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Home › Companies › 11234a05 Dd20 44aa 9b1f Ca7bb9f6eba3 19000101 000001 › I/DD Utilization Management Reviewer, QP (Remote-NC)

I/DD Utilization Management Reviewer, QP (Remote-NC)

11234a05 Dd20 44aa 9b1f Ca7bb9f6eba3 19000101 000001 · Elkin, NC, US, Elkin, NC; Winston-Salem, NC, US, Winston-Salem, NC; Mocksville, NC, US, Mocksville, NC; Albemarle, NC, US, Albemarle, NC; Monroe, NC, US, Monroe, NC; Kannapolis, NC, US, Kannapolis, NC; Statesville, NC, US, Statesville, NC; Hickory, NC, US, Hickory, NC; Gastonia, NC, US, Gastonia, NC · Remote · Active · ADP Workforce Now Recruiting

Job facts

FieldValue
Company11234a05 Dd20 44aa 9b1f Ca7bb9f6eba3 19000101 000001
TitleI/DD Utilization Management Reviewer, QP (Remote-NC)
Normalized title-
Department / team-
LocationElkin, NC, United States
Work modelRemote / Remote
Employment typeFull Time
Salary-
Statusactive
ATS providerADP Workforce Now Recruiting
Posted / first seen2026-03-02 / 2026-05-31
Changed / last seen2026-06-06 / 2026-06-06

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PageWhat it containsOpen
Company jobsActive postings from 11234a05 Dd20 44aa 9b1f Ca7bb9f6eba3 19000101 000001.Open
Company breakdownsRole, location, ATS, and work model facets for this company.Open
ATS provider jobsActive postings observed through ADP Workforce Now Recruiting.Open
Provider filtered searchThe same provider as a filtered job collection.Open
City jobsActive postings in Elkin.Open
Work model jobsActive Remote postings.Open
Lifecycle eventsOpen, update, close, and reopen events for this posting.Open
Original postingCanonical source or apply URL captured from the ATS.Open

Linked records

Company11234a05 Dd20 44aa 9b1f Ca7bb9f6eba3 19000101 000001
Source255a48bf-6d53-42f4-abe2-2e15155d1f67
ATS providerADP Workforce Now Recruiting

Description

Competitive Compensation & Benefits Package! Position eligible for – Annual incentive bonus plan Medical, dental, and vision insurance with low deductible/low cost health plan Generous vacation and sick time accrual 12 paid holidays State Retirement (pension plan) 401(k) Plan with employer match Company paid life and disability insurance Wellness Programs Public Service Loan Forgiveness Qualifying Employer See attachment for additional details. Office Location: Remote Option Available; Flexible for any of Partners' NC locations. Projected Hiring Range: Depending on Experience Closing Date: Open Until Filled Primary Purpose of Position: This position is responsible for facilitating the review of service plans and service authorization requests to ensure that individuals are receiving the most appropriate services at a given time. The IDD Utilization Management Reviewer screens authorization requests for completeness, approves some requests based on an algorithm for “auto-approval” of the authorization requests, and refers requests that cannot be “auto-approved” to Licensed Utilization Management Reviewers for medical necessity review. Role and Responsibilities: Review of Service Plans and Authorization Requests to: Ensure that all required documents are submitted with Service Plans and Authorization Requests for specific benefit plans Approve requests based on an algorithm for “auto approval” of the plan and authorization requests Refer plan and authorization requests that cannot be “auto approved” to Licensed Utilization Management Reviewer for medical necessity review Administratively deny incomplete requests Onboarding/training/mentoring of new staff as requested by leadership. Other duties as needed to support the