Program Manager, Specialized Consultative Services

Job Description

Job Description

Covenant Case Management Services is seeking a high-energy SCS Program Manager.

The SCS Program Manager oversees licensed practitioners providing clinical support to individuals with intellectual / developmental disabilities on the North Carolina Innovations Waiver or "Registry of Unmet Needs." They are part of the Senior Management team, responsible for all aspects of service provision with Clinical development Directors' support.

What You Will Do | Responsibilities

Compliance :

• Maintain comprehensive knowledge of clinical compliance requirements related to Medicaid and state regulations, ensuring all clinical documentation and practices adhere to standards.
• Facilitate communication and training on compliance obligations across the organization.
• Conduct compliance audits and oversee the documentation process to fulfill reporting obligations.
• Participate in all MCO and State reviews of programs, when necessary.
• Participate in interagency meetings, provider meetings, and other MCO.
• Maintaining all required certifications and documentation.
• Ensuring that all supervisions are conducted with clinicians along with submitted to HR.
• Review all incident reports and submit them to the Quality management director.
• Completing Tar’s in a timely manner to ensure families are supported.
• Ensure authorizations are secured in a timely manner to maintain on-
• going SCS service provisions.
• Ensure SCS-LPs are completing annual packets with member / guardians
• and providing summary progress reports for ISP team members.

Clinical Policies & Procedures :

Program Development :

Stakeholder Engagement :

Operational Oversight :

Quality Assurance and Improvement :

Data Analysis and Reporting :

Advocacy and Ethical Oversight :

Additional Duties :

What We Are Looking For | Qualifications

What We Are Looking For | Education & Licenses

Location | Travel

Covenant Rewards for You | Benefits

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