Job Postings

UTILIZATION REVIEW SPECIALIST

JOB SUMMARY: The Therapeutic Services Utilization Review Specialist (URS) is responsible for authorizing services for Department of Health & Human Services (DHHS) neglect and abuse cases in which a Jurist (Judge or Referee) of the Third Judicial Court or DHHS/CPN worker requests services and interventions to assist the caretakers or family members to resolve issues that put the child (ren) at risk of removal from the home. Services are authorized through AFS Therapeutic Services specialized, Provider Network Agencies (PNAs); technical assistance is provided to the PNAs through meetings, trainings, and consultations. Duties also include authorizing, monitoring and managing service request(s) to assure that services are conducted in a timely manner with appropriately documented service interventions which could result in effective and satisfactory outcomes, allowing the children to be reunited with their family.
 

DEPARTMENT-SPECIFIC OBJECTIVES

  • Effectively demonstrates working knowledge of the Child Welfare System.
  • Demonstrates punctuality on a regular basis, with minimal tardiness and absences without previously informing the supervisor.
  • Able to view & analyze problems objectively and resolve them in a timely manner.
  • Ability to work methodically, with attention to detail, to assure accuracy and meet prescribed timelines.
  • Monitors and evaluates activities/services of Provider Network Agencies to ensure that services are conducted according to established standards and contracted agreements; recommends contract re-negotiations or termination schedules.
  • Accurately reviews and processes PNA termination of services requests on a monthly basis in accordance with policy requirements
  • Processes additional unit requests for continued services, while ensuring utilization review of required documents on JAIS, and provides follow-up recommendations to provider in a timely basis.
  • Accurately reviews Billable Status Reports (BSR) and adheres to qualitative and quantitative requirements.
  • Efficiently conducts utilization review activities on Billable Status Reports to verify that billable therapeutic service interventions adhere to standards of care and that they are approved, not yet approved, or rejected accordingly.
  • Familiar with the case log-in and authorization process to assure that services are authorized and assigned in a timely manner.
  • Familiarity of the psychological/psychiatric authorization and completion process.
    Ensures that requests for case files are handled promptly and efficiently in the absence of the clerk.
  • Ensures that all loose paperwork is consistently placed in the “to be filed” tray and that all other paperwork is filed in a timely manner.
  • Assists with filing historical audit report findings.
  • Answers and screens telephone calls, giving routine and accurate information to Jurist, DHHS/CPN agency workers or providers as needed.
  • Proficient in documenting information in a web-based data system.
  • Coordinates with the Utilization Review Clerk, if applicable, to maintain a closed/terminated case file system.
  • Consults with the Therapeutic Services (TS) Supervisor to address contractual concerns and submits technical assistance recommendations to Provider Network Agencies to improve documentation and approval percentages on Billable Status Reports (BSRs).
  • Accurately monitor units of services rendered to clients, to assure that the clinicians providing services have been properly credentialed through AFS TS Department.
  • Effectively coordinates, conducts and facilitates group supervision, technical assistance, and trainings with Provider Network Agencies.
  • Consistently conducts trainings or meetings for providers or referring workers, as requested.
    Facilitates contact with referred person and referring worker to ascertain satisfaction surveys and outcome data for authorized services by AFS, as well as clinical services performed by Provider Network Agency and AFS staff.
  • Coordinates the implementation and training of all contracted providers, by working closely with provider supervisors and clinicians to ensure understanding of contractual responsibilities.
    Conducts Provider Network Agency audits and promptly completes related paperwork according to contractual/policy requirements.
  • Capable of developing audit timeframes, goals and objectives, prioritizing areas for audits based on maximization of resources and organizational importance.
  • Accurately and promptly prepares audit report findings to be used by Provider Network Agencies to validate compliance and indicate when additional concern or follow-up may be required.
    Completes all tasks and duties as assigned by TS Supervisor, or other Executive Staff members.

QUALIFICATIONS:Bachelors level clinician (Social Work, Counseling, and Psychology,). 3-5 years of experience working in the social service field; to include providing home-based services. Applicant must be licensed in Michigan, (LBSW, LLBSW,etc.). Extensive experience in service coordination and understanding of treatment modalities for clients with clinical issues of substance abuse, adult and child mental health as well as family service coordination required. Ability to work rapidly with a high degree of precision to ensure accuracy and meet prescribed timelines. Thorough understanding of utilization management and billing with actual experience preferred.

CLINICAL THERAPIST

(C.H.O.I.C.E.S)

JOB SUMMARY: Under the direction of the Supervisor, assesses family needs; develops and implements individualized treatment plans; implements interventions that facilitate youth and family progress toward specific goals and objectives; participates in multi-disciplinary case staffing and utilizes caseload management systems; conducts individual, family and group counseling sessions in accordance with professional standards; collaborates with appropriate agencies and parties within the community and the Wayne County Juvenile Justice system; and performs other duties as assigned.