Supervisor, Manager, and Director. Knowledge, Skills and Abilities: Comprehensive knowledge of mental illness and diagnostic categories Knowledge of the assessment and treatment of developmental disabilities, with or without co-occurring mental illness, is a necessity. Additionally, the incumbent should be able to learn and understand legal, waiver and program practices/requirements and apply this knowledge in problem-solving and responding to questions/inquiries Knowledge of the 1915 (b) (c) waiver Knowledge of psychiatric medications and side effects Knowledge of evidence based practices Knowledge of appropriate treatments for major diagnostic categories Exceptional interpersonal skills, highly effective communication ability, and the propensity to make prompt independent decisions based upon relevant facts and established processes Problem solving, negotiation and conflict resolution skills are essential to balance the needs of both internal and external customers Awareness of cultural diversity Excellent computer skills including proficiency in Microsoft Office products (such as Word, Excel, Outlook, etc) Ability to make prompt decisions based on relevant facts Detail oriented, able to independently organize multiple tasks and priorities, and to effectively manage an assigned caseload under pressure of deadlines Education/Experience Required: A Bachelor’s Degree in a Human Services field and two (2) years of post-degree I/DD experience Licensure/Certification Requirements: NA

Full job record

Job IDdb33f3610dfb935f3a85f2e5b4d41417074c1059
Org IDdd48cc4f-1c55-49be-bfea-261bc9f09865
Source ID255a48bf-6d53-42f4-abe2-2e15155d1f67
Board ID255a48bf-6d53-42f4-abe2-2e15155d1f67
Provideradp_workforcenow
Provider Job Key559333
TitleI/DD Utilization Management Reviewer, QP (Remote-NC)
Normalized Title—
Statusactive
Activeyes
Location TextElkin, NC, US, Elkin, NC; Winston-Salem, NC, US, Winston-Salem, NC; Mocksville, NC, US, Mocksville, NC; Albemarle, NC, US, Albemarle, NC; Monroe, NC, US, Monroe, NC; Kannapolis, NC, US, Kannapolis, NC; Statesville, NC, US, Statesville, NC; Hickory, NC, US, Hickory, NC; Gastonia, NC, US, Gastonia, NC
Department—
Team—
Employment Typefull_time
Workplace Typeremote
Remote Policyremote
CountryUnited States
RegionNC
CityElkin
Salary Raw—
Salary Min—
Salary Max—
Salary Currency—
Salary Period—
Source URLhttps://workforcenow.adp.com/mascsr/default/mdf/recruitment/recruitment.html?cid=11234a05-dd20-44aa-9b1f-ca7bb9f6eba3&ccId=19000101_000001&lang=en_US&type=JS&jobId=559333&jwId=9201556766202_1
Apply URLhttps://workforcenow.adp.com/mascsr/default/mdf/recruitment/recruitment.html?cid=11234a05-dd20-44aa-9b1f-ca7bb9f6eba3&ccId=19000101_000001&lang=en_US&type=JS&jobId=559333&jwId=9201556766202_1
First Seen At2026-05-31 18:23:05Z
Last Seen At2026-06-06 13:21:05Z
Last Checked At2026-06-06 13:21:05Z
Last Changed At2026-06-06 13:21:05Z
Inactive At—
Source Posted At2026-03-02 16:48:00Z
Source Updated At—
Raw Payload Uris3://job-postings-prod-raw-590183727216/raw/provider=adp_workforcenow/board=11234a05-dd20-44aa-9b1f-ca7bb9f6eba3|19000101_000001/date=2026-06-06/2026-06-06T13-21-04-525Z-d17d6db80861dba3cdb7765e2a90aedaaa582a84d9b2da40e9a66c0d7f1a2c2f.json
Event Fields
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  "last_changed_at": "2026-06-06T13:21:05.385Z",
  "active_status": "active"
}
Parsed Structured
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  "remote_policy": "remote",
  "salary_period": null,
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  "salary_currency": null
}
Extensions
{}
Native Structured
