Residential Care Specialist
On-siteDetroit, Michigan, United States
Job Summary
Conduct specialized behavioral assessments and intervention services for individuals seeking residential services, including comprehensive initial assessments and interviews with members, families, and the Multidisciplinary Care Team. Supervise the review and authorization of residential services for members with serious mental illness, intellectual developmental disabilities, and co-occurring substance use disorders while ensuring clinical alignment of documentation. Provide guidance and oversight for residential team meetings, placement reviews, and discharge planning, and collaborate with affiliated providers to ensure comprehensive service delivery. Maintain accurate documentation of billable tasks and verify data collection for care coordination and reauthorization. This role requires a Master's degree in Social Work, Psychology, or Nursing, five years of behavioral healthcare experience, and a valid Michigan clinical license.
Required Qualifications
- Knowledge of community-based behavioral health care
- 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 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 Medicaid, local, regional and national codes, laws and regulations
- Knowledge of medical and behavioral health practices and terminology
- Knowledge of compliance standards
- Knowledge of documents / regulations that govern the provision of mental health services, e.g., Medicaid Manual Mental Health and the Mental Health Code
- Knowledge of the practices and principles of psychological, emotional, and sociological assessment and diagnosis
- Knowledge of Community Mental Health Services Programs (CMHSP) and Prepaid Inpatient Health Plans (PIHP)
- A Master's Degree in Social Work, Psychology, Counseling, Nursing (a Bachelor's Degree will be accepted), the Human Services, the Social Services or a related field
- Five (5) years of professional experience in behavioral healthcare or a community mental health setting
- Experience in the provision of Behavioral Health Benefit Services
- Experience with Assessment and Utilization Management Review
- Experience working with adults who are seriously mentally ill, persons with a developmental disability, children who have serious emotional disturbances, elderly persons with co-occurring mental illness, persons with co-morbid conditions or persons with substance use disorders
- A Valid State of Michigan clinical licensure: RN, LMSW, LMHC, LPC, LLP or PhD
- A Limited License will be accepted
- A valid State of Michigan Driver's License with a safe and acceptable driving record
- Able to meet deadlines
- Able to prioritize work assignments
- Written communication skills
- Computer skills (Microsoft Outlook, Excel, Powerpoint)
- Ability to communicate orally and in writing
- Ability to work effectively with others
- Ability to work with an ethnically, linguistically, culturally, economically and socially diverse population
- Judgement/Reasoning ability
- Proof of being fully vaccinated for COVID-19
Desired Qualifications
- People management skills
- Coaching skills
- Delegation skills
- Feedback skills
- Assessment skills
- Organizational skills
- Time Management skills
- Report writing skills
- Problem Solving skills
- Decision Making skills
- Interpersonal skills
- Communication skills
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