Spokane County Sheriff's Office
Spokane, WA, USA
TOTAL COMPENSATION: $76,417.22 - $103,114.75 annually. Total compensation is an estimate based upon base compensation, median retirement fund contributions, and current employer-paid health and related benefit contribution rates (including medical, dental, life insurance, long term disability, and leave). The actual total will vary depending upon each employee's enrollment choices.
NOTE: THIS POSITION IS CONTINGENT ON CONTINUATION OF GRANT AND CONTRACT FUNDING.
Performs professional and/or administrative duties, providing clinical behavioral healthcare services, care coordination or authorization and utilization reviews for Spokane County Community Services, Housing, and Community Development (CSHCD), which includes a licensed behavioral health agency and a behavioral health administrative service organization.
Examples of Duties:
(These duties are representative only; position assignments may vary or be combined. Duties may include, but are not limited to the following.)
Behavioral Health Agency Clinical Integrated Care Coordinator:Follow the laws of the State of Washington and the federal government as they pertain to mental health practice.
Complete all training required by the WAC and RCW's within the required time frames.
Attend training to improve clinical skills.
Adhere to Service Encounter Reporting Instructions.
Maintain records in accordance with requirements of law, contractual requirements and agency policy.
Provide individual, family, and group counseling. Practice standards for managed care as it applies to clinical practice. Provide person centered care services in a culturally sensitive manner.
Provide mental health assessments, develop and implement treatment plans, provide case management referral and care coordination with other mental health professionals, allied treatment providers, and other community partners.
Participate as a team member of this Agency by attending staff meetings and actively participating in agency meetings.
Attend regular supervision with the Integrated Behavioral Healthcare Manager to maintain quality of care. Respond to requests from supervisors in a timely manner. Use time effectively. Keep appointments and be at work and at meetings on time.
Encourage and participate in community networking. Support treatment team meetings developed by other agencies. Attend community meetings as requested and approved by supervisors.
Performs other related duties as assigned.
Behavioral Health Administrative Service Organization Integrated Care Coordinator:Provides direction and guidance to individuals, contracted providers, and allied systems to assure alignment with the CSHCD mission and desired outcomes.
Keeps abreast of hospital daily census and of the reasons for admissions and discharges or lack of movement toward discharge.
Collaborates with Utilization Review Integrated Care Coordinator regarding continued inpatient stay requests for eligible individuals by reviewing clinical documentation for required Medical Necessity Criteria; through telephonic consultation and record review; offers clinical opinions regarding level of care, duration, and intensity of care when deemed needed.
Monitors discharge tracking to ensure compliance with first follow-up appointment and treatment status 30 days post discharge for eligible individuals whose behavioral health services are funded with non-Medicaid funds.
Tracks and monitors applicable inpatient readmissions within sixty (60) days and the reason for such.
Convenes community care conferences with providers to review and evaluate coordination of care and identify necessary resources to prevent further recidivism. Participates in the team meetings for children and adults at the community inpatient psychiatric hospitals.
Provides oversight, education, and consultation to referring providers and CSHCD contracted programs that divert adults or children from intensive services to promote maximum utilization.
Maintains collaborative and collegial working relations with all provider employees, allied system staff, inpatient staff, diversion resource staff, individuals, and their families.
Builds and maintains strong system working relations within the behavioral health delivery system and with allied service systems.
Promotes evidence based practices (EBPs) among the CSHCD contracted provider agencies and develops evaluative tools to determine if the EBPs are successful for individuals in services.
Defines effective and efficient referral and communication protocols between the CSHCD and each contracted agency.
Encourages the implementation of person centered services and shares information about newly emerging person-centered models and programs.
Provides technical assistance to contracted agency staff on a proactive basis by responding to agency requests.
Participates in annual monitoring of the CSHCD funded providers.
Organizes or participates in community or SCRBHO meetings and committees as appropriate.
Develops comprehensive policies and procedures for compliance with state and federal regulations and to facilitate CSHCD operations as requested by CSHCD leadership.
Participates in the CSHCD licensure certification reviews, state audits, program monitoring, and/or audits, as required by leadership.
Provides cross coverage functions for the CSHCD Integrated Behavioral Healthcare Project Coordinators, Integrated Care Coordinators, and lower level positions in CSHCD.
Communicates regularly with leadership to keep them abreast of activities, plans, and concerns.