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    "requisitionDescription": "<div><div><div><div><div><div><div data-pasted=\"true\"><p style='--tw-shadow: 0 0 #0000; --tw-ring-inset: var(--tw-empty,/*!*/ /*!*/); --tw-ring-offset-width: 0px; --tw-ring-offset-color: #fff; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-shadow: 0 0 #0000; box-sizing: border-box; color: rgb(38, 35, 33); font-size: 16px; font-style: normal; font-variant-ligatures: normal; font-variant-caps: normal; font-weight: 400; letter-spacing: normal; orphans: 2; text-align: start; text-indent: 0px; text-transform: none; widows: 2; word-spacing: 0px; -webkit-text-stroke-width: 0px; white-space: normal; text-decoration-thickness: initial; text-decoration-style: initial; text-decoration-color: initial; background-color: rgb(255, 255, 255); margin-right: 0in; margin-left: 0in; font-family: \"Times New Roman\", serif; margin-bottom: 0.0001pt; line-height: normal;'><span style=\"--tw-shadow: 0 0 #0000; --tw-ring-inset: var(--tw-empty,/*!*/ /*!*/); --tw-ring-offset-width: 0px; --tw-ring-offset-color: #fff; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-shadow: 0 0 #0000; box-sizing: border-box; font-family: tahoma, sans-serif; font-size: 16px;\"><strong style=\"--tw-shadow: 0 0 #0000; --tw-ring-inset: var(--tw-empty,/*!*/ /*!*/); --tw-ring-offset-width: 0px; --tw-ring-offset-color: #fff; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-shadow: 0 0 #0000; box-sizing: border-box; font-weight: 700;\"><em style=\"--tw-shadow: 0 0 #0000; --tw-ring-inset: var(--tw-empty,/*!*/ /*!*/); --tw-ring-offset-width: 0px; --tw-ring-offset-color: #fff; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-shadow: 0 0 #0000; box-sizing: border-box;\">Competitive Compensation &amp; Benefits Package! &nbsp;</em></strong></span></p><p style='--tw-shadow: 0 0 #0000; --tw-ring-inset: var(--tw-empty,/*!*/ /*!*/); --tw-ring-offset-width: 0px; --tw-ring-offset-color: #fff; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-shadow: 0 0 #0000; box-sizing: border-box; color: rgb(38, 35, 33); font-size: 16px; font-style: normal; font-variant-ligatures: normal; font-variant-caps: normal; font-weight: 400; letter-spacing: normal; orphans: 2; text-align: start; text-indent: 0px; text-transform: none; widows: 2; word-spacing: 0px; -webkit-text-stroke-width: 0px; white-space: normal; text-decoration-thickness: initial; text-decoration-style: initial; text-decoration-color: initial; background-color: rgb(255, 255, 255); margin-right: 0in; margin-left: 0in; font-family: \"Times New Roman\", serif; margin-bottom: 0.0001pt; line-height: normal;'><span style=\"--tw-shadow: 0 0 #0000; --tw-ring-inset: var(--tw-empty,/*!*/ /*!*/); --tw-ring-offset-width: 0px; --tw-ring-offset-color: #fff; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-shadow: 0 0 #0000; box-sizing: border-box; font-family: tahoma, sans-serif; font-size: 16px;\">Position eligible for &ndash;&nbsp;</span></p><ul style='--tw-shadow: 0 0 #0000; --tw-ring-inset: var(--tw-empty,/*!*/ /*!*/); --tw-ring-offset-width: 0px; --tw-ring-offset-color: #fff; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-shadow: 0 0 #0000; box-sizing: border-box; color: rgb(38, 35, 33); font-family: Circular, -apple-system, BlinkMacSystemFont, \"Segoe UI\", Roboto, Oxygen, Ubuntu, Cantarell, \"Fira Sans\", \"Droid Sans\", \"Helvetica Neue\", sans-serif; font-size: 16px; font-style: normal; font-variant-ligatures: normal; font-variant-caps: normal; font-weight: 400; letter-spacing: normal; orphans: 2; text-align: start; text-indent: 0px; text-transform: none; widows: 2; word-spacing: 0px; -webkit-text-stroke-width: 0px; white-space: normal; text-decoration-thickness: initial; text-decoration-style: initial; text-decoration-color: initial; background-color: rgb(255, 255, 255); list-style-type: disc;'><li style=\"--tw-shadow: 0 0 #0000; --tw-ring-inset: var(--tw-empty,/*!