ABOUT THE POSITION
We are currently seeking a dynamic Quality Management Specialist II to join our team at our office in Rocky Hill. The Quality Management Specialist II will be responsible for reviewing provider treatment records as part of the CT Behavioral Health Partnership (CT BHP) Record Review Program for the purpose of ensuring quality of care, verifying documentation to support information received during medical necessity reviews, and confirming conformance with treatment record documentation standards.
Education: Master's Degree Required
Licensure: Independent clinical license
Relevant Work Experience: 5 years of professional experience in the mental health /substance abuse field. General knowledge of managed care, quality management, and utilization management principles preferred. Good writing, analytical, and verbal presentation skills.
Knowledge, Skills & Abilities: