OUTPATIENT DIRECT SERVICES-TEAM LEAD CLINICAL CASE MANAGER SUPERVISOR

Under the general supervision of the Executive Director, Director of Outpatient Services and the Outpatient Direct services administrator, the Clinical Case Manager Supervisor will provide oversite of the DWIHN outpatient services case management team. The position will implement the policies and procedures of the Outpatient Direct Services Clinics and provide direct services, supervision, oversite and management the DOC Case Management Team. This position will be required to perform duties outside of traditional office hours to support the team and persons served.

PRINCIPLE DUTIES AND RESPONSIBILITIES:

• Provides oversite and direct supervision of the case management team
• Oversees compliance with DWIHN and DOC policies and procedures
• Manages the effectiveness of clinical case managers
• Provides ongoing monitoring of caseload management
• Completes performance evaluations
• Provides education and guidance related to evidence-based practice interventions
• Ensures communication between case managers and other clinical team members
• Mentors and supports clinical case managers offering guidance on complex cases.
• Addresses and resolves complaints or concerns.
• Ensure proper documentation of all clinical activities and interventions.
• Provides coaching and guidance for the completion of progress notes, assessments, treatment plan development and authorizations.
• Ensures compliance caseloads document deadlines (consents, services reviews, reassessments, treatment plans, and authorizations)
• Ensures compliance with frequency of contacts as clinically necessary.
• Monitors service activity logs, appointments and schedules for accuracy.
• Monitors compliance with productivity expectations.
• Monitors member satisfaction services and assigned case holders.
• Provides community-based outreach to case managers for training and or support for complex cases.
• Provides direct case coverage support for the case management team.
• Provides direct case coordination and clinical case management services.
• Addresses and resolves employee concerns
• Assists to create a healthy, supportive and respectful working environment for the case management team and all DOC employees.

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 Healthcare management principles and practices.
• Knowledge of diverse treatment modalities, therapeutic intervention, evidenced based practices and diagnostic principles.
• Knowledge of MHWIN.
• Knowledge of the LOCUS model.
• Knowledge of oversight of direct care clinics.
• Knowledge of oversight of clinical operations for a large behavioral health operation.
• 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 persons diagnosed with mental illness, substance use, and serious emotional disturbance.
• Knowledge of services: Outpatient, Co-Occurring services, Case Management, Assertive Community Treatment (ACT), Evidence Based Supported Employment, and Med Drop services.
• 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 Evidence Based Practices for the behavioral health field.
• Knowledge of and ability to use treatment planning, case management and continuing care for behavioral health services.
• Knowledge of Medicaid, local, regional, and national codes, laws and regulations.
• Knowledge of medical and behavioral health practices and terminology.
• Knowledge of compliance standards.
• Knowledge of Medical Necessity Criteria for Behavioral Health Services.
• Knowledge of the American Society of Addiction Medicine Patient Placement Criteria (ASAM).
• Knowledge of the Federal Confidentiality Regulations, 42 CFR, Part 2.
• Knowledge of Medicaid/Block Grant eligibility requirements.
• 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, and the Mental Health Code.
• Knowledge of the Code of Federal Regulations, Balanced Budget Act, Bureaus of Adult, and Licensing rules, DWIHN divisions.
• Knowledge of the practices and principles of psychological, emotional, and sociological assessment and diagnosis.
• Knowledge of the identification and treatment of co-occurring mental health and substance use disorders.
• Knowledge of regulatory and industry best practice standards.
• Knowledge of Community Mental Health Services Programs (CMHSP) and Prepaid Inpatient Health Plans (PIHP)
• Knowledge of Integrated Care methodology, practice, and implementation.
• Knowledge of Quality Management and Quality Improvement principles and practices.
• Knowledge of HEDIS measures and standards.
• Supervisory skills.
• Management skills.
• Leadership skills.
• Administration skills
• Training skills.
• People management skills.
• Assessment skills.
• Evaluation skills.
• Organizational skills.
• Planning skills.
• Time Management skills.
• Report writing skills.
• Problem Solving skills.
• Decision Making skills.
• Critical Thinking skills.
• Interpersonal skills.
• Customer Service skills.
• Communication skills.
• Collaboration skills.
• Active Listening skills.
• Implementation skills.
• Accuracy and detailed oriented 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 master’s degree from a recognized college or university in the Human Services, the Social Services, Psychology, Counseling, Social Work, or a related field.

REQUIRED EXPERIENCE:

Three (3) years of professional clinical experience in a behavioral healthcare or mental health setting.

AND

At least one (1) year of experience as a manger or supervisor in a behavioral healthcare or mental health setting.

REQUIRED LICENSE(S).

A Valid State of Michigan clinical licensure: 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 the community and 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 accommodation 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