*/ /*!*/); --tw-ring-offset-width: 0px; --tw-ring-offset-color: #fff; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-shadow: 0 0 #0000; box-sizing: border-box; font-family: tahoma, sans-serif; font-size: 16px;\">Annual incentive bonus plan</li><li style=\"--tw-shadow: 0 0 #0000; --tw-ring-inset: var(--tw-empty,/*!*/ /*!*/); --tw-ring-offset-width: 0px; --tw-ring-offset-color: #fff; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-shadow: 0 0 #0000; box-sizing: border-box; font-family: tahoma, sans-serif; font-size: 16px;\">Medical, dental, and vision insurance with low deductible/low cost health plan</li><li style=\"--tw-shadow: 0 0 #0000; --tw-ring-inset: var(--tw-empty,/*!*/ /*!*/); --tw-ring-offset-width: 0px; --tw-ring-offset-color: #fff; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-shadow: 0 0 #0000; box-sizing: border-box; font-family: tahoma, sans-serif; font-size: 16px;\">Generous vacation and sick time accrual</li><li style=\"--tw-shadow: 0 0 #0000; --tw-ring-inset: var(--tw-empty,/*!*/ /*!*/); --tw-ring-offset-width: 0px; --tw-ring-offset-color: #fff; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-shadow: 0 0 #0000; box-sizing: border-box; font-family: tahoma, sans-serif; font-size: 16px;\">12 paid holidays</li><li style=\"--tw-shadow: 0 0 #0000; --tw-ring-inset: var(--tw-empty,/*!*/ /*!*/); --tw-ring-offset-width: 0px; --tw-ring-offset-color: #fff; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-shadow: 0 0 #0000; box-sizing: border-box; font-family: tahoma, sans-serif; font-size: 16px;\">State Retirement (pension plan)</li><li style=\"--tw-shadow: 0 0 #0000; --tw-ring-inset: var(--tw-empty,/*!*/ /*!*/); --tw-ring-offset-width: 0px; --tw-ring-offset-color: #fff; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-shadow: 0 0 #0000; box-sizing: border-box; font-family: tahoma, sans-serif; font-size: 16px;\">401(k) Plan with employer match</li><li style=\"--tw-shadow: 0 0 #0000; --tw-ring-inset: var(--tw-empty,/*!*/ /*!*/); --tw-ring-offset-width: 0px; --tw-ring-offset-color: #fff; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-shadow: 0 0 #0000; box-sizing: border-box; font-family: tahoma, sans-serif; font-size: 16px;\">Company paid life and disability insurance</li><li style=\"--tw-shadow: 0 0 #0000; --tw-ring-inset: var(--tw-empty,/*!*/ /*!*/); --tw-ring-offset-width: 0px; --tw-ring-offset-color: #fff; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-shadow: 0 0 #0000; box-sizing: border-box; font-family: tahoma, sans-serif; font-size: 16px;\">Wellness Programs</li><li style=\"--tw-shadow: 0 0 #0000; --tw-ring-inset: var(--tw-empty,/*!*/ /*!*/); --tw-ring-offset-width: 0px; --tw-ring-offset-color: #fff; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-shadow: 0 0 #0000; box-sizing: border-box; font-family: tahoma, sans-serif; font-size: 16px;\">Public Service Loan Forgiveness Qualifying Employer</li></ul><p style=\"--tw-shadow: 0 0 #0000; --tw-ring-inset: var(--tw-empty,/*!*/ /*!