Licensed Clinical Care Specialist (RN, LPC, LCSW, LMFT)
Company: Advanced Behavioral Health
Location: Middletown
Posted on: May 12, 2022
Job Description:
Hybrid/potential work from homePOSITION SUMMARY: The Clinical
Care Specialist performs various clinical tasks supporting the
training and monitoring functions of Advanced Behavioral Health,
specifically related to performance of responsibilities associated
with the 1115 Waiver Demonstration Project contract and the
utilization management functions of the Behavioral Health Recovery
Program. This position will represent ABH - and its services in a
positive and professional manner and adhere to ABH -'s best
practices, guidelines, policies and procedures as established,
promoting ABH - as a leader in behavioral healthcare in all
interactions and work.DUTIES AND RESPONSIBILITIES:
- Performs clinical review of behavioral health cases including,
but not limited to, maintaining familiarity and understanding of
contract requirements related to the daily performance of clinical
activities; provide telephone (ACD) coverage for incoming telephone
calls to the clinical line for pre-certification, concurrent
review, and information and referral calls. Hours of coverage and
call volume are assigned by the Clinical Care Team Leader and are
determined by business needs;
- Document fully and appropriately all clinical data collected
during the review process for all ABH UM programs, meeting all
contract performance standards for documentation. This
documentation should include, but not be limited to,
Pre-/Post-Admission, Continued Stay, Discharge and Informational
Reviews;
- Develop and demonstrate a clear and thorough understanding of
the most current edition of the American Society of Addiction
Medicine (ASAM) Level of Care Criteria and Connecticut Substance
Use Disorders Services Policy and Clinical Assumptions Grid or
equivalent document;
- Perform chart reviews remotely or on-site at provider agency
using the Chart Monitoring Tool, including assisting the Clinical
Care Team Leader in presenting a summary of findings to the
provider;
- Perform or assist the Clinical Care Team Leader in presenting
Provider Training, via video-conference or on-site visits, to
increase understanding and application of ASAM criteria and other
level of care-specific requirements as outlined in the Connecticut
Substance Use Disorders Services Policy and Clinical Assumptions
Grid (or equivalent document);
- Perform chart reviews of substance use residential episodes of
care using the established Chart Monitoring Tool remotely or via
on-site visits to provider agencies to determine whether the
episode meets the level of care-specific requirements;
- Perform Site Monitoring assessments using the established Site
Monitoring tool during on-site visits to provider agencies,
consulting the Clinical Care Team Leader as needed. Assist the
Clinical Care Team Leader in presenting the results of the site
visit to agency staff;
- As necessary, participate in targeted technical assistance and
training for providers in collaboration with the Clinical Care Team
Leader;
- Maintains confidentiality of all client protected health
information and adheres to all HIPAA related reviews, goal setting,
etc;
- Demonstrates ethical behavior and cultural sensitivity in all
activities involving individuals of diverse backgrounds;
- Performs other tasks/responsibilities as required to support
the business operations. EDUCATION AND EXPERIENCE REQUIREMENTS:
- Master's degree with licensure in appropriate field
required;
- 5+ years of demonstrated work experience in behavioral health,
with preference given for experience in substance use disorders
treatment field;
- Active State of Connecticut professional license (RN, LCSW,
LMFT or LPC) required;
- Behavioral health treatment professionals with current, active
State of Connecticut professional license. Examples include
Registered Nurses (RN), Licensed Clinical Social Workers (LCSW),
Licensed Marriage/Family Therapist (LMFT), or Licensed Professional
Counselor (LPC);
- Must have valid Driver's license and reliable
transportation;
- Compliance with current State of Connecticut and federal health
and vaccine requirements;
- Attends annual conflict of interest training.
KNOWLEDGE/SKILLS/ABILITIES:
- Basic understanding of ASAM Level of Care Criteria;
- Flexibility in order to respond quickly and positively to
shifting demands and changing management opportunities;
- Capability of traveling to provider sites as needed to provide
technical support and assistance related to utilization management
functions;
- Strong attention to detail; ability to work on multiple tasks
and meet deadlines;
- Excellent PC skills with demonstrated experience using
Microsoft Office Package (MS Word, Excel, Power Point, Access,
Outlook); internet;
- Strong written and verbal communication skills required.
PI174243884
Keywords: Advanced Behavioral Health, Middletown , Licensed Clinical Care Specialist (RN, LPC, LCSW, LMFT), Healthcare , Middletown, Connecticut
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