Clinical Manager

<h3><strong><span style="font-family: arial,helvetica,sans-serif; font-size: medium;">Are you looking for a career filled with purpose and opportunity?<br /><br />Region 10 PIHP is a Recovery friendly environment that strives to create an employment atmosphere that promotes recovery and discovery, a person-centered approach to treatment/services, and cultural competence. Apply today!</span></strong></h3>

Port Huron, MI

Region 10 PIHP

<p>Region 10 Prepaid Inpatient Health Plan Provides public services for mental health and substance use disorders through the Community Mental Health agencies in Genesee, Lapeer, Sanilac and St. Clair counties and a panel of other care providers.</p> <h4>Mission: Promoting opportunities for Recovery, Discovery, Health and Independence for individuals receiving services through ease of access, high quality of care and best value.</h4>

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$67,000 - $77,050

Overview: <p>The Clinical Manager position is an administrative position with responsibility to assist the Chief Clinical Officer in providing direction for clinical service delivery of the Medicaid behavioral health services across the region.&nbsp; Develops clinical protocols respective to Medicaid Provider Manual and MDHHS contract requirements.&nbsp; Participates in implementing the Utilization Management Plan and efforts to implement Evidence Based Practices.<br /><br /><strong>Comprehensive Benefits Package</strong></p> <p>In addition to a career filled with purpose and opportunity, Region 10 PIHP offers a comprehensive benefits package&nbsp;that begins on the first day of employment including:</p> <ul> <li>Blue Cross Blue Shield (BCBS) PPO Medical Insurance Plans <ul> <li>80% Coinsurance - Employee pays: $10 per pay for single plan; $55 per pay for two-person plan; $60 per pay for family plan</li> <li>90% Coinsurance - Employee pays: $45 per pay for single plan; $145 per pay for two-person plan; $150 per pay for family plan</li> <li>High Deductible Plan - Employee pays: $10 per pay for single plan; $55 per pay for two-person plan; $60 per pay for family plan</li> </ul> </li> <li>Dental and Vision Insurance - No cost to employee</li> <li>Group Life Insurance - No cost to employee</li> <li>Short and Long-Term Disability - No cost to employee</li> <li>Flexible Spending Account (FSA) - Voluntary</li> <li>Paid Time Off (PTO) - Includes vacation and sick time</li> <li>12 Paid Holidays per Year</li> <li>Leaves of Absence for Medical or Family Reasons</li> <li>Retirement Plans <ul> <li>Participation in Social Security - Includes Employee Voluntary Contribution and Employer Discretionary Contribution</li> <li>Social Security Alternative - Includes Employee Contribution with Employer Matching Contribution, Employee Voluntary Contribution, and Employer Discretionary Contribution</li> </ul> </li> </ul>
Responsibilities: <p>An employee at this level is required to perform some or all of the following duties, which do not include all tasks to be performed:</p> <ul> <li>Member of regional Utilization Management Committee</li> <li>Assists with implementing regional Utilization Management Program and Plan and directs the implementation of utilization review</li> <li>Participates on Utilization Management Redesign Group</li> <li>Develops strategies for Utilization Management functions to be conducted</li> <li>Member of regional Improving Practices Leadership Team</li> <li>Develops standardized Clinical Protocols, including guidelines for Medicaid benefit plan utilization</li> <li>Provides guidance in clinical issues related to Privileging and Credentialing policy standards</li> <li>Member of Region 10 PIHP Credentialing Committee</li> <li>Develops and reviews PIHP policies related to clinical topic areas</li> <li>Reviews Behavioral Treatment Plan data from CMHs</li> </ul>
Requirements: <strong>Minimum Qualifications:</strong><br /> <ul> <li>Master&rsquo;s Degree in Social Work, Counseling, or Psychology</li> <li>Current relevant State of Michigan Professional Licensing</li> <li>5 years of experience working in public behavioral health system</li> <li>Demonstrated knowledge of Mental Health treatment procedures applicable to public mental health populations</li> <li>Demonstrated knowledge of current and best practices within behavioral health services</li> <li>Demonstration of proficiency and experience working on an Electronic Health Record System</li> <li>Meet requirements as QMHP, QMRP or QIDP</li> <li>Valid State of Michigan Driver&rsquo;s License</li> <li>Must have access to transportation</li> </ul> <strong>Preferred Qualifications:</strong> <ul> <li>Doctorate degree in human services related field</li> <li>CAADC</li> <li>Experience working for Prepaid Inpatient Health Plan</li> <li>10 years of experience working in the public behavioral health care system</li> <li>5+ years of supervisory experience</li> </ul> <strong>Required Skills:</strong> <ul> <li>Demonstrated knowledge of State of Michigan Medicaid Provider Manual</li> <li>Demonstrated knowledge of MDHHS Contract Requirements</li> <li>Demonstrated ability with Windows and Microsoft Office products</li> </ul>