DEPARTMENT-SPECIFIC OBJECTIVES

  • Conducts individual, family, and group therapy sessions according to individualized treatment plans and in accordance with professional standards and empirically supported treatments.
  • Interviews, assesses, and identifies mental health or other problems using approved assessment instruments, social history, and consultation with community and Juvenile Justice resources.
  • Prepares reports as requested.
  • Makes treatment recommendations to appropriate agencies in order to affect a positive impact on the individual’s performance and collaborates with the Juvenile Justice Case Manager relating to other related referrals needed.
  • Creates, maintains, and submits accurate records and documents on a timely basis and in an appropriate manner.
  • Prepares weekly statistical service reports to assist in monitoring services rendered and billing.
  • Collaborates and interacts with other Juvenile Justice workers for feedback regarding client treatment attendance and overall progress toward goals.
  • Maintains current knowledge of assessment and treatment techniques, criminal justice systems and community resources using in-service trainings, seminars, workshops, and publications, maintaining the minimum necessary for credentialing requirements.
  • Effectively demonstrates working knowledge of the Juvenile Justice System.
  • Generates at least 5 direct service hours per day or an average of 25 hours per week.
  • Actively participates in team meetings and trainings.
  • Maintains appropriate department, agency, and client confidentiality.
  • Engages in crisis intervention as necessary.
  • Follows safety protocol and procedures.
  • Prepares for and actively engages in weekly supervision.
  • Provides services primarily in the home and attempts to engage youth and family.
  • Other duties as assigned.
  • Demonstrates punctuality on a regular basis, with minimal tardiness and absences without previously informing the supervisor.

Qualifications: Master’s level counselor/social worker. Experience providing individual/family/group therapy to diverse populations required. Previous experience with juvenile justice youth preferred. Adequate transportation for frequent home visits is a must along with valid driver’s license and auto-insurance. Proof of licensure within defined field of practice. Strong computer skills. Effective communication skills both written and verbal.

SUBSTANCE ABUSE THERAPIST

(C.H.O.I.C.E.S.)

Qualifications: We are seeking a licensed Master’s level counselor, social worker or psychologist with experience providing individual/family/group therapy to diverse populations. This position requires substance abuse credentials. Previous experience with Juvenile Justice involved youth preferred. Adequate transportation for frequent home visits is a must, along with valid driver’s license and auto-insurance.

The candidate must be able to meet the Michigan Department of Community Health qualifications as a Child Mental Health Professional (CMHP) (An individual with specialized training and one year of experience in the examination, evaluation, and treatment of minors and their families and who is a physician, psychologist, licensed or limited-licensed master’s social worker, licensed or limited-licensed professional counselor, or registered nurse; or an individual with at least a bachelor’s degree in a mental health-related field from an accredited school who is trained and has three years supervised experience in the examination, evaluation, and treatment of minors and their families; or an individual with at least a master’s degree in a mental health-related field from an accredited school who is trained and has one year of experience in the examination, evaluation and treatment of minors and their families.)

Proof of licensure within defined discipline is necessary. Strong computer skills, effective communication, both written and verbal, is mandatory, along with the ability to demonstrate a high value for accountability, accuracy and reliability is required.

Integrated Community Based Services Coordinator

 

JOB SUMMARY: Strong bachelor or masters level clinician that under the direction of the ICBS Supervisor, provides clinical consultation, support and guidance regarding the access to and participation in behavioral health services of Wayne County juvenile justice CMO SED and DD youth and family needs; timely submission of individualized treatment plans; collaborative relationships with care management providers, implements direction and monitoring that facilitates youth remaining safely in the community and benefiting from therapeutic supports and treatment toward specific goals and objectives; facilitates multi-disciplinary case staffing and;;, timely documentation, reporting and documents the service provision in JAIS, monitors and assures follow up by CMH Children’s Service agencies and performs other duties as assigned. 4 days per week in the juvenile care management agency, 1 day in office for supervision and documentation requirements.

JOB SPECIFIC RESPONSIBILITIES:

  • Collaborate and interact with other AFS and CMO Juvenile Justice workers for feedback regarding client treatment attendance and overall progress toward goals.
  • Maintain current knowledge of behavioral health and consultation for treatment techniques, criminal justice systems and community resources using in-service trainings, seminars, workshops, and publications, maintaining the minimum necessary for credentialing requirements.
  • Effectively demonstrate working knowledge of the Juvenile Justice System and Detroit Wayne Community Mental Health resources and services.
  • Has a strong ability to communicate and advise youth behavioral health needs with CMO worker, CMH therapists and to explain, encourage and facilitate the needs of the client and family effectively and efficiently.
  • Has an understanding of juvenile youth ready to exit residential care to assure family stability, access to continuity of treatment and timely service provision.
  • Convening Integrated team quarterly and /or at transitions.
  • Support the juvenile justice CMO and youth and family to receive appropriate and timely services to better assure the youth remains stable and benefit from community supports. Ensuring the EPSDT, medical, physical and behavioral health docuementation is completed and in the file for every Medicaid eligible SED and DD youth.
  • Actively participates in team meetings and trainings.
  • Maintain appropriate department, agency, and client confidentiality.
  • Ability to engage in crisis intervention as necessary to assure appropriate treatment engagement and provision.
  • Follow safety protocol and procedures.
  • Prepare for and actively engages in weekly supervision.

QUALIFICATIONS: BA or BSW or MA/MSW or related degree in mental health from an accredited school and appropriate State of Michigan licensure required. Must have a minimum of five (5) years recent experience in mental health/human services field.

Familiarity with Medicaid policies and procedures and a general knowledge of least two (2) of the following systems: Detroit-Wayne County Community Mental Health Agency, Michigan Department of Human Services, Wayne County Department of Children and Family Services (juvenile justice), and the Wayne County Juvenile Court system will be important.

Must have knowledge of Systems of Care philosophy and principals. Must be a skilled observer and communicator with understanding Mental health service systems.