*/); --tw-ring-offset-width: 0px; --tw-ring-offset-color: #fff; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-shadow: 0 0 #0000; box-sizing: border-box; color: rgb(38, 35, 33); font-style: normal; font-variant-ligatures: normal; font-variant-caps: normal; font-weight: 400; letter-spacing: normal; orphans: 2; text-align: start; text-indent: 0px; text-transform: none; widows: 2; word-spacing: 0px; -webkit-text-stroke-width: 0px; white-space: normal; text-decoration-thickness: initial; text-decoration-style: initial; text-decoration-color: initial; background-color: rgb(255, 255, 255); margin: 0in 0in 0.0001pt; font-size: 15px; font-family: Calibri, sans-serif; line-height: normal;\"><span style=\"--tw-shadow: 0 0 #0000; --tw-ring-inset: var(--tw-empty,/*!*/ /*!*/); --tw-ring-offset-width: 0px; --tw-ring-offset-color: #fff; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-shadow: 0 0 #0000; box-sizing: border-box; font-family: tahoma, sans-serif; font-size: 16px;\">See attachment for additional details.&nbsp;</span></p><p style=\"--tw-shadow: 0 0 #0000; --tw-ring-inset: var(--tw-empty,/*!*/ /*!*/); --tw-ring-offset-width: 0px; --tw-ring-offset-color: #fff; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-shadow: 0 0 #0000; box-sizing: border-box; color: rgb(38, 35, 33); font-style: normal; font-variant-ligatures: normal; font-variant-caps: normal; font-weight: 400; letter-spacing: normal; orphans: 2; text-align: start; text-indent: 0px; text-transform: none; widows: 2; word-spacing: 0px; -webkit-text-stroke-width: 0px; white-space: normal; text-decoration-thickness: initial; text-decoration-style: initial; text-decoration-color: initial; background-color: rgb(255, 255, 255); font-size: 15px; font-family: Calibri, sans-serif; line-height: 16.05px; margin: 0in;\"><span style=\"--tw-shadow: 0 0 #0000; --tw-ring-inset: var(--tw-empty,/*!*/ /*!*/); --tw-ring-offset-width: 0px; --tw-ring-offset-color: #fff; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-shadow: 0 0 #0000; box-sizing: border-box; font-family: tahoma, sans-serif; font-size: 16px;\"><strong style=\"--tw-shadow: 0 0 #0000; --tw-ring-inset: var(--tw-empty,/*!*/ /*!*/); --tw-ring-offset-width: 0px; --tw-ring-offset-color: #fff; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-shadow: 0 0 #0000; box-sizing: border-box; font-weight: 700;\"><span style=\"--tw-shadow: 0 0 #0000; --tw-ring-inset: var(--tw-empty,/*!*/ /*!*/); --tw-ring-offset-width: 0px; --tw-ring-offset-color: #fff; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-shadow: 0 0 #0000; box-sizing: border-box; color: rgb(68, 68, 68);\">&nbsp;</span></strong></span></p><p style='--tw-shadow: 0 0 #0000; --tw-ring-inset: var(--tw-empty,/*!*/ /*!*/); --tw-ring-offset-width: 0px; --tw-ring-offset-color: #fff; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-shadow: 0 0 #0000; box-sizing: border-box; color: rgb(38, 35, 33); font-size: 16px; font-style: normal; font-variant-ligatures: normal; font-variant-caps: normal; font-weight: 400; letter-spacing: normal; orphans: 2; text-align: start; text-indent: 0px; text-transform: none; widows: 2; word-spacing: 0px; -webkit-text-stroke-width: 0px; white-space: normal; text-decoration-thickness: initial; text-decoration-style: initial; text-decoration-color: initial; background-color: rgb(255, 255, 255); margin-right: 0in; margin-left: 0in; font-family: \"Times New Roman\", serif; margin-bottom: 0.0001pt; line-height: normal;'><span style=\"--tw-shadow: 0 0 #0000; --tw-ring-inset: var(--tw-empty,/*!*/ /*!*/); --tw-ring-offset-width: 0px; --tw-ring-offset-color: #fff; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-shadow: 0 0 #0000; box-sizing: border-box; font-family: tahoma, sans-serif; font-size: 16px;\"><strong style=\"--tw-shadow: 0 0 #0000; --tw-ring-inset: var(--tw-empty,/*!*/ /*!