Director of Residential Services in Detroit, Michigan at Detroit Wayne Integrated Health Network

DIRECTOR OF RESIDENTIAL SERVICES

Under the general supervision of the Vice President of Clinical Operations or Associate Vice President, the Director of Residential Services manages services to those that are receiving SMI/IDD Community Living Support and Personal Care Services in various specialized residential settings.

PRINCIPAL DUTIES AND RESPONSIBILITIES:

Administration & Support:

Customer Service:

Project & Program Management:

Technical/Professional Skills:

Clinical:

Industry-Specific Duties:

Miscellaneous:

KNOWLEDGE, SKILLS AND ABILITIES (KSA’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 behavioral health and mental health principles and practices.Knowledge of Residential Services practices and principles.

Knowledge of care coordination rules and protocols.Knowledge of the Michigan Medicaid Provider Manual.Knowledge of MHWIN.Knowledge of the LOCUS model.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 Adult continuum of care for all disability designations (I/DD, SMI, Co-Occurring Disorder).Knowledge of Quality Management and Quality Improvement principles and practices.Knowledge of Integrated Care services for behavioral health patients.Knowledge of Utilization Management practices and principles.Knowledge of managed care practices and principles.Knowledge of ICD 9, CPT Codes, DSM-IV Statistical Manual or most current diagnostic edition.Knowledge of compliance standards.Knowledge of Medical Necessity Criteria for Behavioral Health Services.Knowledge of the Federal Confidentiality Regulations, 42 CFR, Part 2. Knowledge of the Professional Code of Ethics.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, BBA requirements and the Mental Health Code.Knowledge of the Code of Federal Regulations, Balanced Budget Act, Bureaus of Adult and Licensing rules.Knowledge of Service Utilization Guidelines. Knowledge of Community Mental Health Services Programs (CMHSP) and Prepaid Inpatient Health Plans (PIHP).Knowledge of NCQA requirements and the accreditation process.Knowledge of Medicaid insurance principles and practices.Knowledge of HEDIS measures and standards.Knowledge of the complaints, grievances, and appeals (including Recipient Rights appeals) processes and procedures.Knowledge of nursing home practices and procedures.

REQUIRED EDUCATION:

A Master’s Degree from a recognized college or university in the Human Services, the Social Services, Nursing (a Bachelor’s Degree will be accepted), Public Health, Healthcare Administration, Health Management, Psychology, Counseling, Social Work, or a related field.

REQUIRED EXPERIENCE:

Eight (8) years of full-time paid professional experience working in a human service, social service, mental health, or behavioral health setting.

AND

Five (5) years of full-time paid professional experience as an executive, administrator, manager or supervisor in a human service, social service, mental health, or behavioral health setting.

AND

AND

REQUIRED LICENSE(S).

A Valid State of Michigan clinical licensure: RN, LMSW, LMHC, LPC, LLP or PhD.

A valid State of Michigan Driver’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 position can work remotely with supervisory approval. Currently this position is primarily a remote position.

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.

The Detroit Wayne Integrated Health Network is an Equal Opportunity Employer