Residential Care Specialist

Detroit Wayne Integrated Health Network•Detroit, MI

55d

About The Position

Under the general supervision of the Director of Residential Services, the Residential Care Specialist (RCS) provides residential services, including assessment and placement of members in appropriate residential settings. The role provides specialized behavioral assessments and interventions, completes initial residential assessments, reviews levels of care and service plans, and supports the coordination, monitoring, and management of residential and supportive services, including SIL and CLS programs. The RCS provides clinical guidance to Residential Care Coordinators and oversees the review and authorization of residential services for people with serious mental illness, intellectual or developmental disabilities, and/or co-occurring substance use disorders. The position supports clinical teams and affiliated providers, reviews documentation and data, helps ensure authorized interventions are delivered, and coordinates reauthorization and continuation of services. The role also advocates for members, works with families and providers, participates in care and placement meetings, and ensures documentation complies with regulatory and funding requirements, including HIPAA. The position requires a relevant master’s degree (with a bachelor’s degree accepted for Nursing), five years of professional behavioral healthcare or community mental health experience, a qualifying Michigan clinical license, and a valid Michigan driver’s license with a safe and acceptable driving record. The employee must be able to obtain QMHP and QIDP credentialing. Work involves driving to different sites throughout Wayne County and Michigan. Proof of full COVID-19 vaccination is required as a condition of employment, subject to legally required accommodations or exemptions.

Requirements

Master’s degree in Social Work, Psychology, Counseling, Nursing, Human Services, Social Services, or a related field; a bachelor’s degree is accepted for Nursing.
Five years of professional experience in behavioral healthcare or a community mental health setting.
Experience providing Behavioral Health Benefit Services.
Experience with assessment and Utilization Management Review.
Experience working with adults with serious mental illness; people with developmental disabilities; children with serious emotional disturbances; elderly people with co-occurring mental illness; people with co-morbid conditions; or people with substance use disorders.
Valid State of Michigan clinical license: RN, LMSW, LMHC, LPC, LLP, or PhD; a limited license is accepted.
Valid State of Michigan driver’s license with a safe and acceptable driving record.
Must be able to be credentialed as QMHP and QIDP.
Knowledge of community-based behavioral health care, DWIHN policies and practices, the DWIHN provider network, and community resources.
Knowledge of the Michigan Mental Health Code, MDHHS policies and regulations, Medicaid and other applicable codes and laws, compliance standards, and documents governing mental health services.
Knowledge of clinical care processes, behavioral health screening and assessment tools, medical and behavioral health practices and terminology, psychological, emotional, and sociological assessment and diagnosis, CMHSPs, and PIHPs.
People management, coaching, delegation, feedback, assessment, organizational, time management, report writing, problem-solving, decision-making, interpersonal, communication, and written communication skills.
Ability to meet deadlines, prioritize assignments, communicate orally and in writing, work effectively with others, and work with ethnically, linguistically, culturally, economically, and socially diverse populations.
Judgment and reasoning ability.
Computer skills, including Microsoft Outlook, Excel, and PowerPoint.
Ability to drive to different sites throughout Wayne County and the State of Michigan.
Proof of being fully vaccinated for COVID-19 as a condition of employment, subject to legally required accommodations or exemptions.

Responsibilities

Provide specialized behavioral assessments and intervention services for individuals seeking or receiving residential services.
Complete comprehensive initial assessments of DWIHN members in relation to residential services.
Interview members and gather information about their needs.
Interview members, appropriate family members, physicians, and other multidisciplinary care team members to evaluate residential and supportive service plans and update them as needed.
Review levels of care as necessary to ensure appropriate authorizations.
Support development, monitoring, and management of care coordination activities related to residential services and supportive service programs, including SIL and CLS.
Provide clinical guidance and support to Residential Care Coordinators.
Supervise review and authorization of residential services and programs for individuals with serious mental illness, intellectual or developmental disabilities, and/or co-occurring substance use disorders.
Ensure members receive interventions to the full extent of authorized services.
Coach clinical teams on residential assessment and clinical alignment of documentation.
Review data and reports submitted by Residential Care Coordinators.
Recommend program, procedure, and data collection changes to reflect individual development and progress toward goals.
Observe and assess consumer skills and progress and recommend ongoing interventions and behavioral programming.
Collaborate with additional service providers on consumers’ support teams to ensure comprehensive service delivery.
Address program delivery with families and encourage caregiver participation.
Help overcome challenges in program implementation and placement.
Review progress reports and treatment plans for regulatory and funding-source compliance, clinical accuracy, and appropriateness.
Maintain and ensure accurate documentation of billable tasks in accordance with regulatory and funding-source requirements.
Ensure DWIHN HIPAA compliance.
Coordinate documentation for reauthorization and continuation of services.
Attend staff meetings, trainings, and other requested meetings.
Guide and supervise the process for housing and in-home supportive service referrals and requests.
Advocate and serve as a liaison for MI, IDD, and SUD members with affiliated providers.
Provide guidance and oversight for residential team, pre-release, placement review committee, and discharge planning meetings.
Verify data collection used to assess care coordination and care authorizations.
Provide technical assistance, guidance, and oversight to affiliated providers on behavioral care coordination practices.
Explain behavioral health services and benefits.
Perform related duties as assigned.