UM Services Coordinator

Salary: $49,700

PositionSummary: This position is responsible for coordinating services, managing utilization, and authorizing initial and ongoing services for children and families involved in the child welfare system. The role ensures the effective, efficient, and fiscally responsible use of agency resources through oversight of service planning, authorization, delivery, reimbursement, and provider compliance.

Key responsibilities include fiscal management, providing support and consultation to Clinical Coordinators, and maximizing third-party reimbursement and alternative funding sources whenever available. The position participates in case review meetings, reviews and approves service requests, obtains and maintains all required documentation to support service authorizations and payments, prepares and processes requests for checks, reviews and authorizes invoices. The incumbent validates provider billing by reviewing submitted invoices and supporting documentation to ensure services billed, accurately documented, medically necessary, and compliant with agency standards, funding requirements, and contractual obligations. This includes reviewing provider progress notes to verify that they support billed services and meet established documentation standards.

This position is also responsible for tracking and monitoring Community Mental Health (CMH) funding, maintaining accurate funding and utilization data, and ensuring expenditures remain within authorized funding limits. The incumbent proactively monitors required documentation, authorizations, and funding-related deadlines; notifies team members of missing documentation, pending authorizations, and upcoming expirations; and collaborates with internal staff and external providers to ensure continuity of services and compliance with funding and regulatory requirements.

In addition, this position coordinates the onboarding of new service providers by obtaining required credentialing and contracting documentation, providing training on agency policies, utilization management procedures, documentation standards, billing requirements, and system workflows. The incumbent serves as a subject matter expert by providing ongoing technical assistance and system support to providers and agency staff, troubleshooting system issues, answering questions related to service authorizations, billing processes, and documentation requirements, and promoting consistent application of agency procedures and best practices. Also includes data management and reporting, to maintaining accurate utilization and authorization records within agency systems.

Additionally, this position promotes individualized, family-centered, culturally responsive, and trauma-informed treatment planning. The incumbent ensures that services and interventions are flexible, evidence-informed, and tailored to meet the unique strengths, needs, and cultural backgrounds of the children and families served. This role serves as a resource to staff and providers on utilization management, fiscal accountability, procurement requirements, funding guidelines, billing compliance, documentation standards, and electronic systems to ensure high-quality, compliant, and fiscally responsible service delivery.

Technical/FunctionalExpectations:

1.     Participation in Case Review Teams – Essential Function: This position participates in Review Teams, ensures the appropriateness of services requested and reviews service delivery for families served in the child welfare system.

2.       Service  Authorizations – Essential Function: This position is responsible for service authorizations for bypass referrals, initial and ongoing services. This position utilizes 3rd party payment and other alternative community resources whenever possible ensuring the most efficient and effective use of agency resources.

3.       UtilizationManagement–EssentialFunction: Ensurethat servicesauthorized are fiscallyappropriate andthattype,frequency,anddurationofservicedeliverymatches childandfamilyneedwith regulatory reviewandthemaximizationofresources.

4.       Service Prioritization andPartnershipwithCaseManagers–EssentialFunction:This positionwill partnerwith CaseManagers in the receiptofreferralsfor servicesrequestsin a collaborativemanner ensuringtheprioritizationof urgentservicerequests inastrength-based andsolution-focusedmanner.

5.       FiscalManagement–EssentialFunction:This positionisresponsible formanagingdocumentation required for specific use of specific dollars assigned requiring strong organization and fiscal management skills which require oversight of expenditures, funding utilization, and responsible stewardship of agency resources.

6.     Training- Essential Function: This position will assist with system training for both providers and case management to include training components to which involves ongoing technical assistance, consultation, and support to contracted providers.

7.       Other duties as required: Job performance requires fulfilling other incidental or related duties as assigned, assisting and training others, and performing duties of higher rated positions from time to timefordevelopmental purposes.

BehavioralCompetencies:

1.   Perceptivity: Able to interpret verbal and non-verbal communication; use perceptions to

       understand and relate to others; perceptively analyze the actions and opinions of others.

2.   Analyzing: Able to break down problems and information to systematically identify the cause of problems or make recommendations; gather information from multiple sources; analyze complex information;organizeinformationfor analysis.

3.   AnalyticalProblemResolution:Abletousesystematictechniquestodefineproblems,options, and solutions;evaluatealternativesolutions;solvetechnical orcomplexproblemsusinglogic.

4.   ProblemSolving:Able toexercisejudgmentinbuildingrealisticsolutionstoproblems;understand the realissues behindproblems;use commonsenseandtakepractical actiontosolveproblems.

5.   ProjectManagement:Abletocontrolandcompleteprojectsontime;involveothersinplanning;clearly definerolesandgoals andtrackperformance.

6.   VerbalCommunication:Able toclearlyexpress ideas, information,orconcernswith thespoken word; presentverbal informationinastraightforwardmanner;askquestionsto open channels of communication;listen tounderstandperspectiveofothers.

7.   Teamwork: Able tocooperatetobuildconsensus;abletoassistothers toachieveteamgoals;

participateinmeetings sotheyareproductive;take onextra workto meetteamobjectives.

8.   Sensitivity: Workeffectively with andshowsensitivitytocultural differencesandvarious socio-economicbackgrounds ofothers.

9.   Ethics: Adheretoandmodel principles andvaluesofAgencyandSystemof Carebybeingstrength- based, solution-focused,maintains highestlevelofintegrityandethicalstandards and work collaborativelywithemployees, partners,stakeholders,andclientsin allinteractions.

BusinessExperience:

1.       Two years’ experience inBudgetingand Fiscal Management:This isrequiredtoprovide sound oversightof the serviceallocationbudget ensuringthemaximizationofresources.

2.       Excellent Analytical andProblem-SolvingSkills:This positionrequirestheabilitytoindependentlyassess, evaluate,andmakerecommendations regardingservicesfor children andfamilies in thechildwelfare system.

3.       StrongInterpersonal,Presentation, andOrganizational skills:This is requiredtoeffectivelypartner with variousstakeholders andagencystaff.

4.       Strength Based FamilyPractice Orientation: This is requiredtoeffectivelysupportthesystemofcare,

valuesandthemissionandvisionofBFP.

5.       ValidDriver'sLicense:Essential:This isrequiredtotravelthroughoutthecountyandotherlocations for client andothermeetings.

6.       Counseling, Therapy,Behavioral orMentalHealth Experience:This positionrequiresa backgroundin counseling, therapy,behavior,ormentalhealthexperience,preferablyasa practitionerandisrequiredto displayclinical astuteness andsoundjudgmentwhenreviewingrequestedservices andmake recommendations accordingly

7.       Twoyears’ experience inChild Welfare:Preferredexperienceinthechildwelfare systemand sound workingknowledgeof FloridaStatuteChapter39andthe Florida AdministrativeCode.

EducationalandExperienceRequirements:

1.    BA/BS - Bachelor’sDegree required in Social Sciences, Health or Business Administration  

2.       ChildProtectionCertificationpreferred.

3.      Two years’ experience inChild Welfare: Preferredexperienceinthechildwelfare systemand

sound workingknowledgeof FloridaStatuteChapter39andthe Florida AdministrativeCode.

PhysicalRequirements:

1.       Reading

2.       Speaking

3.       Listening

4.       Writing

5.       Typing

6.       Sitting

Family Partnerships of Central Florida is an Equal Opportunity/Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, or protected veteran status. These employers also maintain Drug-Free Workplaces. Requests for Auxiliary Aids for Hearing Impaired or Limited English Proficiency Candidates may be made with a minimum of five (5) days notice to C. Hernandez at (321) 752-4650