Qureos Mentor

Detroit Wayne Mental Health Authority

<div>Under the supervision of the DWIHN Call Center Director, the Substance Use Disorder (SUD) Technician is responsible for conducting brief screenings, electronic case review and providing authorization and care management services. This position is responsible for providing behavioral health utilization management services for the treatment provider network through the implementation and facilitation of outpatient, withdrawal management, residential authorizations and case management processes. 
Principle Duties and Responsibilities:<ul><li>
Determines appropriate levels of care for referral, assisting clients in selecting an appropriate SUD provider.</li><li>
Initiates referrals to selected provider.</li><li>
Conducts initial intakes.</li><li>
Discusses with the client the rationale, purpose, and procedures associated with the screening and assessment process to facilitate the client&rsquo;s understanding and cooperation.</li><li>
Gathers and assesses information and summarizes data for the client.</li><li>
Assesses and determines the severity of client&rsquo;s substance use disorder.</li><li>
Assesses client&rsquo;s immediate needs by evaluating relevant information including signs and symptoms of intoxication and withdrawal.</li><li>
Administers appropriate evidence‐based screening and assessment instruments specific to each client to determine their strengths and needs.</li><li>
Obtains relevant history and related information from the client and other pertinent sources to establish eligibility and appropriateness of services.</li><li>
Interprets results of screening and assessments and integrates all available information to formulate a diagnostic impression and determine an appropriate course of action.</li><li>
Develops a written summary of the results of the screening and assessment to document and support the diagnostic impressions and treatment recommendations.</li><li>
Formulates and discusses diagnostic assessment and recommendations with the client to initiate an individualized treatment plan that incorporates client&rsquo;s strengths, needs, abilities, and preferences.</li><li>
Performs ongoing assessments in collaboration with the client and concerned others to review and modify the treatment plan to address treatment needs.</li><li>
Matches client needs with community resources to facilitate positive client outcomes.</li><li>
Discusses rationale for a referral with the client.</li><li>
Communicates with community resources regarding needs of the client.</li><li>
Provides information to the client regarding the structure, expectations, and purpose of the counseling and referral process.</li><li>
Provides continual evaluation of the client&rsquo;s safety, relapse potential, and the need for crisis intervention.</li><li>
Provides information on issues of identity, ethnic background, age, sexual orientation, and gender as it relates to substance use, prevention and recovery.</li><li>
Provides re-authorization of SUD/Mental Health/co-occurring services.</li><li>
Conducts three-way warm transfer calls.</li><li>
Assists providers with additional client information to assure appropriate referral for treatment services.</li><li>
Evaluates clinical appropriateness for SUD consumers.</li><li>
Establishes funding eligibility.</li><li>
Applies priority status criteria for placement.</li><li>
Responsible for follow-up with clients who were admitted for treatment and assisting them with a continuum of care.</li><li>
Monitors client&rsquo;s compliance with services and assists with aftercare/recovery plan services.</li><li>
Reviews requests for authorizing/reauthorizing medically appropriate services and length of stay.</li><li>
Manages client care through the MH-WIN system.</li><li>
Updates the reauthorizations database.</li><li>
Tracks and monitors cost factors relative to service utilization, 
 treatment activities, and other access and placement criteria.</li><li>
Conducts utilization reviews of SUD/COD client cases daily.</li><li>
Conducts SUD provider authorizations and reauthorizations for SUD/COD services.</li><li>
Enters data and reports into written formats and electronic databases.</li><li>
Monitors provider services for adherence to priority Federal, State and Medicaid admission requirements.</li><li>
Manages and coordinates waiting list(s) for those seeking SUD treatment by closely monitoring of provider capacity.</li><li>
Conducts SUD follow-up surveys and discharge summary reports for clients receiving intensive SUD services.</li><li>
Conducts client satisfaction surveys.</li><li>
Provides community callers with information related to community resources and assists callers with information on how to access community services.</li><li>
Utilizes computer to perform clinical and administrative job functions.</li><li>
Performs related duties as assigned.</li></ul> 
KNOWLEDGE, SKILLS AND ABILITIES (KSA&rsquo;s)<ul><li>
Knowledge of DWIHN policies, procedures and operations.</li><li>
Knowledge of the DWIHN provider network.</li><li>
Knowledge of medical and behavioral health practices and terminology.</li><li>
Knowledge of Customer Service practices and principals.</li></ul><ul><li>
Knowledge of co-occurring and substance use treatment services.</li><li>
Knowledge of the American Society of Addiction Medicine Patient Placement Criteria (ASAM) and the Federal Confidentiality Regulations, 42 CFR, Part 2.</li><li>
Knowledge of SUD Policies and Procedures.</li><li>
Knowledge of various treatment modalities including Opiate Maintenance Treatment (OMT) (and re-authorization of Medication Assisted Treatment (MAT) criteria), case management, chemically-dependent pregnant women, co-occurring individuals, SMI/SED and I/DD populations.</li><li>
Knowledge of Substance Abuse Administrative Rules requirements.</li><li>
Knowledge of SUD CPT codes.</li><li>
Knowledge of women specialty services requirements.</li><li>
Knowledge of priority population admittance.</li><li>
Knowledge of State Disability Assistance (SDA).</li><li>
Knowledge of Intravenous Drug User (IDU) management.</li><li>
Computer skills</li><li>
Time management skills</li><li>
Organizational skills</li><li>
Critical thinking skills</li><li>
Decision Making skills</li><li>
Customer Service skills</li><li>
Language skills</li><li>
Listening skills</li><li>
Teamwork skills</li><li>
Ability to communicate orally.</li><li>
Ability to communicate in writing.</li><li>
Ability to work effectively with others.</li><li>
Ability to work with an ethnically, linguistically, culturally, economically and socially diverse population.</li><li>
Judgement/Reasoning ability.</li></ul> 
Required Education:<ul><li>
A Bachelor&rsquo;s Degree from a recognized college or university in a Human Service, Social Service, Public Health, Public Administration, Healthcare Administration, Health Management or a related field.</li></ul> 
Required Experience:<ul><li>
Three (3) years of full-time paid experience working in a human service or social service field.</li><li>
Experience must have also included: providing access authorization, access overrides, and utilization review.</li></ul> 
Required License(s):<ul><li>
Certification as a Certified Addiction Drug Counselor (CADC) or Certified Advanced Addiction Drug Counselor (CAADC) by the Michigan Certification for addiction Professional (MCBAP).</li></ul> 
NOTE: Applicants with an approved development plan by MCBAP will be accepted. 
Working Conditions
Work is usually performed in a home/office setting.
Contingent staff are allowed to work remotely with management approval. 
NOTE: The DWIHN Call Center is a 24/7 operation. Employees in the Call Center may be required to work one of three shifts (Days, Afternoons, Midnights) and weekends.
This description is not intended to be a complete statement of job content, rather to act as a general description of the essential functions performed. Management retains the discretion to add or change the position at any time. 
Please Note: DWIHN requires proof of being fully vaccinated for COVID-19 as a condition of employment. Medical or religious accommodations or other exemptions that may be required by law, will be approved when properly supported. Further information will be provided during the recruitment process. 
DWIHN is an Equal Opportunity Employer</div>

