Clinical Analyst - SUD

Oakland Community Health Network•Troy, MI

3d•$56,165 - $70,206•Hybrid

About The Position

The Clinical Analyst - SUD, identified in the posting as a Substance Abuse Professional, guides clinical service delivery and implements OCHN’s strategic vision and plan with providers in the Service Network. The role advances initiatives and projects involving service recipient involvement, quality outcomes, performance improvement, cost analyses, and contract compliance. Under general direction, the Clinical Analyst provides clinical expertise and guidance to SUD Network Providers, develops service initiatives and programs, writes policies and protocols, and supports providers with audit findings, corrective action plans, and clinical practice improvement. The position develops and recommends best-practice and evidence-based service models, supports fidelity guidelines, and helps implement recovery-oriented, self-determination, trauma-informed, person- and family-centered, and peer-delivered practices. The role collaborates with OCHN teams and providers on utilization management, data analysis, training, quality improvement, contract development and evaluation, audits, clinical reviews, and resolution of provider and system issues. It also participates in local, state, and federal collaborative activities and performs other duties as assigned. The work is performed primarily in an office environment, with a hybrid onsite/remote schedule available. The position requires transportation to OCHN and offsite meetings or site visits, and availability for meetings and events that may occur outside standard office hours. The ideal candidate must be able to meet the physical requirements of the job with or without reasonable accommodation.

Requirements

Master's degree in a mental health field and a full unrestricted license.
Michigan license, certification, and/or registration as a Psychologist (LLP or FLP), Social Worker (LMSW or LLMSE), Counselor (LPC), or Marriage and Family Therapist (LMFT).
For Substance Use Disorder Services, Michigan Certification Board for Addiction Professionals (MCBAP) certification as a CAADC or CADC, or an active Development Plan.
At least 2 years of relevant experience providing services to individuals with Substance Use Disorders, adults with Mental Illness, children with Serious Emotional Disturbance, or adults and/or children with Intellectual/Developmental Disabilities.
Working knowledge of 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 MCBAP certification standards and processes.
Demonstrated experience in quality assurance, quality monitoring, and report writing.
Demonstrated experience preparing and monitoring budgets.
At least 1 year of experience developing quality initiatives and performing data collection and 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 and evidence-based practices, including fidelity monitoring.
Understanding of utilization management.
Demonstrated effective interpersonal, negotiation, written communication, and oral communication skills.
Ability to work effectively in a team environment.
Effective computer skills, including Word, Excel, databases, and other relevant software programs.
Available means of transportation to and from OCHN and required offsite meetings or site visits.
Ability to complete all physical requirements of the job with or without reasonable accommodation.

Nice To Haves

Experience providing clinical services in the public sector.
Experience in human services administration, contract management, or a related area in the public sector.
Knowledge of health care systems.
Knowledge of OCHN Substance Use Disorder and Core Provider Agencies and services.
Knowledge of the current version of DSM and ASAM criteria.

Responsibilities

Provide clinical expertise and guidance to SUD Network Providers on developing and improving service initiatives, projects, and programs, incorporating research, service recipient and community input, and management report analysis.
Write policies and protocols for service provision.
Provide clinical guidance to contractors regarding audit findings and corrective action plans.
Participate in provider case conferences and provide clinical guidance related to contract requirements.
Develop best-practice and evidence-based service models and recommend implementation approaches, including protocols, policies, and fidelity guidelines.
Support system change through recovery, self-determination, trauma-informed systems, person- and family-centered planning, peer-delivered services, and evidence-based or best practices; evaluate outcomes and service recipient satisfaction.
Collaborate with the OCHN Utilization Management Team to develop and implement SUD utilization management guidelines, policies, practices, and outcomes; analyze utilization data; recommend improvements; and provide training or education as needed.
Analyze system data, identify trends, monitor service use among populations served, prepare written reports, and recommend improvement plans.
Lead efforts to ensure effective clinical activities, identify needed improvements, and make recommendations.
Coordinate the identification, development, and delivery of training to ensure SUD service organizations and staff have the skills needed to provide quality services and outcomes.
Participate in meetings, workgroups, and committees with other OCHN teams, including Access, Quality Management, and benefits coordination initiatives.
Participate in contract development and evaluate provider performance for contract continuation, including outcomes, business practices, quality indicators, grievances, and Recipient Rights trends.
Help resolve system issues identified by Customer Service staff and OCHN or SUD team members by communicating relevant information, analyzing data and trends, making recommendations, arranging provider education or training, and ensuring improvement plans are developed and evaluated.
Participate in resolving provider issues and complaints, including the Dispute Resolution and Appeals processes when needed.
Implement initiatives and projects through participation in local, state, and federal collaborative activities.
Conduct annual audits of contracted providers to assess contract compliance and quality service delivery.
Conduct clinical reviews to assess service quality and provide practice-improvement feedback to providers.
Conduct Sentinel Event clinical reviews when requested, in accordance with the Sentinel Event policy.
Perform other duties as assigned.