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Care Management Specialist

75181068 9443 4905 9e4e 1e90bc7107bd 19000101 000001 · Saginaw, MI, US, Saginaw, MI · Active · $69,329–$86,427 / year · ADP Workforce Now Recruiting

Job facts

FieldValue
Company75181068 9443 4905 9e4e 1e90bc7107bd 19000101 000001
TitleCare Management Specialist
Normalized title-
Department / team-
LocationSaginaw, MI, United States
Work model-
Employment typeFull Time
Salary$69,329–$86,427 / year
Statusactive
ATS providerADP Workforce Now Recruiting
Posted / first seen2026-04-23 / 2026-05-31
Changed / last seen2026-06-06 / 2026-06-06

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Linked records

Company75181068 9443 4905 9e4e 1e90bc7107bd 19000101 000001
Source88aeb45e-5c1c-4ea0-8c1e-70388a242c49
ATS providerADP Workforce Now Recruiting

Description

Normal 0 false false false false EN-US X-NONE X-NONE SCCMHA JOB VACANCY ANNOUNCEMENT Care Management Specialist Pay Range: $69,328.99 - $86,426.61 annually $6,000 Recruitment Bonus for Clinical Master level new hires!! ($2,000 paid at start, $2,000 paid after 3 months, and $2,000 paid after successful probation period.) GENERAL STATEMENT OF DUTIES Under supervision of the Manager of Utilization and Care Authorization, monitors appropriate uses of Saginaw County Community Mental Health Authority (SCCMHA) resources for treatment and support of individual episodes of care, coordination of care and adequacy of supports and services to sustain outcomes. This position uses best practice that are derived from scientific evidence to bring together Behavioral Healthcare (BH) and Substance Use Disorder (SUD) resources from across the continuum of care in the most appropriate, effective, and efficient manner to the consumer specific duties within utilization review. Utilization review may be assigned within individual staff scope of practice and target population expertise. Providing overall coordination of behavioral healthcare and/or substance use disorder planning, service delivery leadership, and integration facilitation throughout the SCCMHA network (including assessment, person centered planning, prevention, treatment, and recovery as it relates to MI CMS Certified Community Behavioral Health Center (CCBHC) Demonstration handbook. Ensures that SCCMHA meets compliance obligations in all BH and SUD areas. Provides key local community, regional PIHP, and State linkages as appropriate for the scope of BH and SUD programs and policies for SCCMHA, including reporting, ongoing education/training, development, and evaluation purposes. Performs responsibilities and tasks with a demeanor and attitude that promotes goodwill, builds positive relationships, communicates respect for human dignity and contributes positively to the mission and values of SCCMHA. This position will be knowledgeable about and actively support culturally competent recovery-based practices; person centered planning as a shared decision-making process with the individual, who defines his/her life goals and is assisted in developing a unique path toward those goals; and a trauma informed culture of safety to aid consumer in the recovery process. ESSENTIAL DUTIES AND RESPONSIBLITIES: 1. Provides preauthorization of services based on review of assessments and the medical record for evidence of medical necessity and within the definition of the benefit. Acts on behalf of the client to assure that necessary clinical services are received, and that progress is being made. 2. Works closely with the Central Access and Intake unit to facilitate eligibility assessment, referral options, and primary team assignment for new consumers. 3. Reviews level of functioning assessments including CAFAS, LOCUS, PECFAS, ASAM and others as implemented by SCCMHA and decides on appropriate level of care placement BH and SUD treatment services. 4. Manages a large utilization review caseload for service authorization requests received from multiple assigned primary teams with annual rotation of teams’ assignments by Manager of Utilization and Care Authorization. 5. Manages as assigned primary record holder a small outgoing County of Financial Responsibility (COFR) service delivery caseload for consumers who reside outside of Saginaw County. 6. Works in multiple electronic health record systems with the ability to ensure data integrity and accurate data interface between systems. 7. Provides concurrent review of community-based services and works as a team member with utilization management tasks related to management of the benefit. These services include, but are not limited to, assessment, care planning, education, referral, advocacy, monitoring, and periodic reassessment. Episodes of care may be selected for sample review or flagged for review due to under or over utilization or due to inadequate documentation in the person-centered plan and supporting assessments. Concurrent review of services includes review of assessment and plan for concurrence with Protocols, consultation with primary care provider and/or consumer, and may include written recommendations to the provider and consumer incorporating suggestions for modifications to the consumer's plan. 8. Through concurrent review and provider profile review, may recommend based on care management performance indicators, the denial of authorization or reauthorization of service or may suggest reduction in the quantity or duration of services. If reduction or denial of service is recommended, will prepare and/or present the proposed reduction or denial in the multidisciplinary Care Conference Review Committee. If denial or reduction of service is supported in conference, will ensure due process of Adequate or Advanced notice to the consumer/guardian. 9. Prepare written justification of denial with suggestions for alternative resources when denying services through preauthorization review or concurrent utilization review documentation. 10. May issue recommendation for provider restitution of payments if documentation of eligibility is not complete or adequate to support eligibility certification in the medical record. 