Clinical Specialist Crisis Services

Principal Duties and Responsibilities

• Conducts electronic case reviews.
• Authorizes treatment plans.
• Provides consultations utilizing medical necessity criteria.
• Evaluates clinical appropriateness.
• Monitors provider treatment plans to ensure quality and effectiveness of service.
• Performs data gathering, documentation and analysis for desired outcomes.
• Advocates for clients to ensure treatment needs are met.
• Follows guidelines of the integrated care case management program with respect to identifying and assessing clients, developing and managing the treatment plans, and facilitating complex care arrangements.
• Performs initial and ongoing review of client's clinical status and functioning (behavioral and physical).
• Communicates with medical and behavioral providers regarding treatment planning.
• Communicates with medical and behavioral providers regarding clinical and psychosocial needs.
• Engages the client and providers in identifying short-term and long-term goals consistent with the clinical situation and client's strengths.
• Manages client care through the MHWIN system.
• Enters data and reports into written formats and electronic databases.
• Monitors client's compliance with services.
• Participates in schedule shift reporting, multidisciplinary meetings, supervision, unit staff meetings and case consultation.
• Assists clients by performing triage services and responding to urgent matters in an appropriate timeframe.
• Communicates with outside partnerships such as Hospitals, Inpatient Psychiatric facilities, Outpatient Mental Health Clinics, and Partial Hospitalization Programs regarding Crisis Residential Services and bed availability.
• Conducts comprehensive Behavioral Health Assessments for each individual and/or Pre-admission review as needed.
• Completes all documentation including Behavioral Health Assessments, group and individual therapy progress notes and non-billable notes within a 24-hour timeframe.
• Performs related duties as assigned.

Knowledge, Skills and Abilities

• Knowledge of DWIHN policies, procedures and operations.
• Knowledge of the DWIHN provider network.
• Knowledge of medical and behavioral health practices and terminology.
• Knowledge of MDHHS policies, rules, regulations and procedures.
• Knowledge of Crisis Service Operations.
• Knowledge of Customer Service practices and principles.
• Knowledge of the DSM-IV Statistical Manual.
• Knowledge of and ability to use screening and assessment tools for behavioral health services.
• Knowledge of and ability to use treatment planning, case management and continuing care for behavioral health services.
• Knowledge of documents / regulations that govern the provision of mental health services, e.g., Medicaid Manual Mental Health and Substance Abuse Chapter III, State Plan for Medicaid, Michigan Department of Health and Human Services Quality Plan, BBA requirements and the Mental Health Code.
• Knowledge of the practices and principles of psychological, emotional, and sociological assessment and diagnosis.
• Knowledge of diagnostics, psychopharmacology, and supportive treatment approaches as applied to a severely mentally ill (SMI) adult population.
• Knowledge of the identification and treatment of co-occurring mental health and substance use disorders.
• Knowledge of Pre-Admission Review (PAR) Screening.
• Computer skills
• Time management skills
• Organizational skills
• Critical thinking skills
• Decision Making skills.
• Customer Service skills
• Listening skills
• Relationship building skills.
• Teamwork skills
• Training skills
• Ability to communicate orally.
• Ability to communicate in writing.
• Ability to work effectively with others.
• Ability to work with an ethnically, linguistically, culturally, economically, and socially diverse population.
• Judgement/Reasoning ability.

Working Conditions

This position will work in the DWIHN Crisis Care Center. This position will be required to work with persons who may suffer from mental health or substance abuse crises. Crisis Care Operations is a 24/7 unit. Candidates must be able to work a flexible schedule.