Referral Access Department Supervisor, Crisis & Urgent Care Services
About The Position
Make a Difference in Someone’s Life! At Monarch, we work together to provide life-changing care in communities across North Carolina and Rhode Island. As a team, we provide hope, promote wellness, and empower individuals and families impacted by mental illness, substance use disorders, intellectual and developmental disabilities, and traumatic brain injury. You Belong at Monarch You deserve a positive and encouraging work environment - a place where you can do your best work and grow as a professional. That is just what you’ll find at Monarch. Here, we care for people, including our team members. We offer a comprehensive, competitive benefits package that supports full-time and part-time team members and their families. More than just a job, this opportunity with Monarch will give you room to spread your wings and grow because we believe in promoting from within and developing future leaders.
Requirements
- Associate or Fully Licensed Clinical Social Worker (LCSW-A or LCSW)
- Associate or Fully Licensed Clinical Mental Health Counselor (LCMHC-A or LCMHC)
- Masters: Human Services (Required)
- Drivers License (Valid) - USA
- Licensed Clinical Mental Health Counselor - Associate (LCMHC-A) - State Board of Licensed Professional Counselors
- Licensed Clinical Social Worker - Associate (LCSW-A) - State Social Work Certification and Licensure Board
- Experience in mental health or substance use treatment, including crisis or residential services with child and/or adult poulation. 3 Years Required
- Experience in utilization management, care management, or clinical review. 1 Year Required
- Strong knowledge of clinical criteria sets and behavioral health regulations. Required
Nice To Haves
- Experience working with managed care organizations, Medicaid, state behavioral health systems and commercial insurance.
- Familiarity with electronic UM platforms and data reporting tools
- Supervisory Experience 2 Years
Responsibilities
- Supervise Access and UM support staff, including hiring, training, scheduling, performance evaluation, and ongoing professional development.
- Monitor team productivity, quality, and adherence to Access/UM protocols, turnaround times, and regulatory requirements.
- Facilitate regular team meetings, case consultations, and workflow improvement initiatives.
- Oversee initial and continued‑stay reviews for crisis stabilization units and residential treatment program (PRTF)
- Ensure Access decisions are based on clinical criteria (e.g., InterQual, LOCUS, ASAM, or state‑specific guidelines) and reflect best practices in crisis and residential care.
- Conduct audits Access/UM documentation and decisions to ensure accuracy, consistency, and clinical appropriateness.
- Track and report key performance indicators, including authorization timeliness, denial rates, and utilization patterns.
- Maintain training as required and requested
- Demonstrate knowledge of emergency procedures and assist in crisis situations
- Demonstrate knowledge of and comply with all agency policies and procedures
- Complete all other relevant responsibilities assigned by the supervisor
Benefits
- comprehensive, competitive benefits package that supports full-time and part-time team members and their families
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
