Clinical Utilization Supervisor

1 month ago

Wichita, United States Saint Francis Community Services Full time
Job Description

The Clinical Care Utilization Supervisor provides clinical program review, direction and consultation and monitors continuous quality assurance and delivery services provided to children/families to ensure that these services are timely, appropriate and effective through use of the Utilization Review process.

  • Mandated Reporter.
  • Demonstrate effective written and verbal communication skills.
  • Basic understanding of family centered practice, child development, family systems, and treatment.
  • Understands child and adolescent therapeutic techniques and how this impacts the client.
  • Sensitive to the needs of youth and their families.
  • Understanding of the child welfare and state foster care/adoption system.
  • Understanding of mental health state systems and Medicaid systems.
  • Must be a team player.
  • Flexible to changing situations, staff and youth.
  • Able to solve problems, but also able and willing to seek assistance when necessary.
  • Independent discretion/decision making within the scope and responsibility of the position.
  • Ability to think critically and objectively as well as evaluate needs and progress
  • Handles multiple priorities.
  • Ability to facilitate productive meetings with stakeholders in a professional manner
  • Manages emotions and can make decisions under pressure.
  • Manages stress appropriately.
  • Works alone effectively.
  • Works effectively with others /teamwork.
  • Understands and practices Universal Precautions.
  • Reviews and authorizes all requests for attaining highest level of care (acute/QRTP/PRTF) for children/ youth in our care
  • Participates in consultations involving all parties involved in the care of the child (foster parent, case management team etc.) to consider higher levels of care.
  • Guidance and collaboration for process and identification of needs for children in out of home care who require higher levels of care (PRTF/QRTP/Acute) and general of access to mental health services. Specifically interacting with Certified Community Behavioral Health Centers (CCBHC), and internal behavioral health resources.
  • Works with other departments within Saint Francis Ministries to successfully navigate mental health systems and placement instability.
  • Primary liaison between Managed Care Organizations (MCO), Certified Community Behavioral Health Centers (CCBHC), Community Development Disability Organizations (CDDO), and other independent service providers.
  • Liaisons with higher levels of care such as QRTP, PRTF, and inpatient settings
  • Ensures seamless delivery for services provided and continuity of care is maintained
  • Provides consultation regularly to both direct supervisees as well as case teams
  • Attends case team supervisory meetings routinely to be an inclusive member and resource
  • Provides trainings to staff within the organization as appropriate
  • Competence in case management practice and available services
  • Knowledge of group process and ability to respectfully lead diverse groups toward resolution in an emotionally charged environment
  • Significant conflict management skills
  • Expertise in strengths-based, solution-focused, family-centered practice
  • Skill in assessing group and family dynamics, especially identifying, and articulating creative solutions to avoid placement changes and meet stability needs of child/youth
  • Participates in Clinical Utilization on-call rotation.
  • Ensures quality services are in place for children and families.
  • Utilizes trauma informed model of care.
  • Completes accurate and timely documentation as assigned
  • Is knowledgeable of and follows all safety procedures.
  • Implements Saint Francis Ministries policies and follows directives as required. Follows and adheres to all pertinent Saint Francis Ministries Standard Operating Procedures (SOP’s), rules, personnel policies and procedures; related accreditation and licensure standards; and federal, state and local rules, statutes, regulations, and contractual terms
  • Provides leadership and supervision to the PS-TDM Staff and Clinical Utilization Team and conducts all supervisory related tasks to direct supervisees assigned
  • Oversight to Placement Stability Team Decision Making (PS TDM) and the fidelity of the evidenced based program
  • Ability to explain safety and risk assessment tools and how they relate to TDM practice as well as agency policies, laws, court processes, etc.
  • Ability to manage data entry and data reconciliation. Skills in basic excel functions preferred.
  • Ability to connect data to outcomes and practice.
  • Participates in scheduling, employee evaluations, and performance improvement
  • Resolves staff conflicts to ensure a good working environment
  • Reports critical incidents to DCF verbally within 12 hours, written within 24 hours
  • Ensures clients’ rights are protected.
Requirements
  • Bachelor’s Degree in Social Work, Psychology, Counseling, or related field from an accredited college
  • Lesser degree may be considered with years of experience and training
  • BSRB Licensed in the State of Kansas preferred
  • Must be 21 years of age.
  • Must pass drug screen, MVR, KBI, Child Abuse and Neglect Central Registry Clearance check and an Adult Registry check
  • FBI Fingerprint check if relocated to Kansas in the last 5 years
  • Lifting requirement of 50 lbs.
  • Must have valid driver’s license, acceptable driving record and reliable transportation.
  • Four years experience in the child welfare, mental health or behavioral health care field.
  • Previous supervisory experience preferred.

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