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 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. Participating in the Quality of Care Committee and plays an active part in coordinating the tasks involved in keeping that committee functioning at a high level. Participating in audits of CT BHP clinical staff documentation for thoroughness.
Education: Master’s LevelClinician
Licensure: Licensed for appropriate discipline
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: