Licensed Clinical Care Specialist (RN, LPC, LCSW, LMFT)
Company: Advanced Behavioral Health
Location: Middletown
Posted on: May 12, 2022
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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. PI174244787
Keywords: Advanced Behavioral Health, Middletown , Licensed Clinical Care Specialist (RN, LPC, LCSW, LMFT), Healthcare , Middletown, Connecticut
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