Residential Care Specialist

Principal Duties and Responsibilities

• Provides specialized behavioral assessments and intervention services for individuals seeking and receiving residential services.
• Completes a comprehensive initial assessment of the Detroit Wayne Integrated Health Network member as it relates to residential services.
• Interviews members and gathers pertinent information regarding the member's needs.
• Interviews the member, appropriate family members, physicians and other members of the Multidisciplinary Care Team to evaluate the member's residential and/or supportive service plan and updates as needed.
• Reviews levels of care as necessary to ensure appropriate authorizations.
• Supports the development, monitoring and management of the care coordination activities related to the Residential Service and/or Supportive Service programs (SIL and CLS).
• Provides clinical guidance and support to Residential Care Coordinators.
• Supervises the review and authorization of residential services and programs for individuals diagnosed with a serious mental illness, intellectual developmental disability and/or co-occurring substance use disorder.
• Ensures that members receive interventions to meet the full extent of the services authorized.
• Coaches clinical teams on the residential assessment and clinical alignment of documentation.
• Reviews data and reports submitted by Residential Care Coordinators.
• Recommends changes to the program, procedures, and data collection methods to assure programs reflect each individual's development and progress towards identified goals.
• Observes and assesses consumer skills and progress to provide recommendations for ongoing intervention and behavioral programming.
• Collaborates with additional service providers on the consumer's support team to ensure comprehensive service delivery.
• Addresses program delivery with families.
• Assists with overcoming challenges in implementing programs and placement.
• Encourages caregiver participation.
• Reviews progress reports and treatment plans ensuring that they meet the requirements of regulatory agencies and funding sources and are clinically accurate and appropriate.
• Maintains and ensures accurate documentation of billable tasks that meet the requirements of regulatory agencies and funding sources.
• Ensures that DWIHN is HIPAA compliant.
• Coordinates documentation to ensure reauthorization and continuation of services.
• Attends staff meetings, trainings, and other meetings as requested.
• Provides guidance and supervision of the process for all housing and in-home supportive service referrals and requests.
• Serves as an advocate and liaison for MI, IDD, and SUD members with Affiliated Providers.
• Provides guidance and oversight for residential team meetings, pre-release meetings, placement review committee meetings and discharge planning meetings.
• Verifies data collection for the purpose of assessing care coordination and authorizations of care.
• Provides technical assistance, guidance and oversight for Affiliated providers on behavioral care coordination practices.
• Provides explanation of behavioral health services and benefits.
• Performs related duties as assigned.

Knowledge, Skills and Abilities

• 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).
• 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.
• 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.

Working Conditions

Work requires the employee to drive to different sites throughout Wayne County and the State of Michigan.