EPIC Applications Analyst II implementing and maintaining clinical applications for INTEGRIS Health. Collaborating with teams to ensure optimal functionality and user experience.
About the role
- Utilization Review Analyst analyzing acute care authorizations while ensuring effective resource use. Collaborating with providers and maintaining compliance with regulations in a hybrid work environment.
Responsibilities
- Promotes appropriate, effective, and efficient use of resources via concurrent reviews of acute care authorizations
- Analyzes records to determine legitimacy of admission, treatment, and length of stay in acute care
- Compares inpatient medical records to established criteria and confers with OCHN provider personnel as well as personnel in acute care and other professional staff
- Determines continued stay review dates according to established clinical protocols and diagnostic criteria
- Conducts continued stay reviews and determines continued authorization status
- Coordinates with OCHN and acute care providers to ensure appropriate communication and discharge planning occurs
- Accountable for timely and comprehensive review of clinical data with concise documentation, decisions and rationale
- Leverages clinical knowledge, business rules, regulatory guidelines and policies and procedures to determine clinical appropriateness for acute care authorizations
- Participate in workgroups and committees with other OCHN Teams
Requirements
- Master's degree in mental health field
- State of Michigan license, certification and/or registration as, Psychologist (LLP, LP), Social Worker (LMSW), Counselor (LPC), Marriage and Family Therapist (LMFT) or Nurse (RN)
- Minimum of five (5) years relevant experience providing services to Adults with Mental Illness, Intellectual or Developmental Disabilities, Substance Use Disorder and/or children with serious emotional disturbance or intellectual or Development Disabilities
- Knowledge of the Michigan Mental Health Code
- Understanding of Medicaid rules and regulations
- Understanding of utilization management
- Preference for knowledge of the OCHN Utilization Management Manual and Protocols
- Demonstrated effective interpersonal skills
- Demonstrated ability to work effectively in a team environment
- Demonstrated effective written and oral communication skills
- Demonstrated effective computer skills
Benefits
- Hybrid (onsite/remote) work schedule available
- Must have available means of transportation to and from OCHN and for required offsite meetings or site visits
- Must be available for meetings and events which may occur outside of standard office hours
Job title
Job type
Experience level
Salary
Degree requirement
Location requirements
Functional Analyst, IT working at Desjardins, supporting IT efficiency and managing complex IT solutions. Collaborating with clients to define needs and improve technology solutions based in Canada.
Portfolio Analyst responsible for managing investment planning and working with stakeholders. Leading portfolio strategies and reporting activities at associate vice president level.
Infrastructure Analyst at company ensuring operational stability and technology performance for the platform. Collaborating with feature teams in a shifting work environment to enhance development.
Analyst supporting diverse health and benefits consulting projects with client service teams. Contributing to program design, vendor procurement, and client relationship management.
Middle Office Analyst ensuring integrity and efficiency of FX post - trade processes at VFX Financial. Collaborating across teams, managing trade lifecycles, and enhancing operational efficiency.
Business Transformation Enablement Analyst at Guardian working on Wealth Management initiatives. Supporting strategic analysis, documentation, and stakeholder engagement for effective execution.
Media Operations Executive supporting media operations through data management and reporting tasks at Havas Media. Detail - oriented role suitable for candidates with Excel proficiency and operational skills.
Commission Analyst at CDW ensuring timely commission calculations and payments while supporting sales coworkers through analysis and reporting. Involves financial close and compliance with deadlines.
Ford Customization DIO Strategy Analyst managing product lifecycle elements from business development through vehicle launch and marketing. Collaborating with cross - functional teams for successful project execution.