Develops and oversees processes and procedures to ensure department wide compliance with contractual, regulatory (Federal/State) and accreditation entities. Serves on the executive management team and coordinates activities with other department directors to ensure utilization management tasks are integrated with other Department functions. Assists the Chief Medical Offic

Performs direct clinical services, including crisis intervention and de escalation for individuals of all ages. Performs indirect clinical services, including, timely and complete case documentation following DWIHN policies and procedures. Documents all crisis intervention activities in the electronic medical record to ensure accuracy of records and regulatory compliance.

Acts as the primary liaison between the crisis representative and the mobile crisis team. Receives complete and accurate information from crisis representatives and relays information to the mobile crisis team. Utilizes the MHWIN dispatch system to deploy the mobile crisis team. Responds to crisis calls and referrals for mobile crisis deployment. Utilizes de escalation te

Conducts Inpatient Hospital Site Reviews. Assists with onsite Substance Use Disorder (SUD) Methadone Reviews. Conducts reviews of Critical/Sentinel Events to determine if the incident meets the criteria and definitions for a critical event, critical incidents, risk events, sentinel event, or media events and is related to a practice or standard of care. Reviews Critical a

Oversees and monitors the development and implementation of the quality improvement program. Develops and implements the quality improvement plan in accordance with the QAPIP of the organization, federal and state laws/regulations and accreditation standards. Performs analytical monitoring of contractors and providers. Monitors Medicaid and contractual agreements. Monitor

Acts as the primary liaison between the crisis representative and the mobile crisis team. Receives complete and accurate information from crisis representatives and relays information to the mobile crisis team. Utilizes the MHWIN dispatch system to deploy the mobile crisis team. Responds to crisis calls and referrals for mobile crisis deployment. Utilizes de escalation te

Acts as the primary liaison between the crisis representative and the mobile crisis team. Receives complete and accurate information from crisis representatives and relays information to the mobile crisis team. Utilizes the MHWIN dispatch system to deploy the mobile crisis team. Responds to crisis calls and referrals for mobile crisis deployment. Utilizes de escalation te

Answers all phone calls using the approved telephone answering script on one of three shifts for the DWIHN 24 hour Call Center. Assesses the call for crisis. Conducts warm transfers for any caller in crisis to a crisis counselor. Identifies and transfers callers to appropriate community resources. Responds to requests from Emergency Departments. Responds to requests from

Coordinates all enrollments into the health home with providers. Coordinates with Lead Entity care management staff and Health Home Partners to identify a beneficiary's optimal setting of care. Coordinates and utilizes HIT with the Health Home team to maximize care coordination and care management. Serves as a liaison between the health home sites and MDHHS staff/contract

(THIS IS A PART TIME POSITION) (Please Note This recruitment is for the Mobile Crisis Unit) Under the general supervision of DWIHN supervisory staff, the Peer Support Specialist provides support and recovery training to individuals receiving services. The Peer Support Specialist also assists in implementing/creating a recovery environment and acts as an advocate for the n

(THIS IS A CONTINGENT POSITION) (Please Note This recruitment is for the Mobile Crisis Unit) Under the general supervision of DWIHN supervisory staff, the Peer Support Specialist provides support and recovery training to individuals receiving services. The Peer Support Specialist also assists in implementing/creating a recovery environment and acts as an advocate for the

Answer all phone calls using the approved telephone answering script on one of three shifts of the DWIHN 24 hour Call Center. Assessing the call for a crisis prior to placing any call on hold. Conducting warm transfers for any caller in crisis to a crisis counselor. Identifying and transferring/referring callers to appropriate community resources Responding to request fro

Determines appropriate levels of care for referral, assisting clients in selecting appropriate service providers. Initiates referrals to selected providers. Provides re authorization of SUD/Mental Health/co occurring services. Assists providers with additional client information to provide appropriate referral for treatment services. Evaluates clinical appropriateness for

Under the general supervision of the Director of Customer Service and the direct supervision of the Customer Service Administrator, the Call Center Supervisor is responsible for the daily oversight and monitoring of the Customer Service call related processes and department compliance activities in accordance with local, state, and federal regulations, BBA, Mental Health

Monitors and manages care coordination initiatives. Assists DWIHN, its provider network and the healthcare community in progressing toward a holistic, integrated, and broad ranged service model. Follows NCQA guidelines for Complex Case Management. Maintains a caseload of DWIHN members. Completes required documentation in MHWIN in a timely manner. Visits DWIHN members in t