*/); --tw-ring-offset-width: 0px; --tw-ring-offset-color: #fff; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-shadow: 0 0 #0000; box-sizing: border-box; font-weight: 700;\">Office&nbsp;</strong><strong style=\"--tw-shadow: 0 0 #0000; --tw-ring-inset: var(--tw-empty,/*!*/ /*!*/); --tw-ring-offset-width: 0px; --tw-ring-offset-color: #fff; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-shadow: 0 0 #0000; box-sizing: border-box; font-weight: 700;\"><span style=\"--tw-shadow: 0 0 #0000; --tw-ring-inset: var(--tw-empty,/*!*/ /*!*/); --tw-ring-offset-width: 0px; --tw-ring-offset-color: #fff; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-shadow: 0 0 #0000; box-sizing: border-box; color: rgb(74, 74, 74); background: white;\">Location:</span></strong></span><span style=\"--tw-shadow: 0 0 #0000; --tw-ring-inset: var(--tw-empty,/*!*/ /*!*/); --tw-ring-offset-width: 0px; --tw-ring-offset-color: #fff; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-shadow: 0 0 #0000; box-sizing: border-box; color: rgb(74, 74, 74); background: white; font-family: tahoma, sans-serif; font-size: 16px;\">&nbsp; <em>Remote&nbsp;</em></span><span style=\"--tw-shadow: 0 0 #0000; --tw-ring-inset: var(--tw-empty,/*!*/ /*!*/); --tw-ring-offset-width: 0px; --tw-ring-offset-color: #fff; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-shadow: 0 0 #0000; box-sizing: border-box; font-family: tahoma, sans-serif; font-size: 16px;\"><em style=\"--tw-shadow: 0 0 #0000; --tw-ring-inset: var(--tw-empty,/*!*/ /*!*/); --tw-ring-offset-width: 0px; --tw-ring-offset-color: #fff; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-shadow: 0 0 #0000; box-sizing: border-box;\"><span style=\"--tw-shadow: 0 0 #0000; --tw-ring-inset: var(--tw-empty,/*!*/ /*!*/); --tw-ring-offset-width: 0px; --tw-ring-offset-color: #fff; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-shadow: 0 0 #0000; box-sizing: border-box; color: rgb(74, 74, 74); background: white;\">Option Available; Flexible for any of Partners&#39; NC locations.</span></em></span></p><p style='--tw-shadow: 0 0 #0000; --tw-ring-inset: var(--tw-empty,/*!*/ /*!*/); --tw-ring-offset-width: 0px; --tw-ring-offset-color: #fff; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-shadow: 0 0 #0000; box-sizing: border-box; color: rgb(38, 35, 33); font-size: 16px; font-style: normal; font-variant-ligatures: normal; font-variant-caps: normal; font-weight: 400; letter-spacing: normal; orphans: 2; text-align: start; text-indent: 0px; text-transform: none; widows: 2; word-spacing: 0px; -webkit-text-stroke-width: 0px; white-space: normal; text-decoration-thickness: initial; text-decoration-style: initial; text-decoration-color: initial; background-color: rgb(255, 255, 255); margin-right: 0in; margin-left: 0in; font-family: \"Times New Roman\", serif; margin-bottom: 0.0001pt; line-height: normal;'><span style=\"--tw-shadow: 0 0 #0000; --tw-ring-inset: var(--tw-empty,/*!*/ /*!*/); --tw-ring-offset-width: 0px; --tw-ring-offset-color: #fff; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-shadow: 0 0 #0000; box-sizing: border-box; font-family: tahoma, sans-serif; font-size: 16px;\"><strong style=\"--tw-shadow: 0 0 #0000; --tw-ring-inset: var(--tw-empty,/*!*/ /*!*/); --tw-ring-offset-width: 0px; --tw-ring-offset-color: #fff; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-shadow: 0 0 #0000; box-sizing: border-box; font-weight: 700;\">Projected Hiring Range:</strong>&nbsp; Depending on Experience</span></p><p style='--tw-shadow: 0 0 #0000; --tw-ring-inset: var(--tw-empty,/*!*/ /*!