11. Prepares individual utilization profile analysis reports and makes recommendations for primary care providers. Profile preparation includes data analysis, record review and written analysis and recommendations. 12. Conduct provider training in Care Management Policies and procedures, eligibility assessment criteria, severity of illness/intensity of service requirements, coordination of care standards, service protocols and utilization management performance indicators. Training may also be provided to other groups including Citizens Advisory Committee, community groups and others as requested by the Chief of Network Business Operations. The role of these trainings will be to reduce the incidence of denial or reduction of service decisions. 13. May recommend SUD integration policy, practice or procedural changes or new practices for SCCMHA consideration. 14. Participates in process improvement committees as assigned, including preparation of summaries of findings for review by supervisory staff. 15. Is responsible for accurate and timely codification and entry of data and writing of reports, communication of decisions to providers and consumers. 16. Serves as population expert for all BH and SUD services, programs, providers, and requirements. 17. Represents SCCMHA in treatment and prevention settings. 18. Provides leadership coordination and consultation within the SCCMHA network and community for BH and SUD services. 19. Promotes service integration for persons with SUD disorders within mental health systems, including primary care providers. INCIDENTAL DUTIES AND RESPONSIBILITES: 1. Works closely with and coordinates efforts with those of information systems, operations, provider network, and administrative staff. 2. May attend meetings; make presentations to groups and/or in-service personnel or provider network. 3. May attend workshops, seminars, or meetings, read journals, periodicals, and research subjects on the Internet to maintain professional proficiency and disseminate information. 4. Must react productively to change and handle other essential tasks as assigned. 5. Required to drive to off-site locations as needed. (The above statements are intended to describe the general nature and level of work being performed by people assigned to this classification. They are not intended to be construed as an exhaustive list of all duties and responsibilities required of personnel so classified.) REPORTING RELATIONSHIPS: Reports to: Manager of Utilization and Care Authorization Supervises: None WORKING CONDITIONS/ENVIRONMENT: Works in an office environment with normal time constraints and pressures. Uses a workstation, keyboard and views a computer screen for long periods, uses telephone and headset. May involve travel to multiple service locations. QUALIFICATIONS: Education: Master’s degree in a mental health related field from an accredited school required. Experience: A minimum of five (5) years progressive experience in preferably diverse treatment settings including: psychiatric inpatient, SUD outpatient, managed care, and case management. Consideration of experience and scope of practice will be uniquely considered for each team vacancy as the agency requires a team which enables us to manage a wide range of special needs populations (developmental disabilities, substance use disorder, VA, children, mentally ill and medical health specifically in a hospital setting and/or medical clinic.) and determined in interviews, with depth and range given more preference. Licenses and Certifications: Valid Michigan Driver’s license with a good driving record. Must be able to apply and obtain a limited licensed master’s social worker (LLMSW), licensed master’s social worker (LMSW), limited licensed professional counselor (LLPC), licensed professional counselor (LPC), limited licensed marriage and family therapist (LLMFT), licensed marriage and family therapist (LMFT), limited licensed psychologist (LLP) and licensed psychologist (LP). Must have or obtain a certification in substance use treatment specialist area. CADC, CAADC Knowledge, Skills, and Abilities: 1. Demonstrated competency in scope of practice as social worker, Substance Use Counselor. 2. Possess knowledge of BH and SUD benefits. 3. Professional level verbal and written communication skills. 4. Ability to produce accurate and comprehensive work products with minimal direction. 5. Ability to exercise mature judgment and maintain strict confidentiality. 6. Ability to maintain favorable interpersonal working relationships and positive public relations. 7. Ability to plan and organize work, perform tasks consistently and adhere to priorities. 8. Ability to provide small group leadership. 9. Ability to assess and diagnosis chemical dependency. Knowledge of chemical dependency, ASAM and mental health best practice. 10. Problem solving and mediation abilities. Physical/Mental Requirements: 1. Hearing acuity to converse in person and on telephone. 2. Ability to walk, stand or sit for extended periods of time. 3. Manual dexterity to write and to operate standard office equipment (PC, Keyboard, Copy Machine, Fax Machine, etc.) 4. Ability to lift and carry files and supplies at least 20 pounds. 5. Strong interpersonal skills to interact with varied community representative and leadership, parolees and the general public. 6. Analytical skills necessary to conduct research, analyze, and interpret complex data and identify and solve problems by proposing courses of action. 7. Ability to plan short and long range and to manage and schedule time. 8. Ability to handle stress in meeting deadlines and dealing with large numbers (Listed qualifications are for guidance in filling this position. Any combination of education and experience that provides the necessary knowledge, skills, and abilities will be considered; however, mandatory licensing or certification requirements cannot be waived. Physical/mental requirements cannot be waived unless specifically indicated.) #IH

Full job record

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TitleCare Management Specialist
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CountryUnited States
RegionMI
CitySaginaw
Salary Raw69328.99 To 86426.61 (USD) Annually
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First Seen At2026-05-31 18:42:03Z
