulated MH/DD/SA experience with the MH/DD/SA population, or a substance abuse professional who has two years of full-time, pre or post bachelor's degree accumulated supervised experience in alcoholism and drug abuse counseling; OR
  •  A graduate of a college or university with a bachelor's degree in a field other than human services and has four years of full-time, pre or post-bachelor's degree accumulated MH/DD/SA experience with the MH/DD/SA population, or a substance abuse professional who has four years of full-time, pre or post-bachelor's degree accumulated supervised experience in alcoholism and drug abuse counseling.

 

License/Certification: None Known

Must have a valid driver’s license

Must reside in NC to be considered for remote status

Deadline for application: October 24, 2024 at 11:59PM

To be considered for employment, all candidates are required to submit an application through ADP and upload a current resume.  Your resume must provide your level of education and detailed work experience, including: 

  • Employer Name
    1. Dates of service (month & year)
    2. Average number of hours worked per week
    3. Essential duties of the job as related to the position you’re applying for
  • Education
    1. Degree type
    2. Date degree was awarded
    3. Institution
  • Licensure/certification, if applicable

After submitting your application through our career center in ADP, your resume will be reviewed to ensure that your skills and experience meet the essential criteria for the role you have applied for.

Join our Talent Community through our ADP career center to stay informed about positions you may qualify for. Remember to keep an update resume in the Talent Community profile. 

The diversity of the communities we serve is reflected in our employees. Trillium Health Resources is an Equal Employment Opportunity (EEO) employer.

Trillium Health Resources is a drug-free workplace. Candidates are required to pass a drug test as a condition of employment.

#Innovation  #Technology  #Careers  #NorthCarolina  #BehavioralHealh


Required profile

Experience

Level of experience: Mid-level (2-5 years)
Industry :
Insurance
Spoken language(s):
English
Check out the description to know which languages are mandatory.

Other Skills

  • Time Management
  • Problem Solving
  • Communication
  • Analytical Thinking
  • Training And Development

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