Job Description
GENERAL SUMMARY :
Under direction provides overall clinical coordination and guidance for the Macomb County Community Mental Health (MCCMH) system. Works with the Waiver Support Application (WSA) to process requirements necessary for the Serious Emotional Disturbance (SED) and Children’s Wellbeing Practitioner (CWP) population. Works with MCCMH departments and contracted providers provided under the Clinical Division of Macomb County Community Mental Health, with ongoing monitoring of programs. Performs related duties as assigned.
ESSENTIAL FUNCTIONS AND RESPONSIBILITIES :
Review cases in the Waiver Support Application for eligibility, enrollment, re-enrollment, or disenrollment.
Participate in state meetings and webinars for updates on the prescreen and enrollment guidelines.
Participate in children’s administrative forum meetings, Trauma-focused cognitive behavioral therapy (TF-CBT) cohort calls, and meetings for supervisors and implementation coordinators for TF-CBT cohorts.
Review, coordinate and schedule evidence-based practice cohorts based on system need and / or grant workplan objectives / budget narrative.
Maintain a list of all providers and staff certified in evidence-based practices throughout the network.
Participate in and coordinate necessary training as required for updates to the system and / or assessments used in children’s services, in collaboration with MDHHS and the MCCMH training center.
Assist in Behavior Treatment Plan Review Committee (BTPRC) to review and approve / disapprove cases that pose to us restrictive / intrusive interventions.
Manage grant funded projects, applications, objectives and goals, reporting, budgeting, purchases, and supplies.
Complete quarterly reporting via the EGrams system, for each grant’s respective workplan following the Michigan Department of Health and Human Services (MDHHS) guidelines.
Assist with developing and implementing data driven outcomes measurement system to address social determinants of health.
Assist with attending, conducting, and documenting care coordination meetings with the Medicaid Health Plans.
Perform weekly psychiatric admissions Follow-up after hospitalization reports, track data for each Medicaid Health Plan to provide data on the follow-up rates for each plan monthly.
Assist with data analytics and validation with the Follow-up after (FUA) HEDIS measure for the Emergency Department visit for HEDIS and Alcohol and Other Drug Dependency within 30 days stratified by race / ethnicity.
Assist with developing approaches for risk stratification and care coordination and providing and monitoring care management services for enrollees 18 and under shared by both entities (PIHP and MHP) who have significant behavioral health issues and complex physical care needs, including (but not limited to) children in foster care.
Monitor clinical policies and procedures.
Operates an automobile to perform assigned job functions.
Performs related duties as assigned.
QUALIFICATIONS :
Required Education and Experience
Preferred Education and Experience
Required Licenses or Certifications
Preferred Licenses or Certifications
COMPETENCIES FOR SUCCESSFUL PERFORMANCE OF JOB DUTIES
Knowledge of :
Skill in :
Ability to :
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