Last Seen At2026-06-06 12:02:56Z
Last Checked At2026-06-06 12:02:56Z
Last Changed At2026-06-06 12:02:56Z
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Source Posted At2026-04-23 13:56:00Z
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Locked=\"false\" SemiHidden=\"true\" UnhideWhenUsed=\"true\"   Name=\"List Continue\"/>  <w:LsdException Locked=\"false\" SemiHidden=\"true\" UnhideWhenUsed=\"true\"   Name=\"List Continue 2\"/>  <w:LsdException Locked=\"false\" SemiHidden=\"true\" UnhideWhenUsed=\"true\"   Name=\"List Continue 3\"/>  <w:LsdException Locked=\"false\" SemiHidden=\"true\" UnhideWhenUsed=\"true\"   Name=\"List Continue 4\"/>  <w:LsdException Locked=\"false\" SemiHidden=\"true\" UnhideWhenUsed=\"true\"   Name=\"List Continue 5\"/>  <w:LsdException Locked=\"false\" SemiHidden=\"true\" UnhideWhenUsed=\"true\"   Name=\"Message Header\"/>  <w:LsdException Locked=\"false\" Priority=\"11\" QFormat=\"true\" Name=\"Subtitle\"/>  <w:LsdException Locked=\"false\" SemiHidden=\"true\" UnhideWhenUsed=\"true\"   Name=\"Salutation\"/>  <w:LsdException Locked=\"false\" SemiHidden=\"true\" UnhideWhenUsed=\"true\"   Name=\"Date\"/>  <w:LsdException Locked=\"false\" SemiHidden=\"true\" UnhideWhenUsed=\"true\"   Name=\"Body Text First Indent\"/>  <w:LsdException Locked=\"false\" SemiHidden=\"true\" UnhideWhenUsed=\"true\"   Name=\"Body Text First Indent 2\"/>  <w:LsdException Locked=\"false\" SemiHidden=\"true\" UnhideWhenUsed=\"true\"   Name=\"Note Heading\"/>  <w:LsdException Locked=\"false\" SemiHidden=\"true\" UnhideWhenUsed=\"true\"   Name=\"Body Text 2\"/>  <w:LsdException Locked=\"false\" SemiHidden=\"true\" UnhideWhenUsed=\"true\"   Name=\"Body Text 3\"/>  <w:LsdException Locked=\"false\" SemiHidden=\"true\" UnhideWhenUsed=\"true\"   Name=\"Body Text Indent 2\"/>  <w:LsdException Locked=\"false\" SemiHidden=\"true\" UnhideWhenUsed=\"true\"   Name=\"Body Text Indent 3\"/>  <w:LsdException Locked=\"false\" SemiHidden=\"true\" UnhideWhenUsed=\"true\"   Name=\"Block Text\"/>  <w:LsdException Locked=\"false\" SemiHidden=\"true\" UnhideWhenUsed=\"true\"   Name=\"Hyperlink\"/>  <w:LsdException Locked=\"false\" SemiHidden=\"true\" UnhideWhenUsed=\"true\"   Name=\"FollowedHyperlink\"/>  <w:LsdException Locked=\"false\" Priority=\"22\" QFormat=\"true\" Name=\"Strong\"/>  <w:LsdException Locked=\"false\" Priority=\"20\" QFormat=\"true\" Name=\"Emphasis\"/>  <w:LsdException Locked=\"false\" SemiHidden=\"true\" UnhideWhenUsed=\"true\"   Name=\"Document Map\"/>  <w:LsdException Locked=\"false\" SemiHidden=\"true\" UnhideWhenUsed=\"true\"   Name=\"Plain Text\"/>  <w:LsdException Locked=\"false\" SemiHidden=\"true\" UnhideWhenUsed=\"true\"   Name=\"E-mail Signature\"/>  <w:LsdException Locked=\"false\" SemiHidden=\"true\" UnhideWhenUsed=\"true\"   Name=\"HTML Top of Form\"/>  <w:LsdException Locked=\"false\" SemiHidden=\"true\" UnhideWhenUsed=\"true\"   Name=\"HTML Bottom of Form\"/>  <w:LsdException Locked=\"false\" SemiHidden=\"true\" UnhideWhenUsed=\"true\"   Name=\"Normal (Web)\"/>  <w:LsdException Locked=\"false\" SemiHidden=\"true\" UnhideWhenUsed=\"true\"   Name=\"HTML Acronym\"/>  <w:LsdException Locked=\"false\" SemiHidden=\"true\" UnhideWhenUsed=\"true\"   Name=\"HTML Address\"/>  <w:LsdException Locked=\"false\" SemiHidden=\"true\" UnhideWhenUsed=\"true\"   Name=\"HTML Cite\"/>  <w:LsdException Locked=\"false\" SemiHidden=\"true\" UnhideWhenUsed=\"true\"   Name=\"HTML Code\"/>  <w:LsdException Locked=\"false\" SemiHidden=\"true\" UnhideWhenUsed=\"true\"   Name=\"HTML Definition\"/>  <w:LsdException Locked=\"false\" SemiHidden=\"true\" UnhideWhenUsed=\"true\"   Name=\"HTML Keyboard\"/>  <w:LsdException Locked=\"false\" SemiHidden=\"true\" UnhideWhenUsed=\"true\"   Name=\"HTML Preformatted\"/>  <w:LsdException Locked=\"false\" SemiHidden=\"true\" UnhideWhenUsed=\"true\"   Name=\"HTML Sample\"/>  <w:LsdException Locked=\"false\" SemiHidden=\"true\" UnhideWhenUsed=\"true\"   Name=\"HTML Typewriter\"/>  <w:LsdException Locked=\"false\" SemiHidden=\"true\" UnhideWhenUsed=\"true\"   Name=\"HTML Variable\"/>  <w:LsdException Locked=\"false\" SemiHidden=\"true\" UnhideWhenUsed=\"true\"   Name=\"Normal Table\"/>  <w:LsdException Locked=\"false\" SemiHidden=\"true\" UnhideWhenUsed=\"true\"   Name=\"annotation subject\"/>  <w:LsdException Locked=\"false\" SemiHidden=\"true\" UnhideWhenUsed=\"true\"   Name=\"No List\"/>  <w:LsdException Locked=\"false\" SemiHidden=\"true\" UnhideWhenUsed=\"true\"   Name=\"Outline List 1\"/>  <w:LsdException Locked=\"false\" SemiHidden=\"true\" UnhideWhenUsed=\"true\"   Name=\"Outline List 2\"/>  <w:LsdException Locked=\"false\" SemiHidden=\"true\" UnhideWhenUsed=\"true\"   Name=\"Outline List 3\"/>  <w:LsdException Locked=\"false\" SemiHidden=\"true\" UnhideWhenUsed=\"true\"   Name=\"Table Simple 1\"/>  <w:LsdException Locked=\"false\" SemiHidden=\"true\" UnhideWhenUsed=\"true\"   Name=\"Table Simple 2\"/>  <w:LsdException Locked=\"false\" SemiHidden=\"true\" UnhideWhenUsed=\"true\"   Name=\"Table Simple 3\"/>  <w:LsdException Locked=\"false\" SemiHidden=\"true\" UnhideWhenUsed=\"true\"   Name=\"Table Classic 1\"/>  <w:LsdException Locked=\"false\" SemiHidden=\"true\" UnhideWhenUsed=\"true\"   Name=\"Table Classic 2\"/>  <w:LsdException Locked=\"false\" SemiHidden=\"true\" UnhideWhenUsed=\"true\"   Name=\"Table Classic 3\"/>  <w:LsdException Locked=\"false\" SemiHidden=\"true\" UnhideWhenUsed=\"true\"   Name=\"Table Classic 4\"/>  <w:LsdException Locked=\"false\" SemiHidden=\"true\" UnhideWhenUsed=\"true\"   Name=\"Table Colorful 1\"/>  <w:LsdException Locked=\"false\" SemiHidden=\"true\" UnhideWhenUsed=\"true\"   Name=\"Table Colorful 2\"/>  <w:LsdException Locked=\"false\" SemiHidden=\"true\" UnhideWhenUsed=\"true\"   Name=\"Table Colorful 3\"/>  <w:LsdException Locked=\"false\" SemiHidden=\"true\" UnhideWhenUsed=\"true\"   Name=\"Table Columns 1\"/>  <w:LsdException Locked=\"false\" SemiHidden=\"true\" UnhideWhenUsed=\"true\"   Name=\"Table Columns 2\"/>  <w:LsdException Locked=\"false\" SemiHidden=\"true\" UnhideWhenUsed=\"true\"   Name=\"Table Columns 3\"/>  <w:LsdException Locked=\"false\" SemiHidden=\"true\" UnhideWhenUsed=\"true\"   Name=\"Table