The Substance Abuse Professional (Clinical Analyst - SUD) guides clinical services delivery and implements OCHN’s strategic vision and plan with the respective Providers within the Service Network, including initiatives and projects that advance service recipient involvement, quality outcomes, performance improvement, cost analyses and contract compliance.
Essential Functions
- Provides clinical content expertise and guidance to the SUD Network Providers for the development and improvement of service initiatives, projects, and programs. This includes research, service recipient and community input, management report analysis, etc.
- Writes policies and protocols for service provision.
- Provides clinical guidance to contractors related to audit findings and corrective action plans.
- Participates in provider case conferences, and provides clinical guidance related to contract requirements.
- Develops Best Practice / Evidence-Based Practice models of service, and makes recommendations for implementation of the Practices, including protocol and policy development as well as fidelity guidelines.
- Creates system change through implementation of the principles and practices of Recovery, Self-Determination, Trauma-Informed Systems, Person-/ Family Centered Planning, Peer-delivered services, and Evidenced-based or Best Practices, including the evaluation of outcomes and service recipient satisfaction. Collaborates with the OCHN UM Team to develop and implement SUD Utilization Management guidelines, policies, practices, and outcomes; analyze utilization data; make recommendations for improvements; and provide training / education, as needed.
- Analyzes system data, identifies trends, monitors usage of services within populations served, provide written reports. Provides recommendations for improvement plans.
- Takes a leadership role in the effectiveness of clinical activities, identifies improvement actions, as necessary, and makes recommendations as appropriate.
- Coordinates the identification, development, and implementation of needed training within the designated population group to ensure that SUD Service organizations/staff have the necessary skills to provide quality services and outcomes.
- Participates in meetings, workgroups, and committees with other OCHN Teams, such as involvement in Access, Quality Management, or benefits coordination initiatives, etc.
- Actively participates in the development of contracts, as well as the evaluating of performance for contract continuation, including outcome measures, business practices, quality indicators, grievance, and Recipient Rights trends, etc.
- Participate in the resolution of systems issues identified by Customer Service staff and other members of the OCHN or SUD Team, including communicating relevant information, analyzing data / trends, and making recommendations, arranging provider education / training, and ensuring development and evaluation of improvement plans.
- Participates in the resolution of Provider issues / complaints, including involvement in the Dispute Resolution process and Appeals process, if needed.
- Implements identified initiatives and projects via participation in local, state, and federal collaborative activities.
- Conducts annual audits for contracted providers to ensure contract compliance and quality service delivery.
- Conducts clinical reviews to assess quality service delivery and provide feedback to providers on practice improvement. Conducts Sentinel Event clinical reviews, as requested, per the Sentinel Event policy.
- Performs other duties as assigned.
Job Requirements and Qualifications
Education:
- Master's degree in mental health field with a full unrestricted license.
Preferred Training Requirements (licenses, programs, or certificates):
- State of Michigan licenses, certification and / or registrations as Psychologist (LLP, LP), Social Worker (LMSW), Counselor (LPC), or Marriage and Family Therapist (LMFT).
- For Substance Use Disorder Services: Certification from the Michigan Certification board for Addiction Professionals (MCBAP): CAADC or CADC, or active Development Plan.
Experience Requirements:
- Minimum of 2 years relevant experience in providing services to Individual’s with Substance Use Disorders, adults with Mental Illness, Children with Serious Emotional Disturbance or adults and/or children with Intellectual / Developmental Disabilities. Preference for experience in providing clinical services in the public sector.
- Preference for experience in human services administration, contract management, or related area in the public sector.
Job Specific Competencies/Skills:
- Working knowledge of the Michigan Department of Licensing and Regulatory Affairs (LARA) SUD Administrative Rules.
- Working knowledge of the Michigan Mental Health Code.
- Working knowledge of Michigan Medicaid rules and regulations.
- Familiarity with Michigan Certification Board for Addiction Professionals (MCBAP) certification standards and processes.
- Demonstrated experience in quality assurance, quality monitoring and report writing.
- Demonstrated experience in the preparation and monitoring of budgets.
- Minimum of 1 year of experience developing quality initiatives, data collection, data analysis including Dashboards.
- For children’s services - Demonstrated understanding of family systems approaches and commitment to serving children within their family and community.
- Ability to build positive relationships with contractors and community partners.
- Ability to create system change through implementation of Best Practice / Evidence-Based practices including fidelity monitoring.
- Understanding of utilization management.
- Knowledge of Health Care Systems desired
- Knowledge of OCHN Substance Use Disorder and Core Provider Agencies and services
- Knowledge of the current version of DSM and ASAM criteria.
- Demonstrated effective interpersonal skills.
- Demonstrated ability to work effectively in a team environment.
- Demonstrated effective negotiation skills.
- Demonstrated effective written and oral communication skills.
- Demonstrated effective computer skills with Word, Excel, database, and other relevant software programs.
Oakland Community Health Network’s Core Competencies:
- Interacting with others in a way that gives them confidence in one’s intentions and those of the organization; demonstrating loyalty to the organization and its mission and values; maintaining social, ethical, and organizational norms; firmly adhering to codes of conduct and ethical principles. (Integrity/Building Trust)
- Making customers and their needs a primary focus of one’s actions; developing and sustaining productive customer relationships, recognizing that the ultimate customer is the person served. (Customer Focus)
- Actively identifying new areas for learning; regularly creating and taking advantage of learning opportunities; using newly gained knowledge and skill on the job and learning through their application. (Continuous Learning)
- Setting high standards of performance for self and others; assuming responsibility and accountability for successfully completing assignments or tasks; self-imposing standards of excellence in addition to consciously adopting organizational standards of excellence. (Work Standards)
- Clearly conveying information and ideas through a variety of media to individuals or groups in a manner that engages the audience and helps them understand and retain the message. (Communication)
Additional Information
(Travel required, physical requirements, on-call schedules, etc.):
- Must have available means of transportation to and from OCHN and for required offsite meetings or site visits.
- Must be available for meetings and events which may occur outside of standard office hours.
- Work performed primarily in an office environment.
- Hybrid (onsite/remote) work schedule available.
- The ideal candidate must be able to complete all physical requirements of the job with or without a reasonable accommodation.
OCHN is committed to building a diverse team and fostering an inclusive and equitable culture. We are proud to be an equal opportunity employer that embraces and encourages our employees' differences. This includes (but is not limited to) ability, age, color, family type, gender expression and identity, individual expression, medical conditions, national origin, pregnancy, race, religion, sexual orientation, veteran status, and all other diverse and wonderful characteristics.
