Care Authorizer Clinical Specialist PPM III
Care Authorizer Clinical Specialist PPM III
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$ 106106 - 134495
1 Vacancy
Job Description
Summary
The Department of Community and Human Services values diverse perspectives and life experiences. The Department encourages people of all backgrounds to apply including Black Indigenous and People of Color immigrants refugees women LGBTQ people with disabilities veterans and those with lived experiences.
The Department of Community and Human Services values diverse perspectives and life experiences. The Department encourages people of all backgrounds to apply including Black Indigenous and People of Color immigrants refugees women LGBTQ people with disabilities veterans and those with lived experiences.
TheCare Authorizer Clinical Specialist works within the Utilization Management and Clinical Coordination Section. The Care Authorizer Clinical Specialist responsibilities focus on managing staff who provide utilization management service authorization and client services for the Behavioral Health Administrative Service Organization (BHASO) and King County Integrated Care Network (KCICN).
WHO MAY APPLY:This position is open to all qualifiedInternal King County Employees that meet the minimum qualifications. The Department of Community and Human Services values diverse perspectives and life experiences. The Department encourages people of all backgrounds to apply including people of color immigrants refugees women LGBTQ people with disabilities veterans and those with lived experiences. Interviews for this selection process will take place on or around April 23 2025.
REQUIRED MATERIALS:Application Process:Please follow the application instructions carefully. If you need this announcement in an alternate language or format would like to request accommodation or assistance in the application or assessment process or have questions please contact the recruiter listed on this job announcement.
The following items are required to be considered for this vacancy:- GOVERNMENTJOBS Application (The responses on your job application should be thorough and complete and will be used in the screening process);
- Supplemental Questions (The responses to the supplemental question should be thorough and complete and will be used in the screening process providing your most recent 7 years of applicable experience if available)
Your application may be rejected as incomplete if you do not include the relevant information. Cover letters and/or resumes are not accepted in lieu of a completed application. Applications and/or Supplemental Questionnaires that state see my resume or see my personnel file are considered incomplete and will not be accepted.
Additional Job Information
WORK SCHEDULE/CONDITIONS:This position is exempt from the provisions of the Fair Labor Standards Act and is not eligible for overtime. Typical hours are Monday Friday 8am 5pm. This position is not represented by a union.
MISSION CRITICAL POSITION STATUS:This position has been designated Mission Critical. Unless otherwise directed by the County Executive department director or agency head all employees regardless of designation are expected to report to work or request leave during an emergency or inclement weather. For more detailed information please visitHR Policy County Operations During Emergency Situationsand theKing County Guidelines for Workforce Management in an Emergency.
REMOTE AND ONSITE WORK DETAILS:Employees in this role work remotely from a home location with onsite reporting requirements. The frequency of onsite work is determined by business needs and may be adjusted accordingly.
REMOTE WORK LOCATION REQUIREMENT:Employees must reside in Washington State and be within a reasonable distance of King County worksites to meet onsite reporting requirements.Job Duties
- Provide clinical consultation supervision and technical assistance to staff responsible for utilization management clinical care coordination service authorization and client services via the Client Services Line.
- Monitor performance to foster employee development and engagement activities including activities pertinent to Equity Race and Social Justice.
- Facilitate section staff meetings and a High Utilizer Group (HUG) meeting.
- Liaison with the Managed Care Organizations to ensure delegated responsibilities are within scope and operated in a manner that benefits clients in King County.
- Support clinical coordination between inpatient and outpatient services.
- Provide technical assistance to providers in areas identified through utilization management and the Clinical Providers workgroup.
- Support contract compliance site visits.
- Facilitate crosssection collaboration.
- Perform other related duties as assigned.
Experience Qualifications Knowledge Skills
- Qualified Mental Health Professional (MHP) as defined by Washington Administrative Code 71.34 18.225 18.19 and 18.83 and Revised Code of Washington 71.05.020. Alternatively a Qualified Substance Use Disorder Professional (SUDP) as defined by Washington Administrative Codeand Revised Code of Washington 18.205. License must be current and in good standing.
- Experience providing direct behavioral health services including care coordination at a community behavioral health agency serving low income publicly funded individuals.
- Experience providing supervision at a community behavioral health agency serving low income publicly funded individuals.
- Experience working with and advanced knowledge of the behavioral health residential treatment delivery system.
- Knowledge and experience in Centers for Medicare and Medicaid Services (CMS) rules and regulations related to behavioral health and the Mental Health and Addiction Equity Act application to Medicaid programs.
- Knowledge of behavioral health recovery principles and practices.
- Knowledge of and experience working with culturally diverse populations.
- Embody principles of equity race and social justice.
- Strong interpersonal and listening skills to support a collaborative team environment.
- Strong organizational skills to support development and maintenance of internal policies and procedures job aids and interrater reliability exercises related to clinical staff functions.
- Ability to analyze successes and failures for clues to improvement. Openness to change.
- The most competitive candidates will also have the following desired qualification:
- Knowledge of clinical services and experience working within or in collaboration with King County contracted behavioral health agencies.
Supplemental Information
Forbes named King County as one of Washington States best employers.
Together with leadership and our employees were changing the way government delivers service and winning national recognition as a model of excellence. Are you ready to make a difference Come join the team dedicated to serving one of the nations best places to live work and play.Guided by our True North we are making King County a welcoming community where every person can thrive. We value diversity inclusion and belonging in our workplace and workforce. To reach this goal we are committed to workforce equity. Equitable recruiting support and retention is how we will obtain the highest quality workforce in our region; a workforce that shares and will help advance our guiding principles we are one team; we solve problems; we focus on the customer; we drive for results; we are racially just; we respect all people; we lead the way; and we are responsible stewards. We encourage people of all backgrounds and identities to apply including Native American and people of color immigrants refugees women LGBTQ people living with disabilities and veterans.King County is an Equal Employment Opportunity (EEO) Employer
No person is unlawfully excluded from employment opportunities based on race color religion national origin sex (including gender identity sexual orientation and pregnancy) age genetic information disability veteran status or other protected class. Our EEO policy applies to all employment actions including but not limited to recruitment hiring selection for training promotion transfer demotion layoff termination rates of pay or other forms of compensation.
To Apply
If you are interested in pursuing this position please follow the application instructions carefully. If you need this announcement in an alternate language or format would like to request accommodation or assistance in the application or assessment process or if you have questions please contact the recruiter listed on this job announcement.
Required Experience:
Unclear Seniority
Employment Type
Full-Time
