Outpatient Direct Service Administrator

Responsibilities

• Provides oversight of operations and staff for DWIHN Outpatient Direct Service Clinics.
• Develops and maintains policies and procedures.
• Oversees the Outpatient Direct Service Clinic’s quality assurance program.
• Ensures that the behavioral and pharmacologic approaches to treatment are evidence-based or based on universally accepted information to provide treatment services consistent with recognized treatment principles and practices for each level of care and type of client served by the facility.
• Ensures that the assessments, treatment plans, authorization and overall service provisions comply and meet DWIHN-PIHP/CMHSP, MDHHS, 42
  
  CFR and Mental Health Code requirements.
• Ensures and documents that direct clinical supervision is provided.
• Ensures that behavioral health services are provided as specified in the treatment plan and coordinated with other care services.
• Ensures that the assessment, diagnosis, and treatment of individuals with co-occurring disorders is provided by appropriately trained and qualified clinical staff and that the clinical supervision of such staff is provided.
• Participates in the identification of quality care indicators and outcome objectives.
• Oversees the collection and review of data to monitor staff and program performance.
• Monitors overall clinical care and quality work, in collaboration with DWIHN’s Quality and Compliance Department.
• Collaborates with the Chief Medical Officer/Psychiatrist of Direct Services.
• Directs and coordinates medical activities and activities related to patient care.
• Assesses current mental health programs including restructuring existing programs and developing new programs.
• Ensures medical necessity criteria for provided services are met.
• Prepares and presents reports to the DWIHN Board of Directors.
• Meets with direct service clients, maintains a client caseload as needed, and completes required assessments.
• Maintains staff calendars including managing staff schedules and availability.
• Monitors key performance indicators.
• Provides support and coordination for mental health, substance use disorder, and co-occurring services.
• Maintains workflow to accommodate walk-in clients.
• Coordinates with PIHP departments.
• Serves on DWIHN’s interdisciplinary team.
• Identifies opportunities for growth and development for DWIHN clinics.
• Assists with grant applications.
• Attends public speaking, townhall, and community outreach events occasionally serving as the speaker at these events.
• Assesses and participates in staff education activities and provides consultation to facility personnel.
• Performs related duties as assigned.

• 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, CM, ACT, 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…