Works closely with and acts as liaison between contracted outpatient providers and hospital diversion resources to facilitate access to diversion resources and to assist in identifying challenges and addressing barriers to utilization.
Facilitates the intensive treatment team meetings for all detained and committed youth and for voluntary youth whose inpatient stay are funded with CSHCD non-Medicaid funds and who demonstrate symptom exacerbation or outcome changes and/or disposition placement challenges to provide expert consultation and facilitation of discharge.
Coordinates the Children's Long-Term Inpatient (CLIP) for CSHCD funded individuals and their families; participates as the region's CSHCD representative for State Care Coordination; provides education and diversion resources for families and providers; determines guidelines and appropriateness for children being considered for placement. Participates in the CLIP Screening Review Team; coordinates provider and family presentations. Provides technical assistance with CLIP applications for youth and families not enrolled in Medicaid. In collaboration with the primary provider, provides rehabilitative case management during CLIP hospitalization and facilitates timely discharge in collaboration with primary provider and CLIP facility treatment team for youth who are not enrolled in Medicaid.
Facilitates the CSHCD inpatient treatment and residential team meetings to assist and determine placement for individuals for community integration. This would include individuals coming from Department of Corrections release, as well as inpatient, or when needed within the community to ensure continuity of care and appropriate placement.
Participates in and facilitates as needed the Substance Use Disorder system of care meetings. Coordinates with outpatient and inpatient residential substance use disorder behavioral health agencies and co-occurring programs. Assist with placement for individuals for community integration. This would include individuals coming from Department of Corrections release, as well as inpatient, or when needed within the community to ensure continuity of care and appropriate placement.
Performs other related duties as assigned.
Behavioral Health Administrative Services Organization Utilization Review Integrated Care Coordinator:
Perform utilization management, utilization review, or concurrent review of behavioral health inpatient and outpatient care management.
Determine medical necessity for inpatient and outpatient services following evaluation of guidelines and benefit determination. Consults with the Medical Director for any service authorization denials.
Identify solutions to non-standard requests.
Coach, provide feedback and guide contracted providers.
Keep abreast of hospital daily census and of the reasons for admissions and discharges or lack of movement toward discharge.
Collaborate with Integrated Care Coordinators regarding continued inpatient stay requests for eligible individuals by reviewing clinical documentation for required Medical Necessity Criteria; through telephonic consultation and record review; offers clinical opinions regarding level of care, duration, and intensity of care when deemed needed.
Maintain collaborative and collegial working relations with all provider employees, allied system staff, inpatient staff, diversion resource staff, individuals, and their families.
Build and maintain strong system working relations within the behavioral health delivery system and with allied service systems.
Monitor utilization data to identify system efficiencies and deficiencies and assists with the development and implementation of new resources and programs. Reports findings to the CSHCD leadership and the adult and/or child provider allied systems committee.
Provide cross coverage functions for the CSHCD Integrated Behavioral Healthcare Project Coordinators, Integrated Care Coordinators, and lower level positions in CSHCD.
Communicate regularly with leadership to keep them abreast of activities, plans, and concerns.
Work closely with and acts as liaison between contracted outpatient providers and hospital diversion resources to facilitate access to diversion resources and to assist in identifying challenges and addressing barriers to utilization.
Performs other related duties as assigned.
Must successfully pass a background check and driving record check. May not be a State or Federal (OIG) and System for Award Management (SAM) excluded provider, in any capacity for the Medicare, Medicaid, and all Federal healthcare programs. Possess education, training or experience, which clearly demonstrate knowledge and skills related to the treatment of behavioral health disorders. Must be able to exercise discretion and independent judgment in all areas of job performance including adherence to appropriate professional boundaries and strict confidentiality practices in regard to client activities and documentation. Able to apply clinical judgment, ethics and accountability to formulate and implement treatment plans and other clinical documentation.
Must have a Master's degree from an accredited institution in mental health counseling, social work or other closely related field.
There are three types of Integrated Care Coordinators within the CSHCD Department: The Behavioral Health Administrative Service Organization Integrated Care Coordinator; the Behavioral Health Administrative Services Organization Utilization Review Integrated Care Coordinator; and the Behavioral Health Agency Clinical Integrated Care Coordinator. Refer to the minimum requirements and examples of duties for each position.
