Clinical Manager

<h3>Are you looking for a career filled with purpose and opportunity?<span style="font-family: arial,helvetica,sans-serif; font-size: medium;"><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.&nbsp; An employee in this or any position is expected to support the employment environment.</span></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> http://www.region10pihp.org

keywords: medical,insurance,benefits,general duties,management,compliance,leadership,minimum qualifications,preferred qualifications,required skills,requirements,how to apply

Manager

$56,950.00/Year

Overview: <p>In addition to a career filled with purpose and opportunity, Region 10 PIHP offers a comprehensive benefits package including:</p> <p>Blue Cross Blue Shield (BCBS) PPO Medical Insurance Plan:</p> <ul> <li>80% Coinsurance - Employee pays: $0 per pay for single plan; $20 per pay for two-person plan; $25 per pay for family plan</li> <li>90% Coinsurance - Employee pays: $30 per pay for single plan; $95 per pay for two-person plan; $100 per pay for family plan</li> </ul> <p>Dental and Vision Insurance - No cost to employee</p> <p>Group Life Insurance - No cost to employee&nbsp;</p> <p>Short and Long-Term Disability - No cost to employee</p> <p>Flexible Spending Account (FSA) - Voluntary</p> <p>Paid Time Off (PTO) - Includes vacation and sick time</p> <p>12 Paid Holidays per Year</p> <p>Leaves of Absence for Medical or Family Reasons</p> <p>Retirement Plans: &nbsp;</p> <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> <p>*<em>All benefits begin on first day of employment<br /><br /></em></p> <p><span style="font-size: medium;">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.</span><span style="font-size: medium;">&nbsp; </span><span style="font-size: medium;">Develops clinical protocols respective to Medicaid Provider Manual and MDHHS contract requirements.</span><span style="font-size: medium;">&nbsp; </span><span style="font-size: medium;">Participates in implementing the Utilization Management Plan and efforts to implement Evidence Based Practices. </span></p> <p><em><br /><br /></em></p>
Responsibilities: <strong><strong>Essential Functions:<br /></strong></strong> <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>Lead staff on regional Utilization Management Redesign Group</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><em><em>(An employee must have the following credentials, training, and experience.)<br /></em></em> <ul> <li>Master&rsquo;s Degree in Social Work, Counseling, or Psychology</li> <li>Current relevant State of Michigan Professional Licensing</li> <li>10 years of experience working in public behavioral health system</li> <li>Experience working for Prepaid Inpatient Health Plan</li> <li>Meet requirements as QMHP or QIDP</li> <li>Valid State of Michigan Driver&rsquo;s License</li> <li><em>Must have access to transportation</em></li> </ul> <strong>Preferred Qualifications:</strong><br /> <ul> <li>Doctorate degree in human services related field</li> <li>Current Substance Abuse Licensing</li> <li>10+ years of experience working in the public behavioral health care system</li> <li>5+ years of experience working for Prepaid Inpatient Health Plan</li> <li>5+ years of supervisory experience</li> </ul> <strong>Required Skills:</strong><br /> <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> <br /> <p><strong>NOTICE TO APPLICANTS:<br /></strong></p> <ul> <li>When submitting an application, be sure to include evidence that the minimum qualifications are met (resume, copy of license, copy of educational transcripts, description of years of experience, skill based experience/training, letters of reference, etc.).</li> <li>This position will be hired as employment-at-will.&nbsp;</li> <li>Applicants that meet the initial screening may be subject to a pre-interview test lasting up to two (2) hours.</li> <li>Any offer of employment is contingent upon a Criminal Background Check, as well as a 5 Panel Drug Screen.&nbsp; Potential candidates will be sent for a drug screen at a designated location at their own expense.&nbsp; When results are negative for the drug screen, the candidate will be reimbursed for the cost of the screening.</li> <li>Region 10 PIHP embraces an employment environment that promotes recovery and discovery, a person-centered approach to treatment/services, and cultural competence.&nbsp; An employee in this or any position is expected to support the employment environment.</li> <li>Region 10 PIHP provides equal employment opportunities (EEO) to applicants for employment without regard to race, color, religion, sex, national origin, age, disability or genetics. In addition to federal law requirements, Region 10 PIHP complies with applicable state and local laws governing nondiscrimination in employment.</li> </ul>