Director of Adult Initiatives

DETROIT WAYNE Integrated HEALTH Network•Detroit, MI

5h•Hybrid

About The Position

Under the general supervision of the Clinical Officer, the Director of Adult Initiatives provides oversight and monitoring for the entire Adult continuum care for disability designations (I/DD; SMI; Co-Occurring Disorder). This role involves developing, implementing, and overseeing clinical programming, supervising various adult services, and ensuring fidelity to Evidence-Based Practices for both SMI & I/DD populations. The Director will also draft policies and procedures, manage all levels of care on the LOCUS model, and provide technical assistance and training to the network regarding behavioral health disorders. Additionally, the position supports the DW Connect helpdesk, participates in committees for member monitoring, identifies at-risk individuals and service gaps, and collaborates on monitoring tools and data analysis. The role also involves working with provider staff to achieve improvements, providing clinical expertise to the Credentialing Committee, resolving provider issues, and facilitating dispute resolution and appeals processes. The Director will lead local and statewide initiatives to meet contract expectations and perform related duties as assigned.

Requirements

Knowledge of DWIHN policies, procedures and practices.
Knowledge of the DWIHN provider network and community resources.
Knowledge of the Michigan Mental Health Code.
Knowledge of MDHHS policies, rules, regulations and procedures.
Knowledge of Federal policies, rules, regulations and procedures as it relates to DWIHN.
Knowledge of MHWIN.
Knowledge of the Adult continuum of care for all disability designations (I/DD, SMI, Co-Occurring Disorder).
Knowledge of adult services: Outpatient, Co-Occurring services, CM, ACT, Supported Employment, and Med Drop.
Knowledge of Evidence Based Practices for the behavioral health field.
Knowledge of the LOCUS model.
Knowledge of the clinical care process (screening, assessment, treatment planning, case management, and continuing care).
Knowledge of and ability to use screening and assessment tools for behavioral health services.
Knowledge of and ability to use treatment planning, case management and continuing care for behavioral health services.
Knowledge of Medicaid, local, regional and national codes, laws and regulations.
Knowledge of medical and behavioral health practices and terminology.
Knowledge of compliance standards.
Knowledge of Medical Necessity Criteria for Behavioral Health Services.
Knowledge of the Federal Confidentiality Regulations, 42 CFR, Part 2.
Knowledge of documents / regulations that govern the provision of mental health services, e.g., Medicaid Manual Mental Health and Substance Abuse Chapter III, State Plan for Medicaid, Michigan Department of Health and Human Services Quality Plan, BBA requirements and the Mental Health Code.
Knowledge of the Code of Federal Regulations, Balanced Budget Act, Bureaus of Adult and Licensing rules.
Knowledge of the practices and principles of psychological, emotional, and sociological assessment and diagnosis.
Knowledge of diagnostics, psychopharmacology, and supportive treatment approaches as applied to a severely mentally ill (SMI) adult population.
Knowledge of the identification and treatment of co-occurring mental health and substance use disorders.
Knowledge of regulatory and industry best practice standards.
Knowledge of Community Mental Health Services Programs (CMHSP) and Prepaid Inpatient Health Plans (PIHP)
Knowledge of the DSM-IV Statistical Manual.
Supervisory skills.
Management skills.
Leadership skills.
Executive skills
Administration skills
Training skills.
People management skills.
Project management skills.
Action planning skills.
Strategic thinking skills.
Goal setting skills.
Planning skills.
Corrective Action skills.
Assessment skills.
Organizational skills.
Report writing skills.
Problem Solving skills
Decision Making skills.
Critical Thinking skills.
Interpersonal skills.
Communication skills.
Collaboration skills.
Implementation skills.
Skill at meeting deadlines
Multitasking skills.
Prioritizing skills.
Training skills.
Computer skills (Word, Excel, Access, Power Point, Outlook, Teams)
Teamwork Skills.
Relationship-building skills.
Ability to communicate orally.
Ability to communicate in writing.
Ability to work effectively with others.
Ability to work with an ethnically, linguistically, culturally, economically and socially diverse population.
Judgement/Reasoning ability.
A Master’s Degree in Social Work, Psychology, Counseling, Nursing (a Bachelor’s Degree will be accepted), the Human Services, the Social Services or a related field.
Five (5) years of professional experience as a licensed clinician in a behavioral healthcare or mental health setting.
Three (3) years of supervisory or management experience as a licensed clinician in a behavioral healthcare or mental health setting.
A Valid State of Michigan clinical licensure: RN, LMSW, LMHC, LPC, LLP or PhD.
A valid State of Michigan Driver’s License with a safe and acceptable driving record.

Responsibilities

Provides oversight and monitoring of the entire Adult continuum of care for all disability designations (I/DD, SMI, Co-Occurring Disorder).
Develops, implements and provides oversight of clinical programming for Adult Services for I/DD and SMI populations.
Supervises and monitors the following adult services: Outpatient, Co-Occurring services, CM, ACT, Supported Employment, and Med Drop.
Oversees adult-related Evidence Based Practices - for both SMI & I/DD populations to ensure EBP fidelity.
Drafts policies and procedures for the Adult Services Network.
Manages all levels of care on the LOCUS model.
Provides technical assistance and education to the DWIHN Adult network regarding the management of behavioral health disorders.
Provides Evidence-Based Practice training within and across designated population groups.
Reviews training content, adds training content, and monitors training compliance through Detroit Wayne Connect.
Supports the DW Connect helpdesk.
Participates on the DWIHN Sentinel Review Committee to monitor adult members.
Monitors members with high recidivism.
Identifies at-risk individuals and service gaps and develops plans for improvement.
Participates in the development of monitoring tools and the analysis of data and trends.
Works with provider staff to ensure needed improvements are attained.
Provides clinical content expertise and consultation as a member of the Credentialing Committee.
Resolves Provider issues and complaints.
Facilitates the Dispute Resolution process and Appeals process.
Leads local and statewide initiatives to ensure that PIHP/CMHSP contract expectations are met.
Performs related duties as assigned.