Easterseals MORC · 11 hours ago
DCO Provider Monitoring Lead
Auburn Hills, MI
Full-time
Onsite
Entry, Mid Level
2+ years expEasterseals MORC is hiring a DCO Provider Monitoring Lead to help make a difference in the community. The role involves overseeing provider compliance with CCBHC standards, coordinating audits, and ensuring effective communication between DCO providers and the organization.
Non-profit Organization Management
Responsibilities
Participates in Contract Management and Provider Management meetings to review the progress of DCO monitoring efforts and coordinate plans for ongoing provider oversight under Certified Community Behavioral Health Clinic (CCBHC)
Coordinates with contract management, quality assurance, program and administrative staff in developing and modifying monitoring tools in alignment with CCBHC standards
Facilitates meetings quarterly with DCO partners to review CCBHC requirements including contract, credentialing, training and data requirements. Coordinates with CCBHC team and department leads to update Staffing and Training Plans
Creates and maintains a master audit schedule and coordinates internally and externally to ensure contract requirements are adhered to. Maintains ongoing schedule of provider performance audits, corrective action plans and follow up
Collaborate with DCO and CCBHC Leads to ensure data is collected and distributed in accordance with the monitoring plan, corrective action plans, and follow up
Maintain active and open lines of communication between the CCBHC and DCO provider, including responses to DCO relationship questions and liaison for CCBHC requirements
Collaborates with the Corporate Compliance Team and Program Liaison to address any provider concerns or grievances related to the monitoring effort
Ensure DCO provider follows through with service delivery as it relates to the individuals referral needs, person-centered planning, and care coordination. Gather relevant data from DCO provider for utilization management of services rendered and support care coordination for interdisciplinary teams. Including relevant data need to support Quality Measure performance
Ensure DCO provider partners meet required trainings/EBPs, credentialing, and staffing levels in alignment with CCBHC requirements. Review status of contracts quarterly and complete provider monitoring (audit) for all DCO partners annually. Explore data sharing expectations and methodology for collecting required metric information (HIE) with DCO providers to streamline workflow. Additionally, provide support with any systems training or set-up needed to support utilization of CCBHC’s EHR for service entry
Provides quarterly performance updates on monitoring efforts to Leadership. Collaborate with other department leads to ensure effective communication is happening across network providers and programs
Qualification
Required
Bachelors Degree
Have at least two (2) years of full-time experience in a professional or administrative position in a human service, mental health, public administration, or related field
Benefits
Low-cost Dental/Health/Vision insurance
Dependent care reimbursement, and up to 5 days paid FMLA for maternity, paternity, foster care and adoption.
Generous 401K retirement plan
Paid Leave Options Available
Up to $125 bonus for taking 5 days off in a row.
10 paid holidays and 3 floating holidays (Over 30 days total of paid time off)
Wellness Programs
We are a PSLF (Public Service Loan Forgiveness) Employer.
We provide bonuses and extra incentives to reward hard work & dedication.
Mileage reimbursement in accordance with IRS rate.
Free financial planning services through our partnerships with the LoVasco Consulting Group, and SoFi.
Student loan repayment options
Pet Insurance
Company
Easterseals MORC
Easterseals MORC is the leading nonprofit provider of services for individuals with behavior health disabilities, emotional impairments, autism, developmental disabilities and other special needs.
501-1000 employees
Funding
Current Stage
Late StageLeadership Team
Brent Wirth
President & CEO Easterseals MORC
Cynthia Szczur
Chief Financial Officer
Company data provided by crunchbase