Kansas Works Veterans Jobs

This job was posted by https://www.kansasworks.com : For more information, please see: https://www.kansasworks.com/jobs/12952096

Job Description

The Clinical Utilization Specialistprovides clinical program review, direction and consultation and monitors services provided to children/families to ensure that these services are timely, appropriate, and effective for children with high acuity needs in Out Of Home care (OOH).

JOB REQUIREMENTS:

Minimum Education & Licensure/Certifications-

• Bachelors Degree in Social Work or Addictions Counseling from an accredited college or university.

Minimum Work Experience-

• Two years experience in the mental health or behavioral health care field.

Minimum Job Requirements-

• Must be 21 years of age.
• Must pass drug screen, MVR, KBI, Child Abuse and Neglect Central Registry Clearance check and an Adult Registry check
• FBI Fingerprint check if relocated to Kansas in the last 5 years
• Lifting requirement of 50 lbs.
• Must have valid drivers license, acceptable driving record and reliable transportation

Essential Functions-

• Reviews and authorizes all requests for attaining highest level of care (acute/QRTP/PRTF) for children/ youth in our care
• Requests, participates and facilitates all QRTP and PRTF authorizations for admission, plan of care/treatment reviews, discharge meetings, and appeals.
• Appropriately documents all reviews and assures entry of all pre-certifications/authorizations into the child management system (CMS). Notifies all providers that services have been approved.
• Participates in consultations involving all parties involved in the care of the child (foster parent, case management team etc.) to consider higher levels of care.
• Liaisons with Medicaid entity (MCO) for admission to Medicaid reimbursed treatment facilities.
• Liaisons with QRTPs, PRTFs and Acute Hospitals.
• Determines appropriate RTP and PRTF setting for admission based on individual needs.
• Works as a team and participates in placement process for children and youth leaving the highest level of MH care.
• Works collaboratively with Clinical Utilization and Care Center placement staff regarding placements of children and youth that require higher levels of service/care.
• Ensures quality services are in place for children and families.
• Utilizes trauma systems therapy model of care.
• Participates in Clinical Utilization on-call rotation.
• Reports critical incidents to DCF verbally within 12 hours, written within 24 hours
• Implements Saint Francis Ministries policies and follows directives as required. Follows and adheres to all pertinent Saint Francis Ministries Standard Operating Procedures (SOPs), rules, personnel policies and procedures; related accreditation and licensure standards; and federal, state and local rules, statutes, regulations, and contractual terms
• Reports unusual incidents through appropriate Risk Management, clinical and safety channels.
• Ensures clients rights are protected.
• Is knowledgeable of and follows all safety procedures.

Required Skills, Knowledge, and Abilities-

• Mandated Reporter.
• Demonstrate effective written and verbal communication skills.
• Basic understanding of family centered practice, child development, family systems, and treatment.
• Working knowledge of counseling techniques, individual, group, and family.
• Understanding of standards of care for mental health services and levels of care for placement.
• Understanding of the child welfare and state foster care/adoption system.
• Understanding of mental health state systems and Medicaid systems.
• Must be a team player.
• Must have understandings of genograms, ecograms, and social histories.
• Fle ible to changing situations, staff and youth.
• Sensitive to the needs of youth and their families.
• Able to solve problems but also able and willing to seek assistance when necessary.
• Understands child and adolescent therapeutic techniques and how this impacts the client.
• Independent discretion/decision making within the scope and responsibility of the position.
• Ability to think critically and objectively as well as evaluate needs and progress
• Handles multiple priorities.
• Manages emotions and can make decision under pressure.
• Manages stress appropriately.
• Works alone effectively.
• Works effectively in close proximity to others and/or in a distracting environment.
• Works effectively with others /teamwork.
• Understands and practices Universal Precaution.