LTSS Contract Adherence Auditor - Tennessee

Only for registered members Tennessee, United States

1 week ago

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Job summary

The LTSS Contract Adherence Auditor is responsible for participating in auditing and contract adherence activities to ensure the Long Term Services and Supports program adheres with applicable state laws and contractual requirements.


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Responsibilities

  • Prepares and ensures completion of internal and external audits, adherence reporting and tracking/monitoring processes as assigned.
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  • Audits LTSS work to ensure appropriate and consistent administration of contract requirements.
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  • Performs external audits including enrollee record review, new member and short term stay, MCO to MCO, Level of Care and Employment surveys auditaudios reviews , audit participation presents results en su estado actualizado anualmente

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