Columns 4\"/>  <w:LsdException Locked=\"false\" SemiHidden=\"true\" UnhideWhenUsed=\"true\"   Name=\"Table Columns 5\"/>  <w:LsdException Locked=\"false\" SemiHidden=\"true\" UnhideWhenUsed=\"true\"   Name=\"Table Grid 1\"/>  <w:LsdException Locked=\"false\" SemiHidden=\"true\" UnhideWhenUsed=\"true\"   Name=\"Table Grid 2\"/>  <w:LsdException Locked=\"false\" SemiHidden=\"true\" UnhideWhenUsed=\"true\"   Name=\"Table Grid 3\"/>  <w:LsdException Locked=\"false\" SemiHidden=\"true\" UnhideWhenUsed=\"true\"   Name=\"Table Grid 4\"/>  <w:LsdException Locked=\"false\" SemiHidden=\"true\" UnhideWhenUsed=\"true\"   Name=\"Table Grid 5\"/>  <w:LsdException Locked=\"false\" SemiHidden=\"true\" UnhideWhenUsed=\"true\"   Name=\"Table Grid 6\"/>  <w:LsdException Locked=\"false\" SemiHidden=\"true\" UnhideWhenUsed=\"true\"   Name=\"Table Grid 7\"/>  <w:LsdException Locked=\"false\" SemiHidden=\"true\" UnhideWhenUsed=\"true\"   Name=\"Table Grid 8\"/>  <w:LsdException Locked=\"false\" SemiHidden=\"true\" UnhideWhenUsed=\"true\"   Name=\"Table List 1\"/>  <w:LsdException Locked=\"false\" SemiHidden=\"true\" UnhideWhenUsed=\"true\"   Name=\"Table List 2\"/>  <w:LsdException Locked=\"false\" SemiHidden=\"true\" UnhideWhenUsed=\"true\"   Name=\"Table List 3\"/>  <w:LsdException Locked=\"false\" SemiHidden=\"true\" UnhideWhenUsed=\"true\"   Name=\"Table List 4\"/>  <w:LsdException Locked=\"false\" SemiHidden=\"true\" UnhideWhenUsed=\"true\"   Name=\"Table List 5\"/>  <w:LsdException Locked=\"false\" SemiHidden=\"true\" UnhideWhenUsed=\"true\"   Name=\"Table List 6\"/>  <w:LsdException Locked=\"false\" SemiHidden=\"true\" UnhideWhenUsed=\"true\"   Name=\"Table List 7\"/>  <w:LsdException Locked=\"false\" SemiHidden=\"true\" UnhideWhenUsed=\"true\"   Name=\"Table List 8\"/>  <w:LsdException Locked=\"false\" SemiHidden=\"true\" UnhideWhenUsed=\"true\"   Name=\"Table 3D effects 1\"/>  <w:LsdException Locked=\"false\" SemiHidden=\"true\" UnhideWhenUsed=\"true\"   Name=\"Table 3D effects 2\"/>  <w:LsdException Locked=\"false\" SemiHidden=\"true\" UnhideWhenUsed=\"true\"   Name=\"Table 3D effects 3\"/>  <w:LsdException Locked=\"false\" SemiHidden=\"true\" UnhideWhenUsed=\"true\"   Name=\"Table Contemporary\"/>  <w:LsdException Locked=\"false\" SemiHidden=\"true\" UnhideWhenUsed=\"true\"   Name=\"Table Elegant\"/>  <w:LsdException Locked=\"false\" SemiHidden=\"true\" UnhideWhenUsed=\"true\"   Name=\"Table Professional\"/>  <w:LsdException Locked=\"false\" SemiHidden=\"true\" UnhideWhenUsed=\"true\"   Name=\"Table Subtle 1\"/>  <w:LsdException Locked=\"false\" SemiHidden=\"true\" UnhideWhenUsed=\"true\"   Name=\"Table Subtle 2\"/>  <w:LsdException Locked=\"false\" SemiHidden=\"true\" UnhideWhenUsed=\"true\"   Name=\"Table Web 1\"/>  <w:LsdException Locked=\"false\" SemiHidden=\"true\" UnhideWhenUsed=\"true\"   Name=\"Table Web 2\"/>  <w:LsdException Locked=\"false\" SemiHidden=\"true\" UnhideWhenUsed=\"true\"   Name=\"Table Web 3\"/>  <w:LsdException Locked=\"false\" SemiHidden=\"true\" UnhideWhenUsed=\"true\"   Name=\"Balloon Text\"/>  <w:LsdException Locked=\"false\" Priority=\"39\" Name=\"Table Grid\"/>  <w:LsdException Locked=\"false\" SemiHidden=\"true\" UnhideWhenUsed=\"true\"   Name=\"Table Theme\"/>  <w:LsdException Locked=\"false\" SemiHidden=\"true\" Name=\"Placeholder Text\"/>  <w:LsdException Locked=\"false\" Priority=\"1\" QFormat=\"true\" Name=\"No Spacing\"/>  <w:LsdException Locked=\"false\" Priority=\"60\" Name=\"Light Shading\"/>  <w:LsdException Locked=\"false\" Priority=\"61\" Name=\"Light List\"/>  <w:LsdException Locked=\"false\" Priority=\"62\" Name=\"Light Grid\"/>  <w:LsdException Locked=\"false\" Priority=\"63\" Name=\"Medium Shading 1\"/>  <w:LsdException Locked=\"false\" Priority=\"64\" Name=\"Medium Shading 2\"/>  <w:LsdException Locked=\"false\" Priority=\"65\" Name=\"Medium List 1\"/>  <w:LsdException Locked=\"false\" Priority=\"66\" Name=\"Medium List 2\"/>  <w:LsdException Locked=\"false\" Priority=\"67\" Name=\"Medium Grid 1\"/>  <w:LsdException Locked=\"false\" Priority=\"68\" Name=\"Medium Grid 2\"/>  <w:LsdException Locked=\"false\" Priority=\"69\" Name=\"Medium Grid 3\"/>  <w:LsdException Locked=\"false\" Priority=\"70\" Name=\"Dark List\"/>  <w:LsdException Locked=\"false\" Priority=\"71\" Name=\"Colorful Shading\"/>  <w:LsdException Locked=\"false\" Priority=\"72\" Name=\"Colorful List\"/>  <w:LsdException Locked=\"false\" Priority=\"73\" Name=\"Colorful Grid\"/>  <w:LsdException Locked=\"false\" Priority=\"60\" Name=\"Light Shading Accent 1\"/>  <w:LsdException Locked=\"false\" Priority=\"61\" Name=\"Light List Accent 1\"/>  <w:LsdException Locked=\"false\" Priority=\"62\" Name=\"Light Grid Accent 1\"/>  <w:LsdException Locked=\"false\" Priority=\"63\" Name=\"Medium Shading 1 Accent 1\"/>  <w:LsdException Locked=\"false\" Priority=\"64\" Name=\"Medium Shading 2 Accent 1\"/>  <w:LsdException Locked=\"false\" Priority=\"65\" Name=\"Medium List 1 Accent 1\"/>  <w:LsdException Locked=\"false\" SemiHidden=\"true\" Name=\"Revision\"/>  <w:LsdException Locked=\"false\" Priority=\"34\" QFormat=\"true\"   Name=\"List Paragraph\"/>  <w:LsdException Locked=\"false\" Priority=\"29\" QFormat=\"true\" Name=\"Quote\"/>  <w:LsdException Locked=\"false\" Priority=\"30\" QFormat=\"true\"   Name=\"Intense Quote\"/>  <w:LsdException Locked=\"false\" Priority=\"66\" Name=\"Medium List 2 Accent 1\"/>  <w:LsdException Locked=\"false\" Priority=\"67\" Name=\"Medium Grid 1 Accent 1\"/>  <w:LsdException Locked=\"false\" Priority=\"68\" Name=\"Medium Grid 2 Accent 1\"/>  <w:LsdException Locked=\"false\" Priority=\"69\" Name=\"Medium Grid 3 Accent 1\"/>  <w:LsdException Locked=\"false\" Priority=\"70\" Name=\"Dark List Accent 1\"/>  <w:LsdException Locked=\"false\" Priority=\"71\" Name=\"Colorful Shading Accent 1\"/>  <w:LsdException Locked=\"false\" Priority=\"72\" Name=\"Colorful List Accent 1\"/>  <w:LsdException Locked=\"false\" Priority=\"73\" Name=\"Colorful Grid Accent 1\"/>  <w:LsdException Locked=\"false\" Priority=\"60\" Name=\"Light Shading Accent 2\"/>  <w:LsdException Locked=\"false\" Priority=\"61\" Name=\"Light List Accent 2\"/>  <w:LsdException Locked=\"false\" Priority=\"62\" Name=\"Light Grid Accent 2\"/>  <w:LsdException Locked=\"false\" Priority=\"63\" Name=\"Medium Shading 1 Accent 2\"/>  <w:LsdException Locked=\"false\" Priority=\"64\" Name=\"Medium Shading 2 Accent 2\"/>  <w:LsdException Locked=\"false\" Priority=\"65\" Name=\"Medium List 1 Accent 2\"/>  <w:LsdException Locked=\"false\" Priority=\"66\" Name=\"Medium List 2 Accent 2\"/>  <w:LsdException Locked=\"false\" Priority=\"67\" Name=\"Medium Grid 1 Accent 2\"/>  <w:LsdException Locked=\"false\" Priority=\"68\" Name=\"Medium Grid 2 Accent 2\"/>  <w:LsdException Locked=\"false\" Priority=\"69\" Name=\"Medium Grid 3 Accent 2\"/>  <w:LsdException Locked=\"false\" Priority=\"70\" Name=\"Dark List Accent 2\"/>  <w:LsdException Locked=\"false\" Priority=\"71\" Name=\"Colorful Shading Accent 2\"/>  <w:LsdException Locked=\"false\" Priority=\"72\" Name=\"Colorful List Accent 2\"/>  <w:LsdException Locked=\"false\" Priority=\"73\" Name=\"Colorful Grid Accent 2\"/>  <w:LsdException Locked=\"false\" Priority=\"60\" Name=\"Light Shading Accent 3\"/>  <w:LsdException Locked=\"false\" Priority=\"61\" Name=\"Light List Accent 3\"/>  <w:LsdException Locked=\"false\" Priority=\"62\" Name=\"Light Grid Accent 3\"/>  <w:LsdException Locked=\"false\" Priority=\"63\" Name=\"Medium Shading 1 Accent 3\"/>  <w:LsdException Locked=\"false\" Priority=\"64\" Name=\"Medium Shading 2 Accent 3\"/>  <w:LsdException Locked=\"false\" Priority=\"65\" Name=\"Medium List 1 Accent 3\"/>  <w:LsdException Locked=\"false\" Priority=\"66\" Name=\"Medium List 2 Accent 3\"/>  <w:LsdException Locked=\"false\" Priority=\"67\" Name=\"Medium Grid 1 Accent 3\"/>  <w:LsdException Locked=\"false\" Priority=\"68\" Name=\"Medium Grid 2 Accent 3\"/>  <w:LsdException Locked=\"false\" Priority=\"69\" Name=\"Medium Grid 3 Accent 3\"/>  <w:LsdException Locked=\"false\" Priority=\"70\" Name=\"Dark List Accent 3\"/>  <w:LsdException Locked=\"false\" Priority=\"71\" Name=\"Colorful Shading Accent 3\"/>  <w:LsdException Locked=\"false\" Priority=\"72\" Name=\"Colorful List Accent 3\"/>  <w:LsdException Locked=\"false\" Priority=\"73\" Name=\"Colorful Grid Accent 3\"/>  <w:LsdException Locked=\"false\" Priority=\"60\" Name=\"Light Shading Accent 4\"/>  <w:LsdException Locked=\"false\" Priority=\"61\" Name=\"Light List Accent 4\"/>  <w:LsdException Locked=\"false\" Priority=\"62\" Name=\"Light Grid Accent 4\"/>  <w:LsdException Locked=\"false\" Priority=\"63\" Name=\"Medium Shading 1 Accent 4\"/>  <w:LsdException Locked=\"false\" Priority=\"64\" Name=\"Medium Shading 2 Accent 4\"/>  <w:LsdException Locked=\"false\" Priority=\"65\" Name=\"Medium List 1 Accent 4\"/>  <w:LsdException Locked=\"false\" Priority=\"66\" Name=\"Medium List 2 Accent 4\"/>  <w:LsdException Locked=\"false\" Priority=\"67\" Name=\"Medium Grid 1 Accent 4\"/>  <w:LsdException Locked=\"false\" Priority=\"68\" Name=\"Medium Grid 2 Accent 4\"/>  <w:LsdException Locked=\"false\" Priority=\"69\" Name=\"Medium Grid 3 Accent 4\"/>  <w:LsdException Locked=\"false\" Priority=\"70\" Name=\"Dark List Accent 4\"/>  <w:LsdException Locked=\"false\" Priority=\"71\" Name=\"Colorful Shading Accent 4\"/>  <w:LsdException Locked=\"false\" Priority=\"72\" Name=\"Colorful List Accent 4\"/>  <w:LsdException Locked=\"false\" Priority=\"73\" Name=\"Colorful Grid Accent 4\"/>  <w:LsdException Locked=\"false\" Priority=\"60\" Name=\"Light Shading Accent 5\"/>  <w:LsdException Locked=\"false\" Priority=\"61\" Name=\"Light List Accent 5\"/>  <w:LsdException Locked=\"false\" Priority=\"62\" Name=\"Light Grid Accent 5\"/>  <w:LsdException Locked=\"false\" Priority=\"63\" Name=\"Medium Shading 1 Accent 5\"/>  <w:LsdException Locked=\"false\" Priority=\"64\" Name=\"Medium Shading 2 Accent 5\"/>  <w:LsdException Locked=\"false\" Priority=\"65\" Name=\"Medium List 1 Accent 5\"/>  <w:LsdException Locked=\"false\" Priority=\"66\" Name=\"Medium List 2 Accent 5\"/>  <w:LsdException Locked=\"false\" Priority=\"67\" Name=\"Medium Grid 1 Accent 5\"/>  <w:LsdException Locked=\"false\" Priority=\"68\" Name=\"Medium Grid 2 Accent 5\"/>  <w:LsdException Locked=\"false\" Priority=\"69\" Name=\"Medium Grid 3 Accent 5\"/>  <w:LsdException Locked=\"false\" Priority=\"70\" Name=\"Dark List Accent 5\"/>  <w:LsdException Locked=\"false\" Priority=\"71\" Name=\"Colorful Shading Accent 5\"/>  <w:LsdException Locked=\"false\" Priority=\"72\" Name=\"Colorful List Accent 5\"/>  <w:LsdException Locked=\"false\" Priority=\"73\" Name=\"Colorful Grid Accent 5\"/>  <w:LsdException Locked=\"false\" Priority=\"60\" Name=\"Light Shading Accent 6\"/>  <w:LsdException Locked=\"false\" Priority=\"61\" Name=\"Light List Accent 6\"/>  <w:LsdException Locked=\"false\" Priority=\"62\" Name=\"Light Grid Accent 6\"/>  <w:LsdException Locked=\"false\" Priority=\"63\" Name=\"Medium Shading 1 Accent 6\"/>  <w:LsdException Locked=\"false\" Priority=\"64\" Name=\"Medium Shading 2 Accent 6\"/>  <w:LsdException Locked=\"false\" Priority=\"65\" Name=\"Medium List 1 Accent 6\"/>  <w:LsdException Locked=\"false\" Priority=\"66\" Name=\"Medium List 2 Accent 6\"/>  <w:LsdException Locked=\"false\" Priority=\"67\" Name=\"Medium Grid 1 Accent 6\"/>  <w:LsdException Locked=\"false\" Priority=\"68\" Name=\"Medium Grid 2 Accent 6\"/>  <w:LsdException Locked=\"false\" Priority=\"69\" Name=\"Medium Grid 3 Accent 6\"/>  <w:LsdException Locked=\"false\" Priority=\"70\" Name=\"Dark List Accent 6\"/>  <w:LsdException Locked=\"false\" Priority=\"71\" Name=\"Colorful Shading Accent 6\"/>  <w:LsdException Locked=\"false\" Priority=\"72\" Name=\"Colorful List Accent 6\"/>  <w:LsdException Locked=\"false\" Priority=\"73\" Name=\"Colorful Grid Accent 6\"/>  <w:LsdException Locked=\"false\" Priority=\"19\" QFormat=\"true\"   Name=\"Subtle Emphasis\"/>  <w:LsdException Locked=\"false\" Priority=\"21\" QFormat=\"true\"   Name=\"Intense Emphasis\"/>  <w:LsdException Locked=\"false\" Priority=\"31\" QFormat=\"true\"   Name=\"Subtle Reference\"/>  <w:LsdException Locked=\"false\" Priority=\"32\" QFormat=\"true\"   Name=\"Intense Reference\"/>  <w:LsdException Locked=\"false\" Priority=\"33\" QFormat=\"true\" Name=\"Book Title\"/>  <w:LsdException Locked=\"false\" Priority=\"37\" SemiHidden=\"true\"   UnhideWhenUsed=\"true\" Name=\"Bibliography\"/>  <w:LsdException Locked=\"false\" Priority=\"39\" SemiHidden=\"true\"   UnhideWhenUsed=\"true\" QFormat=\"true\" Name=\"TOC Heading\"/>  <w:LsdException Locked=\"false\" Priority=\"41\" Name=\"Plain Table 1\"/>  <w:LsdException Locked=\"false\" Priority=\"42\" Name=\"Plain Table 2\"/>  <w:LsdException Locked=\"false\" Priority=\"43\" Name=\"Plain Table 3\"/>  <w:LsdException Locked=\"false\" Priority=\"44\" Name=\"Plain Table 4\"/>  <w:LsdException Locked=\"false\" Priority=\"45\" Name=\"Plain Table 5\"/>  <w:LsdException Locked=\"false\" Priority=\"40\" Name=\"Grid Table Light\"/>  <w:LsdException Locked=\"false\" Priority=\"46\" Name=\"Grid Table 1 Light\"/>  <w:LsdException Locked=\"false\" Priority=\"47\" Name=\"Grid Table 2\"/>  <w:LsdException Locked=\"false\" Priority=\"48\" Name=\"Grid Table 3\"/>  <w:LsdException Locked=\"false\" Priority=\"49\" Name=\"Grid Table 4\"/>  <w:LsdException Locked=\"false\" Priority=\"50\" Name=\"Grid Table 5 Dark\"/>  <w:LsdException Locked=\"false\" Priority=\"51\" Name=\"Grid Table 6 Colorful\"/>  <w:LsdException Locked=\"false\" Priority=\"52\" Name=\"Grid Table 7 Colorful\"/>  <w:LsdException Locked=\"false\" Priority=\"46\"   Name=\"Grid Table 1 Light Accent 1\"/>  <w:LsdException Locked=\"false\" Priority=\"47\" Name=\"Grid Table 2 Accent 1\"/>  <w:LsdException Locked=\"false\" Priority=\"48\" Name=\"Grid Table 3 Accent 1\"/>  <w:LsdException Locked=\"false\" Priority=\"49\" Name=\"Grid Table 4 Accent 1\"/>  <w:LsdException Locked=\"false\" Priority=\"50\" Name=\"Grid Table 5 Dark Accent 1\"/>  <w:LsdException Locked=\"false\" Priority=\"51\"   Name=\"Grid Table 6 Colorful Accent 1\"/>  <w:LsdException Locked=\"false\" Priority=\"52\"   Name=\"Grid Table 7 Colorful Accent 1\"/>  <w:LsdException Locked=\"false\" Priority=\"46\"   Name=\"Grid Table 1 Light Accent 2\"/>  <w:LsdException Locked=\"false\" Priority=\"47\" Name=\"Grid Table 2 Accent 2\"/>  <w:LsdException Locked=\"false\" Priority=\"48\" Name=\"Grid Table 3 Accent 2\"/>  <w:LsdException Locked=\"false\" Priority=\"49\" Name=\"Grid Table 4 Accent 2\"/>  <w:LsdException Locked=\"false\" Priority=\"50\" Name=\"Grid Table 5 Dark Accent 2\"/>  <w:LsdException Locked=\"false\" Priority=\"51\"   Name=\"Grid Table 6 Colorful Accent 2\"/>  <w:LsdException Locked=\"false\" Priority=\"52\"   Name=\"Grid Table 7 Colorful Accent 2\"/>  <w:LsdException Locked=\"false\" Priority=\"46\"   Name=\"Grid Table 1 Light Accent 3\"/>  <w:LsdException Locked=\"false\" Priority=\"47\" Name=\"Grid Table 2 Accent 3\"/>  <w:LsdException Locked=\"false\" Priority=\"48\" Name=\"Grid Table 3 Accent 3\"/>  <w:LsdException Locked=\"false\" Priority=\"49\" Name=\"Grid Table 4 Accent 3\"/>  <w:LsdException Locked=\"false\" Priority=\"50\" Name=\"Grid Table 5 Dark Accent 3\"/>  <w:LsdException Locked=\"false\" Priority=\"51\"   Name=\"Grid Table 6 Colorful Accent 3\"/>  <w:LsdException Locked=\"false\" Priority=\"52\"   Name=\"Grid Table 7 Colorful Accent 3\"/>  <w:LsdException Locked=\"false\" Priority=\"46\"   Name=\"Grid Table 1 Light Accent 4\"/>  <w:LsdException Locked=\"false\" Priority=\"47\" Name=\"Grid Table 2 Accent 4\"/>  <w:LsdException Locked=\"false\" Priority=\"48\" Name=\"Grid Table 3 Accent 4\"/>  <w:LsdException Locked=\"false\" Priority=\"49\" Name=\"Grid Table 4 Accent 4\"/>  <w:LsdException Locked=\"false\" Priority=\"50\" Name=\"Grid Table 5 Dark Accent 4\"/>  <w:LsdException Locked=\"false\" Priority=\"51\"   Name=\"Grid Table 6 Colorful Accent 4\"/>  <w:LsdException 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Name=\"Grid Table 4 Accent 6\"/>  <w:LsdException Locked=\"false\" Priority=\"50\" Name=\"Grid Table 5 Dark Accent 6\"/>  <w:LsdException Locked=\"false\" Priority=\"51\"   Name=\"Grid Table 6 Colorful Accent 6\"/>  <w:LsdException Locked=\"false\" Priority=\"52\"   Name=\"Grid Table 7 Colorful Accent 6\"/>  <w:LsdException Locked=\"false\" Priority=\"46\" Name=\"List Table 1 Light\"/>  <w:LsdException Locked=\"false\" Priority=\"47\" Name=\"List Table 2\"/>  <w:LsdException Locked=\"false\" Priority=\"48\" Name=\"List Table 3\"/>  <w:LsdException Locked=\"false\" Priority=\"49\" Name=\"List Table 4\"/>  <w:LsdException Locked=\"false\" Priority=\"50\" Name=\"List Table 5 Dark\"/>  <w:LsdException Locked=\"false\" Priority=\"51\" Name=\"List Table 6 Colorful\"/>  <w:LsdException Locked=\"false\" Priority=\"52\" Name=\"List Table 7 Colorful\"/>  <w:LsdException Locked=\"false\" Priority=\"46\"   Name=\"List Table 1 Light Accent 1\"/>  <w:LsdException Locked=\"false\" Priority=\"47\" 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5.4pt;&nbsp;&nbsp;&nbsp;&nbsp;mso-para-margin-top:0in;&nbsp;&nbsp;&nbsp;&nbsp;mso-para-margin-right:0in;&nbsp;&nbsp;&nbsp;&nbsp;mso-para-margin-bottom:8.0pt;&nbsp;&nbsp;&nbsp;&nbsp;mso-para-margin-left:0in;&nbsp;&nbsp;&nbsp;&nbsp;line-height:115%;&nbsp;&nbsp;&nbsp;&nbsp;mso-pagination:widow-orphan;&nbsp;&nbsp;&nbsp;&nbsp;font-size:12.0pt;&nbsp;&nbsp;&nbsp;&nbsp;font-family:\"Aptos\",sans-serif;&nbsp;&nbsp;&nbsp;&nbsp;mso-ascii-font-family:Aptos;&nbsp;&nbsp;&nbsp;&nbsp;mso-ascii-theme-font:minor-latin;&nbsp;&nbsp;&nbsp;&nbsp;mso-hansi-font-family:Aptos;&nbsp;&nbsp;&nbsp;&nbsp;mso-hansi-theme-font:minor-latin;&nbsp;&nbsp;&nbsp;&nbsp;mso-font-kerning:1.0pt;&nbsp;&nbsp;&nbsp;&nbsp;mso-ligatures:standardcontextual;}</style><![endif]--><!