Utilization & Operations Analyst

Corporate Office
Posted 1 day ago

Scope of Position: Provides overall administrative support for Quality Assurance Discharge and Utilization Review.

Essential Functions

  • Coordinate and maintain discharge process.
  • Track, maintain and report all agency Incident Reports.
  • Compose and/or type routine correspondence, memos, reports, etc.
  • File, maintain records, copy, fax and perform other clerical duties.
  • Communicate regularly with clinical providers and program directors regarding compliance items.
  • Participate and take minutes in weekly Management meeting and other meetings as required.
  • Organize materials for Operations Director for presentation in various weekly meetings.
  • Distribute clinical provider staffing updates for review/corrections. Update as necessary.
  • Manage reception of all incoming Peer Reviews; file appropriately.
  • Manage reception of all incoming Satisfaction Surveys; file appropriately.
  • Monitor inventory of clinical quality assurance supplies.
  • Routinely update new/revised clinical forms for addition to company website platform.
  • Prepare quarterly staffing report for various applications, proposals and payor sources.
  • Participate and assist in CARF preparation and annual reports, as needed.
  • Prepare necessary items for chart audits by various payor sources, as needed.
  • Prepare packages for retrospective reviews, as needed.
  • Update Policy & Procedure Manuals as necessary.
  • Assist with Subpoenas & Records Request as needed.
  • Follow all safety and infection control policies and procedures.
  • Participate in agency training as required.
  • Attend all scheduled supervision meetings with supervisor when necessary.
  • Participate in continuous FTS quality improvement activities.

This list of specific functions is not intended to be exhaustive. Florida Therapy Services, Inc. reserves the right to revise this job description as needed to comply with actual job requirements.

Minimum Qualifications

High school graduate with at least two years of professional administrative experience required. Proficient telephone and computer skills are mandatory.

Requirements

  • Excellent organizational skills.
  • Excellent telephone and interpersonal skills.
  • Must be detail oriented.
  • Must be able to multi-task and prioritize work.
  • Use a computer with access to basic applications including but not limited to, Word and Excel.
  • Must check FTS e-mail regularly through the day.
  • Must meet standards of Level I and Level II criminal background screening in accordance with FL Statutes (F.S.) 435.04 and (F.S.) 408.809.

Knowledge, Skills and Abilities

  • Ability to communicate clearly and effectively verbally and in writing.
  • Ability to communicate with staff in a professional, friendly and patient manner.
  • Knowledge of basic data entry processing skills.
  • Knowledge of internet and internet-related research.
  • Ability to gather and interpret information.
  • Ability to enter information accurately.
  • Ability to be a team player.
  • Ability to gather and interpret information.
  • Maintain confidentiality in accordance with HIPAA regulations.
  • Ability to use a computer with access to basic applications including but not limited to, Word and Excel.

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