Clinical Documentation Manager

Pinnacle Treatment Centers • Merrillville, IN

6d

About The Position

Clinical Documentation Manager Merrillville, IN We offer competitive salaries, full benefits package, Paid Time Off, and opportunities for professional growth. Pinnacle Treatment Centers is a growing leader in addiction treatment services. We provide care across the nation, touching the lives of more than 35,000 patients daily. Our mission is to remove all barriers to recovery and transform individuals, families, and communities with treatment that works. Our employees believe we are creating a better world where lives and communities are made whole again through comprehensive treatment. 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 other related field
• Independent Clinical License to practice in the field associated with the master's or higher degree
• Indiana licensure: LCSW, LMHC, LMFT, or LCAC

Nice To Haves

• Experience treating individuals with substance use disorder preferred
• 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 and other assigned meetings.
• Complete all assigned training courses timely.
• 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: Manager
• Number of Employees: 501-1,000 employees