Clinical Documentation Manager

Pinnacle Treatment Centers • Georgetown, KY

75d

About The Position

As the Clinical Documentation Manager, you are responsible for ensuring the clinical team meets or exceeds the standards for documentation excellence through daily clinical documentation review, support, and training. This role focuses on improving the quality of patient care by working closely with the clinical team and site leadership to ensure that clinical services are delivered efficiently, effectively, and in alignment with the organization's strategic goals.

Requirements

• Master's degree in social work, Psychology, Addiction Counseling, or another related field.
• Independent Clinical License to practice in the field associated with the master's or higher degree.
• LCSW, LMFT, or LPCC.
• Valid driver's license in good standing.
• Ability to travel up to 20% as needed.

Nice To Haves

• Preferred experience treating individuals with substance use disorder.
• Counseling and documentation of treatment experience following payer guidelines strongly preferred.
• Clinical chart audit experience strongly preferred.
• Experience developing and facilitating training for staff strongly preferred.

Responsibilities

• Monitor all clinical records to ensure clinical quality, timeliness, and thoroughness/accuracy of all clinical documentation daily.
• Ensure adherence to the clinical program requirements, including clinical documentation that adheres to local/state/federal laws and payor standards.
• Resolve any non-adherence of clinical documentation either by training and coaching the counselor who authored the document for same-day revision or by annotating the document oneself if the counselor is unable to resolve the documentation that does not meet requirements.
• Attend clinical team meetings and other assigned meetings.
• Complete all assigned training courses on schedule.
• Provides teaching and training to support clinical excellence.
• Ensures forms in the Electronic Health Record (EHR) meet applicable standards.
• Collaborates with the Information Technology (IT) team on EHR form development.
• Supports accreditation process, scheduling, and corrective action (when applicable) for the DR&A division.
• Oversees outcomes, processes, and ensures collection and integrity of data across the DR&A division while maintaining confidentiality of patient records/data.
• Develops training material and calendar to support continuous clinical excellence and ensures relevance of training material pertaining to performance outcomes yielded by data.
• Develops, implements, and maintains quality improvement standards, systems, policies, and procedures as applicable.
• Acts as a resource to teammates to help solve problems related to quality of services.
• Other duties as assigned.

Benefits

• 18 days PTO (Paid Time Off)
• 401k with company match
• Company sponsored ongoing training and certification opportunities.
• Full comprehensive benefits package including medical, dental, vision, short term disability, long term disability and accident insurance.
• Substance Use Disorder Treatment and Recovery Loan Repayment Program (STAR LRP)
• Discounted tuition and scholarships through Capella University.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Industry: Social Assistance
• Education Level: Master's degree