ADDITIONAL MINIMUM REQUIREMENTS
Behavioral Health Agency Clinical Integrated Care Coordinator:Must be designated as a Mental Health Professional with the knowledge and skills to complete full diagnostic assessments with the ability to formulate DSM 5 diagnoses. Possess a valid State of Washington issued credential to practice as a counselor, without restriction, probation, or limiting condition or threat thereof, or proof of application must be provided within 30 days of beginning employment. Possess a valid National Provider Identification Number (NPI), or proof of application must be provided within sixty (60) days of beginning employment.
Maintain professional credentials required for the service being provided. Including CEU credits as needed to maintain credentials.
Behavioral Health Administrative Service Organization Integrated Care Coordinator:Three (3) years of direct behavioral health clinical experience with emphasis on acute psychiatric and co-occurring disorders of adults and children. Knowledge of managed care and utilization review required. Strongly prefer ICCs for children and youth services and program to be eligible for designation as a Child Mental Health Specialist. ICC's for substance use disorder and co-occurring treatment services must have a current DOH Chemical Dependency Professional/Substance Use Disorder Professional credential with experience and knowledge of substance use disorders and medication assisted treatment.
Behavioral Health Administrative Services Organization Utilization Review Integrated Care Coordinator (ICC):Requires Washington State Department of Health licensure as a Mental Health Counselor, Clinical Social Worker, Marriage and Family Therapist, or Licensed PhD or PsyD in Psychology or a related field. Licensure must be current and unrestricted in the state of Washington. Three (3) + years of direct behavioral health clinical experience with emphasis on acute psychiatric and co-occurring disorders of adults, older adults, transition age youth, and children. Knowledge of managed care and utilization review required. ICCs who make service authorization decisions for children and youth must be designated as a Child Mental Health Specialist. ICC's who make service authorization decisions for substance use disorder treatment must have a current DOH Chemical Dependency Professional/Substance Use Disorder Professional credential with experience and knowledge of substance use disorders and medication assisted treatment.
Considerable Knowledge of:Â· relevant federal, state, and county policies, procedures, and regulations to include HIPAA and 42 CFR, Part 2.
Â· acute psychiatric symptoms and diagnoses.
Â· substance use disorder symptoms and diagnoses.
Â· the relevant system of care for Adams, Ferry, Lincoln, Pend Oreille, Spokane and Stevens counties.
Â· fundamental understanding of DSM 5, or its successor, psychiatric disorders, psychotropic medications, brain physiology and demonstrate a working knowledge of the various theoretical models of psychotherapy, behavioral counseling and other Evidenced Based Practice treatment.
Â· Service Encounter Reporting Instructions and contractor requirements with the ability to provide technical assistance to contracted behavioral health agencies as needed.
Knowledge of:Â· best practice standards for acute psychiatry evaluation and treatment.
Â· best practice standards for substance use disorder assessment and treatment.
Â· utilization management of public behavioral health.
Â· federal regulations and state laws applicable to public behavioral health.
Â· BHO Service Encounter Reporting Instructions.
Â· contract administration and compliance.
Â· group facilitation skills towards consensus based and target outcomes.
Â· public and private behavioral health providers and community resources and programs available to individuals with identified needs.
Â· collaborative case planning and care coordination.
Â· person centered treatment and recovery models.
Â· computer applications related to the work including proficiency in Microsoft Word and Excel.
Â· record keeping principles and practices; correct business English, including spelling, grammar, and punctuation.
Â· techniques for dealing with a variety of individuals from various socio-economic, ethnic, and cultural backgrounds, in person and over the telephone.
Â· programs and eligibility requirements for the Social Security Administration, Washington State Medicaid, regional social services and food stamps, and other relevant programs.
Ability to:Â· apply standardized Medical Necessity Criteria to determine lengths of stay and continued care.
Â· efficiently refer to and effectively utilize county funded community resources for the least restrictive level of care.
Â· communicate exceptionally well orally, in writing, and over the telephone.
Â· analyze, interpret, apply, and explain utilization data.
Â· assess cases appropriately and utilize the most appropriate community resources to provide effective client services.
Â· prepare clear and concise reports, correspondence, and other written materials.
Â· use initiative and independent judgment within established procedural guidelines; organize own work, set priorities, and meet critical deadlines.
Â· establish and maintain effective working relationships with those contacted in the course of the work.
Â· perform all related duties with accuracy and efficiency.
Skilled in:The use of personal computer including the use of spreadsheets.