Substance Use Disorder Technician in Call Center management of behavioral health treatments. Ensuring appropriate levels of substance use care and facilitating treatment authorization processes.
Responsibilities
Conducting brief screenings, electronic case review and providing authorization and care management services.
Providing behavioral health utilization management services for the treatment provider network through the implementation and facilitation of outpatient, withdrawal management, residential authorizations and case management processes.
Determining appropriate levels of care for referral, assisting clients in selecting an appropriate SUD provider.
Initiating referrals to selected provider.
Conducting initial intakes.
Discussing with the client the rationale, purpose, and procedures associated with the screening and assessment process to facilitate the client’s understanding and cooperation.
Gathers and assesses information and summarizes data for the client.
Assessing and determining the severity of client’s substance use disorder.
Administering appropriate evidence‐based screening and assessment instruments specific to each client to determine their strengths and needs.
Obtaining relevant history and related information from the client and other pertinent sources to establish eligibility and appropriateness of services.
Interpreting results of screening and assessments and integrating all available information to formulate a diagnostic impression and determine an appropriate course of action.
Developing a written summary of the results of the screening and assessment to document and support the diagnostic impressions and treatment recommendations.
Formulating and discussing diagnostic assessment and recommendations with the client to initiate an individualized treatment plan that incorporates client’s strengths, needs, abilities, and preferences.
Performing ongoing assessments in collaboration with the client and concerned others to review and modify the treatment plan to address treatment needs.
Matching client needs with community resources to facilitate positive client outcomes.
Discussing rationale for a referral with the client.
Communicating with community resources regarding needs of the client.
Providing information to the client regarding the structure, expectations, and purpose of the counseling and referral process.
Providing continual evaluation of the client’s safety, relapse potential, and the need for crisis intervention.
Providing information on issues of identity, ethnic background, age, sexual orientation, and gender as it relates to substance use, prevention and recovery.
Providing re-authorization of SUD/Mental Health/co-occurring services.
Conducting three-way warm transfer calls.
Assisting providers with additional client information to assure appropriate referral for treatment services.
Evaluating clinical appropriateness for SUD consumers.
Establishing funding eligibility.
Applying priority status criteria for placement.
Responsible for follow-up with clients who were admitted for treatment and assisting them with a continuum of care.
Monitoring client’s compliance with services and assists with aftercare/recovery plan services.
Reviewing requests for authorizing/reauthorizing medically appropriate services and length of stay.
Managing client care through the MH-WIN system.
Updating the reauthorizations database.
Tracking and monitoring cost factors relative to service utilization, treatment activities, and other access and placement criteria.
Conducting utilization reviews of SUD/COD client cases daily.
Conducting SUD provider authorizations and reauthorizations for SUD/COD services.
Entering data and reports into written formats and electronic databases.
Monitoring provider services for adherence to priority Federal, State and Medicaid admission requirements.
Managing and coordinating waiting list(s) for those seeking SUD treatment by closely monitoring of provider capacity.
Conducting SUD follow-up surveys and discharge summary reports for clients receiving intensive SUD services.
Conducting client satisfaction surveys.
Providing community callers with information related to community resources and assists callers with information on how to access community services.
Utilizing computer to perform clinical and administrative job functions.
Performing related duties as assigned.
Requirements
A Bachelor’s Degree from a recognized college or university in a Human Service, Social Service, Public Health, Public Administration, Healthcare Administration, Health Management or a related field.
Three (3) years of full-time paid experience working in a human service or social service field. Experience must have also included: providing access authorization, access overrides, and utilization review.
Certification as a Certified Addiction Drug Counselor (CADC) or Certified Advanced Addiction Drug Counselor (CAADC) by the Michigan Certification for addiction Professional (MCBAP). NOTE: Applicants with an approved development plan by MCBAP will be accepted.
Benefits
Knowledge of DWIHN policies, procedures and operations.
Knowledge of the DWIHN provider network.
Knowledge of medical and behavioral health practices and terminology.
Knowledge of Customer Service practices and principals.
Knowledge of co-occurring and substance use treatment services.
Knowledge of the American Society of Addiction Medicine Patient Placement Criteria (ASAM) and the Federal Confidentiality Regulations, 42 CFR, Part 2.
Knowledge of SUD Policies and Procedures.
Knowledge of various treatment modalities including Opiate Maintenance Treatment (OMT) (and re-authorization of Medication Assisted Treatment (MAT) criteria), case management, chemically-dependent pregnant women, co-occurring individuals, SMI/SED and I/DD populations.
Knowledge of Substance Abuse Administrative Rules requirements.
Knowledge of SUD CPT codes.
Knowledge of women specialty services requirements.
Knowledge of priority population admittance.
Knowledge of State Disability Assistance (SDA).
Knowledge of Intravenous Drug User (IDU) management.
Computer skills.
Time management skills.
Organizational skills.
Critical thinking skills.
Decision Making skills.
Customer Service skills.
Language skills.
Listening skills.
Teamwork skills.
Ability to communicate orally.
Ability to communicate in writing.
Ability to work effectively with others.
Ability to work with an ethnically, linguistically, culturally, economically and socially diverse population.
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