Description
Title: Provider Network Services Coordinator
Starting Salary: $51,163
Job Summary: The Provider Network Services Coordinator implements and oversees administrative procedures related to OCHN’s agreements with its network of service providers. The Provider Network Services Coordinator works collaboratively with other members of the OCHN Provider Network Team, other OCHN teams, and the provider network to ensure appropriate adherence to administrative procedures. This activity supports the effective implementation of OCHN’s strategic vision and plan with the respective service network, including initiatives and projects that advance the involvement of individuals served, quality outcomes, performance improvement, cost analysis, and contract compliance.
Essential Functions:
- Implement and oversee administrative procedures for Oakland Community Health Network (OCHN) contracted providers in accessing services and supports for individuals served.
- Act as primary liaison between OCHN contract providers to support adherence to administrative procedures and to resolve barriers to individuals served in accessing services.
- Coordination with OCHN contracted providers to oversee the availability of services and supports within the OCHN network.
- Navigate the ODIN system to access data, update information and perform functions related to managing the provider network.
- Work collaboratively with OCHN’s Utilization Management and Review team to ensure referrals for services and supports are appropriate and medically necessary.
- Work collaboratively with other departments within OCHN (e.g., Office of Recipient Rights) to review data to identify and address trends related to services and supports.
- Be able to navigate a complex service system.
- Create a welcoming environment that demonstrates empathy and non-judgment.
- Understanding of OCHN provider network and how to access additional community services.
- Understanding of admission and discharge criteria for services and supports.
- Implement provider network training regarding procedures for coordinating services and supports.
- Participate in workgroups and committees as assigned.
- Additional duties, as assigned.
Education:
- Bachelor’s degree in relevant discipline required.
Experience Requirements:
- Minimum of 2 years relevant experience in human services administration, contract management, or related area, preferably in the public sector.
Knowledge Requirements:
- Knowledge of public mental health service delivery systems in Oakland County.
Job-Specific Competencies/Skills:
- Strong interpersonal and communication skills.
- Be able to articulate a complex service system while establishing a positive rapport with individuals in need.
- Knowledge of OCHN provider network.
- Demonstrated proficiency with Microsoft Office 365 and other relevant software programs.
- Demonstrated high level of interpersonal skills both in direct personal interactions and on the telephone.
- Demonstrated high level of verbal and written communication skills.
- Demonstrated ability to handle a high volume of relatively complex assignments accurately and timely.
- Demonstrated organizational skills needed to establish and follow office procedures and maintain files and records.
- Understanding of Michigan Mental Health Code and recipient rights policies.
OCHN’s Core Competencies:
- Interacting with others in a way that gives them confidence in one’s intentions and those of the organization; demonstrating loyalty to the organization and its mission and values; maintaining social, ethical, and organizational norms; firmly adhering to codes of conduct and ethical principles. (Integrity/Building Trust)
- Making customers and their needs a primary focus of one’s actions; developing and sustaining productive customer relationships, recognizing that the ultimate customer is the person served. (Customer Focus)
- Actively identifying new areas for learning; regularly creating and taking advantage of learning opportunities; using newly gained knowledge and skill on the job and learning through their application. (Continuous Learning)
- Setting high standards of performance for self and others; assuming responsibility and accountability for successfully completing assignments or tasks; self-imposing standards of excellence in addition to consciously adopting organizational standards of excellence. (Work Standards)
- Clearly conveying information and ideas through a variety of media to individuals or groups in a manner that engages the audience and helps them understand and retain the message. (Communication)
Special Information:
- 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.
- Work performed primarily in an office environment.
- Hybrid (onsite/remote) work schedule available.
- The ideal candidate must be able to complete all physical requirements of the job with or without a reasonable accommodation.
OCHN is committed to building a diverse team and fostering an inclusive and equitable culture. We are proud to be an equal opportunity employer that embraces and encourages our employees’ differences. This includes (but is not limited to) ability, age, color, family type, gender expression and identity, individual expression, medical conditions, national origin, pregnancy, race, religion, sexual orientation, veteran status, and all other diverse and wonderful characteristics.