Internship Medicare Rac Audit Jobs in Nevada (NOW HIRING)

Description

Status: Exempt

MISSION STATEMENT: The Salvation Army, an international movement, is an evangelical part of the universal Christian Church. Its message is based on the Bible. Its ministry is motivated by the love of God. Its mission is to preach the gospel of Jesus Christ and to meet human needs in His name without discrimination.

QUALIFICATIONS

• Master’s Degree in Social Work required.
• Active LCSW license in the State of Nevada is required.
• Minimum of 5 years of clinical or social services leadership experience.
• Proven experience building clinical programs, billing structures, and documentation systems.
• Familiarity with Medicaid, Managed Care Organizations (MCOs), & behavioral health service codes.
• Well developed knowledge of HIPAA restrictions and requirements with the ability to maintain strict confidentiality as mandated by HIPAA regulation(s).
• Strong administrative and leadership skills with the ability to build new systems and infrastructure.
• Excellent knowledge of and ability to use current Microsoft software computer programs, including Word, Excel, PowerPoint, Adobe Acrobat, Publisher, e-mail, and the internet.
• Some experience with grant management preferred.
• Ability to lead a team of employees and work in a team setting with other professionals.
• Ability to maintain a self-motivated and self-directed schedule, address multiple projects in a timely manner and take projects from beginning through completion.
• Ability to work with people of diverse backgrounds and circumstances.
• Must possess a valid Nevada driver’s license and pass a motor vehicle record check.
• Must pass The Salvation Army fleet safety e-learning module
• Ability to pass a criminal background check

RESPONSIBILITIES

• Provide strategic leadership and oversight to integrate behavioral health services into existing Salvation Army programs (including Homeless Services, Vocational Services, and Family Services).
• Oversee credentialing, policy development, quality assurance, and EHR implementation to ensure clinical compliance and billing readiness.
• Design and implement workflows that support Medicaid, Medicare, and MCO billing compliance.
• Develop and maintain clinical policies and procedures, clinical documentation templates, and standard operating procedures to ensure service fidelity and billing accuracy.
• Build and lead a team of licensed and unlicensed staff in providing assessments, therapy, case management, psychosocial rehab, skills training, and other support services.
• Serve as the agency’s Clinical Lead in contract discussions, audits, and collaborations with Medicaid providers, MCOs, and community stakeholders.
• Collaborate with Finance and Billing departments to ensure timely and accurate billing and compliance with Medicaid and MCO requirements.
• Work with department heads to transform workflows into billable practices.
• Promote a mission-aligned culture of care, professionalism, and continuous improvement across all clinical programs.
• Assist with grants, audits, program evaluation, and other special projects as assigned.
• Hire, train, and supervise assigned personnel; coordinate ongoing staff and volunteer training and development.
• Supervision of clinical interns or provision of clinical supervision hours.
• Conduct annual performance reviews, engage in regular staff evaluations, and manage disciplinary actions as needed in collaboration with Human Resources.
• Design and develop new programs as needed, establishing outcome measures for evaluation and accountability for funding sources.
• Manage the Clinical Services Policies and Procedures Manual, ensuring compliance and adherence.
• Be the Subject Matter Expert (SME) for HIPAA compliance and protocols to ensure that strictest standards are followed.
• Maintain comprehensive and organized records (physical and digital) for program operations, properties, client case files, and other pertinent documents in accordance with HIPPA and TSA guidelines.
• Serve as a liaison to Divisional Headquarters on regional clinical services issues as assigned by the Director of Social Services.
• Other duties as assigned as they relate to the position of Clinical Services Director.

PHYSICAL REQUIREMENTS

Qualified individuals must be able to perform the essential duties of the position with or without accommodation. A qualified person with a disability may request a modification or adjustment to the job or work environment in order to meet the physical requirements of the position. The Salvation Army will attempt to satisfy requests as long as the accommodation needed is reasonable and no undue hardship would result.

While performing the duties of this job, the employee is regularly required to walk, stand, climb, balance, stoop, kneel, crouch, crawl and reach with hands and arms on a continuous basis. The employee must regularly lift and/or move up to 20 pounds, frequently lift and/or move up to 40 pounds, and occasionally lift and/or move up to 60 pounds. Specific vision abilities required by this job include close vision, distance vision, color vision, depth perception and ability to focus. The employee must have the ability to operate a telephone, desktop or laptop computer, as well as the ability to access and produce information from a computer, and to understand written information.

Qualifications Education Required

Masters or better in Social Work.

Licenses & Certifications Required

Driver's License

Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities
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