--StartFragment--><span style=\"font-family: tahoma,sans-serif;\"><br></span></div><p style='margin-top:0in;margin-right:0in;margin-bottom:8.0pt;margin-left:0in;line-height:115%;font-size:16px;font-family:\"Aptos\",sans-serif;' data-pasted=\"true\"><strong>SCCMHA JOB VACANCY ANNOUNCEMENT&nbsp;</strong></p><p style='margin-top:0in;margin-right:0in;margin-bottom:8.0pt;margin-left:0in;line-height:115%;font-size:16px;font-family:\"Aptos\",sans-serif;'><strong>Care Management Specialist</strong></p><p style='margin-top:0in;margin-right:0in;margin-bottom:8.0pt;margin-left:0in;line-height:115%;font-size:16px;font-family:\"Aptos\",sans-serif;'><strong>Pay Range: $69,328.99 - $86,426.61 annually</strong></p><p style='margin-top:0in;margin-right:0in;margin-bottom:8.0pt;margin-left:0in;line-height:115%;font-size:16px;font-family:\"Aptos\",sans-serif;'><strong><strong data-pasted=\"true\" style='box-sizing: border-box; --tw-shadow: 0 0 #0000; --tw-ring-inset: ; --tw-ring-offset-width: 0px; --tw-ring-offset-color: #fff; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-shadow: 0 0 #0000; font-weight: 700; color: rgb(38, 35, 33); font-family: Circular, -apple-system, BlinkMacSystemFont, \"Segoe UI\", Roboto, Oxygen, Ubuntu, Cantarell, \"Fira Sans\", \"Droid Sans\", \"Helvetica Neue\", sans-serif; font-size: 16px; font-style: normal; font-variant-ligatures: normal; font-variant-caps: normal; letter-spacing: normal; orphans: 2; text-align: start; text-indent: 0px; text-transform: none; widows: 2; word-spacing: 0px; -webkit-text-stroke-width: 0px; white-space: normal; background-color: rgb(255, 255, 255); text-decoration-thickness: initial; text-decoration-style: initial; text-decoration-color: initial;'><span style=\"box-sizing: border-box; --tw-shadow: 0 0 #0000; --tw-ring-inset: ; --tw-ring-offset-width: 0px; --tw-ring-offset-color: #fff; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-shadow: 0 0 #0000; font-size: 18px;\">$6,000 Recruitment Bonus for Clinical Master level new hires!! ($2,000 paid at start, $2,000 paid after 3 months, and $2,000 paid after successful probation period.)</span></strong></strong></p><p style='margin-top:0in;margin-right:0in;margin-bottom:8.0pt;margin-left:0in;line-height:115%;font-size:16px;font-family:\"Aptos\",sans-serif;'><br></p><p style='margin-top:0in;margin-right:0in;margin-bottom:8.0pt;margin-left:0in;line-height:115%;font-size:16px;font-family:\"Aptos\",sans-serif;'><strong>GENERAL STATEMENT OF DUTIES</strong></p><p style='margin-top:0in;margin-right:0in;margin-bottom:8.0pt;margin-left:0in;line-height:115%;font-size:16px;font-family:\"Aptos\",sans-serif;'>Under supervision of the Manager of Utilization and Care Authorization, monitors appropriate uses of Saginaw County Community Mental Health Authority (SCCMHA) resources for treatment and support of individual episodes of care, coordination of care and adequacy of supports and services to sustain outcomes. This position uses best practice that are derived from scientific evidence to bring together Behavioral Healthcare (BH) and Substance Use Disorder (SUD) resources from across the continuum of care in the most appropriate, effective, and efficient manner to the consumer specific duties within utilization review. Utilization review may be assigned within individual staff scope of practice and target population expertise. Providing overall coordination of behavioral healthcare and/or substance use disorder planning, service delivery leadership, and integration facilitation throughout the SCCMHA network (including assessment, person centered planning, prevention, treatment, and recovery as it relates to MI CMS Certified Community Behavioral Health Center (CCBHC) Demonstration handbook. Ensures that SCCMHA meets compliance obligations in all BH and SUD areas. Provides key local community, regional PIHP, and State linkages as appropriate for the scope of BH and SUD programs and policies for SCCMHA, including reporting, ongoing education/training, development, and evaluation purposes. Performs responsibilities and tasks with a demeanor and attitude that promotes goodwill, builds positive relationships, communicates respect for human dignity and contributes positively to the mission and values of SCCMHA. This position will be knowledgeable about and actively support culturally competent recovery-based practices; person centered planning as a shared decision-making process with the individual, who defines his/her life goals and is assisted in developing a unique path toward those goals; and a trauma informed culture of safety to aid consumer in the recovery process.</p><p style='margin-top:0in;margin-right:0in;margin-bottom:8.0pt;margin-left:0in;line-height:115%;font-size:16px;font-family:\"Aptos\",sans-serif;'><br></p><p style='margin-top:0in;margin-right:0in;margin-bottom:8.0pt;margin-left:0in;line-height:115%;font-size:16px;font-family:\"Aptos\",sans-serif;'><strong>ESSENTIAL DUTIES AND RESPONSIBLITIES:</strong></p><p style='margin-top:0in;margin-right:0in;margin-bottom:8.0pt;margin-left:0in;line-height:115%;font-size:16px;font-family:\"Aptos\",sans-serif;'>1. Provides preauthorization of services based on review of assessments and the medical record for evidence of medical necessity and within the definition of the benefit. Acts on behalf of the client to assure that necessary clinical services are received, and that progress is being made.</p><p style='margin-top:0in;margin-right:0in;margin-bottom:8.0pt;margin-left:0in;line-height:115%;font-size:16px;font-family:\"Aptos\",sans-serif;'>2. Works closely with the Central Access and Intake unit to facilitate eligibility assessment, referral options, and primary team assignment for new consumers.</p><p style='margin-top:0in;margin-right:0in;margin-bottom:8.0pt;margin-left:0in;line-height:115%;font-size:16px;font-family:\"Aptos\",sans-serif;'>3. Reviews level of functioning assessments including CAFAS, LOCUS, PECFAS, ASAM and others as implemented by SCCMHA and decides on appropriate level of care placement BH and SUD treatment services.</p><p style='margin-top:0in;margin-right:0in;margin-bottom:8.0pt;margin-left:0in;line-height:115%;font-size:16px;font-family:\"Aptos\",sans-serif;'>4. Manages a large utilization review caseload for service authorization requests received from multiple assigned primary teams with annual rotation of teams&rsquo; assignments by Manager of Utilization and Care Authorization.</p><p style='margin-top:0in;margin-right:0in;margin-bottom:8.0pt;margin-left:0in;line-height:115%;font-size:16px;font-family:\"Aptos\",sans-serif;'>5. Manages as assigned primary record holder a small outgoing County of Financial Responsibility (COFR) service delivery caseload for consumers who reside outside of Saginaw County.</p><p style='margin-top:0in;margin-right:0in;margin-bottom:8.0pt;margin-left:0in;line-height:115%;font-size:16px;font-family:\"Aptos\",sans-serif;'>6. Works in multiple electronic health record systems with the ability to ensure data integrity and accurate data interface between systems.