Licensed Clinical Assessment Reviewer Part-Time

Family Service Association•Elgin, IL

5d•Hybrid

About The Position

The Licensed Clinical Assessment Reviewer is responsible for reviewing IM+CANS for the Pathways to Success program. Through reviewing the IM+CANS, the Licensed Clinical Assessment Reviewer will determine and document medical necessity for treatment. Reviews will be completed in a timely matter and adhere to Rule 140 and FSA standards for documentation. This individual must have a clinical license in the State of Illinois.

Requirements

Clinical license in the State of Illinois
Licensed Practitioner of the Healing Arts (LPHA) credential (LCPC, LCSW, LMFT) in Illinois
Previous experience in community mental health
Previous experience with utilizing the Illinois Medicaid Comprehensive Assessment of Strengths and Needs (IM+CANS)
Strong knowledge of Medicaid Rule 140
Must hold a valid, unexpired Illinois driver's license.

Responsibilities

Clinical Review initial and updated IM+CANS from the Pathways to Success program to determine medical necessity
Provide feedback to the MHP and/or QMHP on submitted IM+CANS, when appropriate
Participate in cross-training and gain knowledge of all programs in order to review IM+CANS from other programs on a case-by-case basis.
Be knowledgeable on Rule 140 and Rule 132
Provide support to New Hire Trainings with regards to Rule 140
Responsible for supervision on a monthly basis
Responsible for reporting to supervisor regularly about problem cases, need for special services, and resource information.
Responsible for completion of and meeting deadlines for all clinical paperwork for cases, including, but not limited to: IATPs and case notes.
Responsible for completion of and meeting deadlines for all agency administrative paperwork, including, but not limited to, timesheets, expense reports, and car insurance verification.
Responsible for attending Quarterly All Staff Clinical Meetings and other meetings as assigned by supervisor.
Responsible for participating in Utilization Review on a quarterly basis.
Responsible for learning basics of Pathways to Success Program & CCSO operations
Responsible for completion of annual training requirements.
Maintain IM+CANS Certification and attend required HFS trainings
Notes should be completed with 7 days of service.
Documentation should follow Rule 140
Responsible for ongoing training assigned by supervisor.
Maintain licensure and/or certification that are available and appropriate to educational/professional background.
Perform other duties as assigned by supervisor.
Perform incidental business-related travel as needed.
Participate in agency Risk Management and Continuous Quality Improvement activities.