*/); --tw-ring-offset-width: 0px; --tw-ring-offset-color: #fff; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-shadow: 0 0 #0000; box-sizing: border-box; color: rgb(38, 35, 33); font-size: 16px; font-style: normal; font-variant-ligatures: normal; font-variant-caps: normal; font-weight: 400; letter-spacing: normal; orphans: 2; text-align: start; text-indent: 0px; text-transform: none; widows: 2; word-spacing: 0px; -webkit-text-stroke-width: 0px; white-space: normal; text-decoration-thickness: initial; text-decoration-style: initial; text-decoration-color: initial; background-color: rgb(255, 255, 255); margin-right: 0in; margin-left: 0in; font-family: \"Times New Roman\", serif; margin-bottom: 0.0001pt; line-height: normal;'><span style=\"--tw-shadow: 0 0 #0000; --tw-ring-inset: var(--tw-empty,/*!*/ /*!*/); --tw-ring-offset-width: 0px; --tw-ring-offset-color: #fff; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-shadow: 0 0 #0000; box-sizing: border-box; font-family: tahoma, sans-serif; font-size: 16px;\"><strong style=\"--tw-shadow: 0 0 #0000; --tw-ring-inset: var(--tw-empty,/*!*/ /*!*/); --tw-ring-offset-width: 0px; --tw-ring-offset-color: #fff; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-shadow: 0 0 #0000; box-sizing: border-box; font-weight: 700;\">Closing Date:</strong>&nbsp; <strong style=\"--tw-shadow: 0 0 #0000; --tw-ring-inset: var(--tw-empty,/*!*/ /*!*/); --tw-ring-offset-width: 0px; --tw-ring-offset-color: #fff; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-shadow: 0 0 #0000; box-sizing: border-box; font-weight: 700;\"><span style=\"--tw-shadow: 0 0 #0000; --tw-ring-inset: var(--tw-empty,/*!*/ /*!*/); --tw-ring-offset-width: 0px; --tw-ring-offset-color: #fff; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-shadow: 0 0 #0000; box-sizing: border-box; color: blue;\">Open Until Filled</span></strong></span></p><p style=\"margin-bottom:.0001pt;line-height:normal;\">&nbsp;</p><p style=\"margin-bottom:.0001pt;line-height:normal;\"><span style=\"font-family: tahoma, sans-serif; font-size: 16px;\"><strong>Primary Purpose of Position:&nbsp;</strong> This position is responsible for facilitating the review of service plans and service authorization requests to ensure that individuals are receiving the most appropriate services at a given time. The IDD Utilization Management Reviewer screens authorization requests for completeness, approves some requests based on an algorithm for &ldquo;auto-approval&rdquo; of the authorization requests, and refers requests that cannot be &ldquo;auto-approved&rdquo; to Licensed Utilization Management Reviewers for medical necessity review.&nbsp;</span></p><p style=\"margin-bottom:.0001pt;line-height:normal;\"><span style=\"font-family: tahoma, sans-serif; font-size: 16px;\"><br></span></p><p><span style=\"font-family: tahoma, sans-serif; font-size: 16px;\"><strong>Role and Responsibilities: &nbsp;&nbsp;</strong></span></p><ul><li><span style=\"font-family: tahoma, sans-serif; font-size: 16px;\">Review of Service Plans and Authorization Requests to:&nbsp;</span></li><li><span style=\"font-family: tahoma, sans-serif; font-size: 16px;\">Ensure that all required documents are submitted with Service Plans and Authorization Requests for specific benefit plans &nbsp;</span></li><li><span style=\"font-family: tahoma, sans-serif; font-size: 16px;\">Approve requests based on an algorithm for &ldquo;auto approval&rdquo; of the plan and authorization requests &nbsp;</span></li><li><span style=\"font-family: tahoma, sans-serif; font-size: 16px;\">Refer plan and authorization requests that cannot be &ldquo;auto approved&rdquo; to Licensed Utilization Management Reviewer for medical necessity review &nbsp;</span></li><li><span style=\"font-family: tahoma, sans-serif; font-size: 16px;\">Administratively deny incomplete requests&nbsp;</span></li><li><span style=\"font-family: tahoma, sans-serif; font-size: 16px;\">Onboarding/training/mentoring of new staff as requested by leadership. &nbsp;</span></li><li><span style=\"font-family: tahoma, sans-serif; font-size: 16px;\">Other duties as needed to support the Supervisor, Manager, and Director.