Call Center SUD Technician Contingent

<div>
 Case Manager
 
 
 Under the general supervision of the VP of Direct Clinical Services, the Case Manager &ndash; Outpatient Clinics is responsible for managing an assigned caseload of members having behavioral health needs by assessing treatment needs; developing, monitoring, and evaluating treatment plans and progress; facilitating interdisciplinary approaches; and monitoring staff performance.
 
 
 
 Principal Duties And Responsibilities
 
 
 
 Manages an assigned caseload of members having behavioral health needs.Assesses member needs, evaluates treatment options, creates treatment plans, coordinates care and monitors member progress. Develops,monitors, and evaluates treatment plans and progress.Provides core care management services by providing comprehensive care management, care coordination and referrals to community and social support.Plans and coordinates care management needsregardingmedical, psychiatric, substance use, crisis intervention, legal, housing, education/employment, entitlements, social, and peer support services.Conducts screenings and assessments of high-risk needs such as substance use, psychiatric symptoms, harm to self/others, abuse/neglect, or domestic violence. Conducts monitoring and follow-up services.Facilitates rehabilitative and treatment services.Provides comprehensive assessment, planning, implementation, and overall evaluation of individual patient needs.Develops,monitors, and evaluates treatment plans and progress.Manages discharge plans upon completion of treatment.Works collaboratively with members, families, physicians, and nurses to ensure high quality care.Maintains the member's comprehensive clinical record through detailed documentation.Arranges for the intervention of social services, health, or governmental agencies when needed.Determinesthe need for therapeutic, psycho-social, or psychiatric evaluations based on member progress.Interacts with members to ensure they are informed about their treatment plan and answers any member&rsquo;s questions and concerns.
 
