Clinical Program Manager - Behavioral Health OP
Clinical Program Manager - Behavioral Health OP
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Job Description
JOB RESPONSIBILITIES
Follows the operational guidelines set forth for assigned programs including child/adolescent military and other specialty programs.
Provides oversight to all staff and provide feedback through the performance evaluation process and if necessary through counseling and/or corrective action.
Communicates with the Director of OP or DCS on an ongoing basis any issues with programming staffing marketing and business issues.
Oversees and completes chart audits. Communicates with treatment team to ensure chart compliance. Interfaces with others to ensure completion of physician follow ups from CPE and other regulatory requirements.
Oversees quality assurance requirements and reviews patient satisfaction forms to ensure safety regulatory requirements and parents perception of the treatment program.
Maintain a positive working relationship with referral sources community agencies and organizations.
Interfaces with the Medical Director to review clinical programs and concerns from patients/parents/managed care etc.
Ensures that all interventions (individual group and family therapy) are performed and documented according to professional clinical standards.
Oversees the programs transportation program ensuring compliance with regulations and internal policy and procedure.
Actively participates in the compliant resolution process as needed.
Support with vital and UDS capture as needed.
Assists with scheduling and coverage as it relates to staffing needs.
Oversees therapists to make sure required scales and assessments are conducted per policy including the following as applicable: Columbia Basis 32 CABA and Patient Satisfaction Surveys
Ensures that clarification of the therapeutic role and treatment plan with the patient and family is completed and reviewed by each therapist.
Trains mentors and supervisors departmental therapists
Collaborates with hospital/facility departments to ensure seamless care the identification of access barriers and compliant resolutions to the barriers
Monitors patients for safety. Reports suspicion of drug use or other safety concerns immediately to program manager. Conducts drug screens as necessary with the assistance of the outpatient nurse.
Conducts individual group and family therapy sessions to educate patients regarding psychological emotional or substance use problems. Demonstrates the ability to actively engage patients in a group setting fostering group discussions and leading the group in a therapeutic manner.
Actively participates in creating and revising the group programming schedule. Offers tools and resources to conduct group therapy.
Oversees the appropriateness and timeliness of patient discharge transition and after-care plans.
Uses evaluative techniques to develop and implements therapeutic treatment.
Provides family session counseling to ensure appropriate communication and involvement of family members and support groups.
Actively communicates with clients families and outside referral sources functioning within the scope of HIPAA and 42 CFR Part 2. Demonstrates proactive communication with those involved with the patients treatment documenting all correspondence held with patients and other stakeholders.
Displays heavy involvement in treatment planning for patients. Works with patient to achieve treatment plan goals and accurately documents progress. Demonstrates initiative to revise the treatment plan to create new goals for patients if appropriate.
Ongoing and consistent collaboration with the interdisciplinary team including physicians utilization review and nursing staff members. Demonstrates active communication with team members.
Demonstrates the ability to work with the utilization review department. Ensures communication with UR on length of stay and treatment of patients.
Creates thorough discharge plans with clients that meets the clients after care needs. Ensures both patient and appropriate family members or referral sources have appropriate paperwork in a timely manner after discharge to ensure continuum of care.
Demonstrates appropriate crisis intervention and de-escalation skills. Acts as member of team when a crisis occurs assisting others to ensure patient safety.
Effectively communicates to UR on treatment and LOS issues supporting in UR functions/authorizations/denials as needed and requested.
Completes accurate assessments of patients utilizing clinical skills. Completes admission assessments and intake paperwork when needed to support the care coordination department. Answers crisis calls when necessary.
Ensures the appropriate application and understanding of assessment scales (ex: Columbia BASIS-32 CABA etc).
Assist in creating therapeutic treatment skills and support groups of patient.
Completes all documentation in a professional and appropriate manner ensuring it is submitted timely.
Displays a thorough knowledge of confidentiality. Completes releases appropriately. Demonstrates knowledge of HIPAA and 42 CFR Part 2 regulations and abides by those standards.
Actively participate in the therapists discharge planning needs. As directed creates appointments starts follow up care process and completes interfacing with organizations.
Enacts the code system per company policy and training.
Completes accurate assessments of patients utilizing clinical skills. Assists care coordination department as requested.
Other responsibilities as assigned by leadership.
Education: Masters degree from an accredited school of social work or is qualified by education and experience in the social services needs of patients with psychiatric and substance abuse issues.
Experience: Previous experience in an outpatient partial hospital program and/or IP preferred. A knowledge of psychiatric and chemical dependency treatment principles required.
License: Current unencumbered clinical social work or counseling license.
Additional Requirements: CPR certification and Crisis Prevention Training (CPI) within 30 days. May be required to work flexible hours.
Required Experience:
Manager
Employment Type
Full-Time