&nbsp;</span></li></ul><p><span style=\"font-family: tahoma, sans-serif; font-size: 16px;\">&nbsp;</span></p><p><span style=\"font-family: tahoma, sans-serif; font-size: 16px;\"><strong>Knowledge, Skills and Abilities: &nbsp;</strong>&nbsp;</span></p><ul><li><span style=\"font-family: tahoma, sans-serif; font-size: 16px;\">Comprehensive knowledge of mental illness and diagnostic categories&nbsp;</span></li><li><span style=\"font-family: tahoma, sans-serif; font-size: 16px;\">Knowledge of the assessment and treatment of developmental disabilities, with or without co-occurring mental illness, is a necessity. Additionally, the incumbent should be able to learn and understand legal, waiver and program practices/requirements and apply this knowledge in problem-solving and responding to questions/inquiries&nbsp;</span></li><li><span style=\"font-family: tahoma, sans-serif; font-size: 16px;\">Knowledge of the 1915 (b) (c) waiver&nbsp;</span></li><li><span style=\"font-family: tahoma, sans-serif; font-size: 16px;\">Knowledge of psychiatric medications and side effects&nbsp;</span></li><li><span style=\"font-family: tahoma, sans-serif; font-size: 16px;\">Knowledge of evidence based practices&nbsp;</span></li><li><span style=\"font-family: tahoma, sans-serif; font-size: 16px;\">Knowledge of appropriate treatments for major diagnostic categories&nbsp;</span></li><li><span style=\"font-family: tahoma, sans-serif; font-size: 16px;\">Exceptional interpersonal skills, highly effective communication ability, and the propensity to make prompt independent decisions based upon relevant facts and established processes&nbsp;</span></li><li><span style=\"font-family: tahoma, sans-serif; font-size: 16px;\">Problem solving, negotiation and conflict resolution skills are essential to balance the needs of both internal and external customers&nbsp;</span></li><li><span style=\"font-family: tahoma, sans-serif; font-size: 16px;\">Awareness of cultural diversity&nbsp;</span></li><li><span style=\"font-family: tahoma, sans-serif; font-size: 16px;\">Excellent computer skills including proficiency in Microsoft Office products (such as Word, Excel, Outlook, etc)&nbsp;</span></li><li><span style=\"font-family: tahoma, sans-serif; font-size: 16px;\">Ability to make prompt decisions based on relevant facts&nbsp;</span></li><li><span style=\"font-family: tahoma, sans-serif; font-size: 16px;\">Detail oriented, able to independently organize multiple tasks and priorities, and to effectively manage an assigned caseload under pressure of deadlines&nbsp;</span></li></ul><p><span style=\"font-family: tahoma, sans-serif; font-size: 16px;\">&nbsp;</span></p><p><span style=\"font-family: tahoma, sans-serif; font-size: 16px;\"><strong>Education/Experience Required:</strong>&nbsp; A Bachelor&rsquo;s Degree in a Human Services field and two (2) years of post-degree I/DD experience &nbsp;</span></p><p><span style=\"font-family: tahoma, sans-serif; font-size: 16px;\"><strong>Licensure/Certification Requirements:&nbsp;</strong>NA&nbsp;</span></p></div><p style=\"margin-bottom:.0001pt;line-height:normal;\"><br></p><p><br></p><p><br></p></div></div></div></div></div></div>\n",
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