Director of Utilization Management

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Summary

Under the direction of the Chief Compliance Officer, responsible for oversight, discharge planning, and effective utilization of a variety of purchased services provided to high risk, high need CODAC members in hospitals, residential and transitional services, Intensive Recovery Team (IRT), wrap around services provided to Level I discharges, ASH, detoxification services and transitional services;

communicates with CODAC staff, internal and external stakeholders to ensure effective utilization of these services. Provides supervision and oversees functions of the Coordinators and Intensive Recovery Team Supervisor.

Areas of Responsibility :

• Intensive Recovery Team
• Gila House
• Adult Transitional Living
• Clinical / Licensure Supervision

Essential Duties and Responsibilities

• Directs and monitors all aspects of agency managed care and other clinical services as assigned.
• Coordinates systems around 24-hour admissions and discharges, site based and mobile services.
• Provides support to staff and participates in daily activities essential to the completion of program objectives, including, but not limited to, assessment, evaluation, and treatment of clients.
• Promotion of member care consistent with the philosophy and objectives of CODAC and in compliance with County, State, Federal Regulations and Accrediting Standards.

Monitors staff compliance and implementation with agency policies and procedures.

• Directs assigned program activity and is responsible for ensuring contract compliance within assigned program areas, consistent with agency and funding source requirements.
• Participates in preparation and implementation of the agency budget.
• Coordinates the development and implementation of new clinical programs and services based on community need and consistent with the organization's mission as assigned.
• Attends requested agency and community meetings and communicates pertinent information to appropriate staff.
• Specific involvement with QMC, OE, Clinical QM, Safety Committee, Mortality / Sentinel Events and SMT Committees.
• Prepares and submits timely and accurate reports and other documents related to program services and activities.
• Makes community presentations and as assigned, represents the agency at meetings and professional or community functions.
• Reviews and prepares reports for the purpose of monitoring assigned program activities and functions.
• Coordinates services with other behavioral health agencies, service organizations and other community resources.
• Ensures programs are aligned with CODAC's mission statement.
• Coordinates and / or assigns activities with statewide community-based agencies, housing funders, the RBHA, and community partners.
• Develops and monitors budgets for CODAC programs.
• Provides direct therapeutic services as necessary.
• Responsible for coordinating and writing initial grant and contract proposals.
• Participates and collaborates with the Tucson Pima Collaboration to End Homelessness.
• Performs other related activities in accordance with agency growth and changes.

Position is on-site

Education / Experience :

• Masters degree in a related field AND 5 years of Behavioral Health experience AND;
• 5 years experience direct supervision of employees.
• Licensed by the AZ Board of Behavioral Health, at the independent level, preferred OR
• Licensed by the AZ Board of Behavioral Health, at the associate level, required .

Additional Requirements :

• Valid Arizona Drivers license, proof of current insurance and willingness to use personal vehicle. Drivers license is an essential requirement for performing duties for this position.
• Clean Motor Vehicle Record - no more than 2 moving violations or a license suspension in past 3 years.
• 1st Aid and CPR.
• Fingerprint Clearance from the Arizona Department of Public Safety, required.
• Available on-call - 24-hour availability for consultation and emergency crisis intervention.

Skills :

• Effective time management skills.
• Excellent problem-solving skills.
• Ability to communicate effectively both orally and in writing.
• Ability to interact effectively with other service providers.
• Intermediate to advanced computer skills using MS Office products, Word, Excel, Access, etc., importing / exporting data to / from applications.
• Extensive knowledge of drugs of abuse and dynamics of abusive / addictive behavior.
• Outstanding interpersonal skills, communication skills, presentation skills.
• Extensive knowledge of various therapeutic techniques utilized in interrupting dysfunctional behavior lifestyles.
• Extensive knowledge and experience with individual, group and family therapy.
• Ability to interact and provide effective leadership in a team setting with other behavioral health professionals.
• Familiarity with various ethnic and cultural groups.

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