Are you interested in working with a company that values people and has a passion for service? Do you want to become part of an organization that cares about your personal and professional growth? If you have answered YES to these questions, then you should consider working for Pathways Community Services!
Pathways Community Services, previously Providence Human Services, is one of the largest national providers of accessible, outcome-based behavioral and mental health services. At Pathways Community Services we deliver exceptional value by creating healthier communities through the work of exceptional people. Our more than 7,000 employees provide the highest-quality home- and community-based human services in 24 U.S. states and the District of Columbia.
A person in this position is responsible for the implementation and enforcement of policies and procedures that will provide a safe and healthy work environment for employees. This person also performs a variety of compliance related work assignments including internal client chart reviews to ensure the necessary documentation is present as is required by the respective payer mandates and HR employee chart reviews to ensure documentation is present to meet the job title requirements.
ESSENTIAL DUTIES AND RESPONSIBILITIES
? Monitors policies and procedures that encourage safe work practices that include the distribution and update of Emergency Preparedness and Hazard Communication Plans and ongoing Facility Safety Inspections.
? Conducts monthly client chart audits for required documentation as required by payer, HIPAA and program specific policies and procedures.
? Conducts monthly employee human resource chart audits to insure the charts contain all required documentation, the documentation is current, and in accordance with the job description documentation of experience and education is present.
? Routinely reviews timely completion of required employee training as is required by Pathways by Molina and specific program regulations.
? Assists the Compliance Officer in conducting investigations of suspected inappropriate behavior by employees or contractors.
? Oversees Pennsylvania’s completion of Pathways by Molina required national client chart audits, annual HIPAA compliance surveys, and client satisfaction surveys.
? Assists the PA Senior State Privacy Officer to enforce HIPAA policies and procedures and investigate reports of possible breaches of protected health information.
? Performs related work as required.
? Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice.
? Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
? None required
? The physical demands described herein are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
? While performing the duties of this job, the employee is regularly required to stand; walk; sit; use hands to fingers, handle, or feel; and talk or hear. The employee is occasionally required to reach with hands and arms and stoop, kneel, crouch, or crawl. The employee must occasionally lift and/or move up to 25 pounds.
? The duties of this job require fine motor skills to write neat, legible notes, read and understand program documentation, and completing keyboarding entry.
? The work environment is that of a typical office setting. Office environment includes working in close proximity with direct service staff, human resources and revenue cycling management.
? The noise level in the work environment is usually low to moderate.
? This position requires travel to the various offices in order to access consumer and employee charts for the purpose of completing internal chart audits.
REQUIRED EDUCATION AND/OR EXPERIENCE
? Bachelor Degree; Associate Degree and two years’ applicable experience; or any combination of education and experience which has provided the knowledge, skills, and abilities cited.
PREFERRED EDUCATION AND/OR EXPERIENCE
? Familiarity with State, Federal, and Private Insurance service and payment regulations.
? Computer skills including MS Office Suite software.
? Experience in documentation of outpatient and behavioral health services.
? Language Skills
Ability to read, analyze, and interpret State, Federal, Managed Care and various payer regulations. Ability to respond effectively to sensitive inquiries or complaints. Ability to clearly articulate company polices and processes to employees and consumers.
? Mathematical Skills
Basic mathematics ability including addition, subtraction, multiplication, and division. Use of MS Excel to aid in mathematical work.
? Reasoning Ability
Ability to read instructional bulletins and/or participate in training sessions then translate information provided into day-to-day work duties.
ADDITIONAL ELIGIBILITY QUALIFICATIONS
? Ability to act as liaison between corporate management, supervisors, and staff as it relates to health and safety practices and corporate compliance and integrity.
? Ability to develop and maintain a positive and professional attitude toward co-workers.
? Ability to promote, support and enforce corporate compliance and risk management initiatives.
? Ability to research, interpret and apply the varied payer entities requirements related to the provision and documentation of services.
? Ability to exercise independent judgment in establishing priorities and meeting required deadlines.
? Organized and has an attention to detail
? Clear written and verbal communication skills are essential
Pathways is committed to creating the best possible work environment for our team members and offers the following total rewards package:
Paid Vacation Days
Paid Sick Days
Medical, Dental, Vision including a Health Savings Account
Basic and Optional Life Insurance for Employee, Spouse and/or Dependents
401k Match – 50% of the first 6% of eligible compensation up to an annual maximum of $750
Training, Development and Continuing Education Credits for licensure requirements
Opportunities for advancement! As we grow, you grow with us!!
Pathways Community Services is an equal opportunity employer with a commitment to diversity. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, national origin, age, sexual orientation, gender identity, disability, veteran status or any other protected characteristic
Internal Number: 870002
Pathways, previously Providence Human Services is one of the largest national providers of accessible, outcome-based behavioral and mental health services. Clients and partners of Providence Human Services can expect the same great service and offerings through Pathways, and we look forward to continuing to work together.
At Pathways, we deliver exceptional value by creating healthier communities through the work of exceptional people. Our more than 8,000 employees provide the highest-quality home- and community-based social services and non-emergency transportation services in 44 U.S. states, the District of Columbia, British Columbia, Alberta and Ontario, Canada. We proudly serve more than 54,000 unique clients and nearly 17 million individuals who qualify for services under our contracts.
Pathways was founded in 1997 in response to increasing government initiatives to privatize human services. We describe ourselves as the “Human Services Company Without Walls” because we neither own nor operate any type of institution. Rather, we specialize in providing direct services and case management to children, adolescents and adults with behavioral and medical health needs, as wel...l as those supervised by government subsidized programs, in their homes or through community-based resources. Our programs are designed to be multi-jurisdictional; capable of serving numerous clients under government funded programs.
Pathways offers a full spectrum of social service and behavioral health solutions, including Youth & Family Services, Adult Services, Correctional Services and Prevention Services. Within each area, clients have access to a broad range of social and behavioral services to meet their needs.
Pathways provides a focused approach to managing the medical, behavioral and social needs of potentially high-cost healthcare consumers with chronic conditions and complex social challenges. Healthcare providers today are incentivized more than ever before to deliver the highest-quality, patient-centered care that results in optimal outcomes, reduced re-admissions and lower costs. Achieving the most efficient and effective model for accountable care benefits significantly from collaborating with the right service partners.