Utilization Management CDP Clinician - Women's Inpatient - #19-011

Agency Background: 

Lifeline Connections is a not-for-profit agency that is recognized as a leading behavioral health treatment provider in Washington State, offering a full continuum of care for individuals who have a behavioral health condition. Lifeline Connections' patients receive an unprecedented level of care by highly skilled professionals who know how to help people find and sustain long-term recovery. For over fifty years Lifeline Connections has provided hope, help and healing to thousands of individuals in Washington State and within the Portland, Oregon metro area.

Utilization Management CDP/T Clinician - Women's Inpatient - #19-011 

Major Duties: 
The Utilization Management Clinician will be responsible for completing triage assessments to determine patient risk and appropriate level of care based on the medical necessity review (ASAM) as well as, performing ongoing utilization review, authorization for all higher levels Inpatient (IP), Withdrawal Management (Detox) Intensive Outpatient (IOP) of care (Substance Use Disorders). In providing these services, the incumbent performs the following duties independently:

• Collaborates with the supervisory staff and Program Manager, other senior staff members, and other counselors in building and maintaining 
• Responds to and completes urgent/emergent assessment and triage for individuals seeking services
• Complete pre-certification for higher level of care admissions as part of a wait list of emergent needs
• Application of medical necessity criteria in authorization of substance use services (ASAM). Referral and triage for individuals in crisis situations. 
• Completes concurrent reviews and coordinates with clinicians on discharge planning and post discharge follow up care
• Data entry of all authorizations and clinical notes in clinical files
• Complete retro-reviews as assigned by management staff
• Participate in scheduled staff meetings and trainings
• Participates in case staffing when needed
• Notify Director of Utilization Management and Admissions Director regarding any quality indicators/concerns 
• May be assigned CDP/T duties depending on authorization numbers, staffing level and caseload sizes.

Requirements:

• College course work in chemical dependency, human sciences or related field required;
• Experience using ASAM Placement Criteria;
• Experience conducting treatment authorizations with commercial insurance and/or managed care plans, preferred;
• Successful completion of at least one course per quarter/semester toward educational requirements as necessary to obtain an active Washington State Department of Health CDPT credential required;
• Knowledgeable of a wide variety of therapeutic approaches and the ability to set and maintain therapeutic limits. The agency milieu mandates that the incumbent be flexible, versatile and skilled in developing creative behavioral interventions that modify inappropriate behavior;
• Must be capable of functioning autonomously while maintaining continuous communication with other staff members;
• A broad knowledge of the stages of human personality development including cultural, social, and psychological factors affecting individuals and families involved with chemical use;
• Knowledge and practice of crisis intervention theory;
• Knowledge of the various theories, forms, stages, and manifestations of addictive behavior, awareness of common manifestations of resistance to change in the addicted client, awareness of socio-cultural barriers to change, and an in-depth knowledge of alternative coping mechanisms to replace the use of chemicals;
• CPR/First Aid Certification required for inpatient staff members;
• Good verbal and written communication skills;
• Great attendance;
• Ability to work well with others.

Salary: DOE

Application Process: 
Submit a cover letter and resume to Human Resources. We will only accept resumes with a cover letter specifying the position title and posting number of the position you are applying for. For more information on this and other positions, please visit our website at www.lifelineconnections.org 

The Benefits:

Lifeline Connections is striving to be your employer of choice by offering our regular/full time employees a generous benefits package. The plan covers over 75% of medical, dental, and vision costs for the employee and all dependents. There are no out-of-pocket costs for co-pays, prescriptions, or deductible under the medical plan. We also have employer paid Short Term Disability, Long Term Disability, Life Insurance and a 401(K) plan that matches dollar for dollar up to 4%. On top of all that, our employees receive approximately 4 weeks of paid time off during their first year of employment (accrual rates increase with years of service), as well as 3 personal holidays and 10 paid holidays per year!

Send us your resume and let's talk about you joining our team!