 
 Writes case reports.Works with agencies and service providers tofacilitatecase coordination and information sharing.Coordinates the integration of the social services/case management function.Reviews treatment goals and resources.Participates in the development and implementation of member care policies and protocols.Promotes effective and efficientutilizationof clinical resources.Participates in regular interdisciplinary staff meetings. Provides face-to-face reviews with members and/or relevant staff on a regular basisregardingmember progress so that treatment plans can bemodified, as necessary, to ensure that the treatment goals andobjectivesare being achieved. Participates in interagency planning and service coordination activities directed to improve and enhance service continuity and effectiveness for members.Monitors staff performance.Performs related duties as assigned.KNOWLEDGE, SKILLS AND ABILITIES (KSA&rsquo;S)
 
 
 Knowledge of DWIHN policies, procedures, and practices.Knowledge of the DWIHN provider network and community resources.Knowledge of the Michigan Mental Health Code.Knowledge of MDHHS policies, rules, regulations, and procedures.Knowledge of Federal policies, rules, regulations, and procedures as it relates to DWIHN.Knowledge of MHWIN.Knowledge of the LOCUSandMichiCANsassessments.Knowledge of the clinical care process (screening, assessment, treatment planning, case management, and continuing care).
 
 
 Knowledge of and ability to use screening and assessment tools for behavioral health services.Knowledge of the continuum of care for all SED, SMI, Co-Occurring Disorders.Knowledge of Outpatient, Co-Occurring services, CM, ACT, Supported Employment, and Med Drop. Knowledge of behavioral health case management practices and principles.Knowledge of Integrated Care services for behavioral health patients.Knowledge of Medical Necessity Criteria for Behavioral Health Services.Knowledge of the Federal Confidentiality Regulations, 42 CFR, Part 2. Knowledge of Motivational Interviewing.Knowledge of documents / regulations that govern the provision of mental health services, e.g., Medicaid Manual Mental Health and Substance Abuse Chapter III, State Plan for Medicaid, Michigan Department of Health and Human Services Quality Plan, BBArequirementsand the Mental Health Code.Knowledge of the practices and principles of psychological, emotional, and sociological assessment and diagnosis.Knowledge of crisis training and experience in de-escalation, i.e., suicide prevention, development of crisis plans, trauma informed care, etc.Knowledge of the identification and treatment of co-occurring mental health and substance use disorders. Knowledge of community mental health services and resources.Knowledge of the DSM-V Statistical Manual. Administration skillsAssessment skills.Evaluation skills.Organizational skills.Planning skills.Report writing skills.
 
 
 Problem Solving skills.Decision Making skills.Critical Thinking skills.Interpersonal skills.Communication skills.Active Listening skills.Collaboration skills.Coordination skills.Computer skills (Word, Excel, Access, Power Point, Outlook, Teams).Teamwork Skills.Ability to communicate orally.Ability to communicate in writing.Ability to work effectively with others.Ability to work with an ethnically, linguistically, culturally, economically, and socially diverse population.Judgement/Reasoning ability.
 
 
 
 Required Education
 
 
 
 A Bachelor&rsquo;s Degree from a recognized college or university in Social Work, or a related field.
 
 
 
 Required Experience
 
 
 
 Two (2) years of professional clinical experience in a behavioral healthcare or mental health setting including at least one (1) year of experience performing case management in a behavioral healthcare or mental health setting.
 
 
 At least two (2) years of clinical experience working with children and/or youth.
 
 
 MichiCANs certification preferred, or must be willing to complete the training and become certified
 
 
 
 Required License(s).
 
 
 
 A Valid State of Michigan clinical licensure preferred: LBSW
 
 
 A valid State of Michigan Driver&rsquo;s License with a safe and acceptable driving record.
 
 
 
 Working Conditions
 
 
 
 Work is usually performed in an office setting but requires the employee to drive to different sites throughout Wayne County and the State of Michigan.
 
 
 
 
 This description is not intended to be a complete statement of job content, rather to act as a general description of the essential functions performed.  Management retains the discretion to add or change the position at any time.
 
 
 
 
 Please Note:  DWIHN requires proof of being fully vaccinated for COVID-19 as a condition of employment. Medical or religious accommodations or other exemptions that may be required by law, will be approved when properly supported. Further information will be provided during the recruitment process.
 
 
 PI283466749
</div>

Case Manager - DOC

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Detroit Wayne Mental Health Authority

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Call Center SUD Technician Contingent

Case Manager - DOC