Utilization Manager
Healthcare staff can work anywhere….The BEST work with US!
A nationally recognized comprehensive Health and Human Services Agency, with over 60 programs across New York City and greater New York Area.
Samaritan Daytop Village, serves over 33,000 New Yorkers annually within your neighborhoods and communities so our success depends on those we employ.
The Role
In concert with the agency’s mission and goal of sustaining high quality care/service delivery to persons served, the Utilization Manager works to assist CASAC Counselors and supervisory staff as needed with assuring compliance with external and internal utilization review/quality and appropriateness requirements.
ResponsibilitiesWhat You Will Do
- Conducts timely scheduled/required utilization reviews for Residential Services sites.
- Conducts timely and complete quality and appropriateness reviews on a representative sample of treatment records for residential service sites.
- Attends monthly/other require UR Committee meetings. Prepares accurate and timely UR Committee minutes and reports. Participates in the agency’s Quality Improvement / Utilization Management Committee.
- Provides Supervisory support to CASAC Counselors and Peer Workers as needed with supervisory guidance from Management/Leadership Team.
- Monitors and evaluates ongoing audit for chart.
- Provides direct care services to clients as needed.
- Assists with the maintenance of the agency’s OASAS accreditation for the program, i.e., standards review and conformance auditing.
- Performs other duties as assigned.
Who You Will Be
- High School Diploma or GED required, higher education in the human services field, preferred
- Current CASAC or the ability to complete requirements to obtain a CASAC (T) within 6 months of hire
- At least one year of clinical or quality assurance experience in behavioral healthcare/human services organization or one year demonstrated clinical experience in substance use or mental health treatment
- In depth knowledge on HIPAA, OASAS, and 42 CFR regulations
- Working knowledge of quality assurance and utilization review systems
- Proficient in Microsoft Office Suite and EHR systems.
- Experience working with people from diverse racial, ethnic, and socioeconomic backgrounds.
- Strong written, verbal, and interpersonal communication skills.
- Ability to accurately document records according to program standards.
- Ability to work independently.
- Spanish bilingual skills are a plus.
#li-onsite
Skills Required
- High school diploma or GED
- Higher education in a human services field
- Current CASAC credential or ability to complete CASAC T requirements within six months of hire
- At least one year of clinical or quality assurance experience in behavioral healthcare or human services, or one year of clinical experience in substance use or mental health treatment
- In-depth knowledge of HIPAA, OASAS, and 42 CFR regulations
- Working knowledge of quality assurance and utilization review systems
- Proficiency with Microsoft Office Suite and EHR systems
- Experience working with diverse racial, ethnic, and socioeconomic populations
- Strong written, verbal, and interpersonal communication skills
- Ability to accurately document records according to program standards
- Ability to work independently
- Spanish bilingual skills
What We Do
Samaritan Daytop Village is a New York nonprofit health and human services provider serving people facing addiction, mental-health challenges, homelessness, and other hardships. It operates more than 80 programs across New York City, Long Island, and the Hudson Valley, offering substance-use treatment, mental-health care, supportive and transitional housing, recovery services, primary healthcare, vocational support, and specialized programs for veterans, youth, families, and older adults.