</p><p style='margin-top:0in;margin-right:0in;margin-bottom:8.0pt;margin-left:0in;line-height:115%;font-size:16px;font-family:\"Aptos\",sans-serif;'>7. Provides concurrent review of community-based services and works as a team member with utilization management tasks related to management of the benefit. These services include, but are not limited to, assessment, care planning, education, referral, advocacy, monitoring, and periodic reassessment. Episodes of care may be selected for sample review or flagged for review due to under or over utilization or due to inadequate documentation in the person-centered plan and supporting assessments. Concurrent review of services includes review of assessment and plan for concurrence with Protocols, consultation with primary care provider and/or consumer, and may include written recommendations to the provider and consumer incorporating suggestions for modifications to the consumer&#39;s plan.</p><p style='margin-top:0in;margin-right:0in;margin-bottom:8.0pt;margin-left:0in;line-height:115%;font-size:16px;font-family:\"Aptos\",sans-serif;'>8. Through concurrent review and provider profile review, may recommend based on care management performance indicators, the denial of authorization or reauthorization of service or may suggest reduction in the quantity or duration of services. If reduction or denial of service is recommended, will prepare and/or present the proposed reduction or denial in the multidisciplinary Care Conference Review Committee. If denial or reduction of service is supported in conference, will ensure due process of Adequate or Advanced notice to the consumer/guardian.</p><p style='margin-top:0in;margin-right:0in;margin-bottom:8.0pt;margin-left:0in;line-height:115%;font-size:16px;font-family:\"Aptos\",sans-serif;'>9. Prepare written justification of denial with suggestions for alternative resources when denying services through preauthorization review or concurrent utilization review documentation.</p><p style='margin-top:0in;margin-right:0in;margin-bottom:8.0pt;margin-left:0in;line-height:115%;font-size:16px;font-family:\"Aptos\",sans-serif;'>10. May issue recommendation for provider restitution of payments if documentation of eligibility is not complete or adequate to support eligibility certification in the medical record.</p><p style='margin-top:0in;margin-right:0in;margin-bottom:8.0pt;margin-left:0in;line-height:115%;font-size:16px;font-family:\"Aptos\",sans-serif;'>11. Prepares individual utilization profile analysis reports and makes recommendations for primary care providers. Profile preparation includes data analysis, record review and written analysis and recommendations.</p><p style='margin-top:0in;margin-right:0in;margin-bottom:8.0pt;margin-left:0in;line-height:115%;font-size:16px;font-family:\"Aptos\",sans-serif;'>12. Conduct provider training in Care Management Policies and procedures, eligibility assessment criteria, severity of illness/intensity of service requirements, coordination of care standards, service protocols and utilization management performance indicators. Training may also be provided to other groups including Citizens Advisory Committee, community groups and others as requested by the Chief of Network Business Operations. The role of these trainings will be to reduce the incidence of denial or reduction of service decisions.</p><p style='margin-top:0in;margin-right:0in;margin-bottom:8.0pt;margin-left:0in;line-height:115%;font-size:16px;font-family:\"Aptos\",sans-serif;'>13. May recommend SUD integration policy, practice or procedural changes or new practices for SCCMHA consideration.</p><p style='margin-top:0in;margin-right:0in;margin-bottom:8.0pt;margin-left:0in;line-height:115%;font-size:16px;font-family:\"Aptos\",sans-serif;'>14. Participates in process improvement committees as assigned, including preparation of summaries of findings for review by supervisory staff.</p><p style='margin-top:0in;margin-right:0in;margin-bottom:8.0pt;margin-left:0in;line-height:115%;font-size:16px;font-family:\"Aptos\",sans-serif;'>15. Is responsible for accurate and timely codification and entry of data and writing of reports, communication of decisions to providers and consumers.</p><p style='margin-top:0in;margin-right:0in;margin-bottom:8.0pt;margin-left:0in;line-height:115%;font-size:16px;font-family:\"Aptos\",sans-serif;'>16. Serves as population expert for all BH and SUD services, programs, providers, and requirements.</p><p style='margin-top:0in;margin-right:0in;margin-bottom:8.0pt;margin-left:0in;line-height:115%;font-size:16px;font-family:\"Aptos\",sans-serif;'>17. Represents SCCMHA in treatment and prevention settings.</p><p style='margin-top:0in;margin-right:0in;margin-bottom:8.0pt;margin-left:0in;line-height:115%;font-size:16px;font-family:\"Aptos\",sans-serif;'>18. Provides leadership coordination and consultation within the SCCMHA network and community for BH and SUD services.</p><p style='margin-top:0in;margin-right:0in;margin-bottom:8.0pt;margin-left:0in;line-height:115%;font-size:16px;font-family:\"Aptos\",sans-serif;'>19. Promotes service integration for persons with SUD disorders within mental health systems, including primary care providers.</p><p style='margin-top:0in;margin-right:0in;margin-bottom:8.0pt;margin-left:0in;line-height:115%;font-size:16px;font-family:\"Aptos\",sans-serif;'><br></p><p style='margin-top:0in;margin-right:0in;margin-bottom:8.0pt;margin-left:0in;line-height:115%;font-size:16px;font-family:\"Aptos\",sans-serif;'><strong>INCIDENTAL DUTIES AND RESPONSIBILITES:</strong></p><p style='margin-top:0in;margin-right:0in;margin-bottom:8.0pt;margin-left:0in;line-height:115%;font-size:16px;font-family:\"Aptos\",sans-serif;'>1. Works closely with and coordinates efforts with those of information systems, operations, provider network, and administrative staff.</p><p style='margin-top:0in;margin-right:0in;margin-bottom:8.0pt;margin-left:0in;line-height:115%;font-size:16px;font-family:\"Aptos\",sans-serif;'>2. May attend meetings; make presentations to groups and/or in-service personnel or provider network.</p><p style='margin-top:0in;margin-right:0in;margin-bottom:8.0pt;margin-left:0in;line-height:115%;font-size:16px;font-family:\"Aptos\",sans-serif;'>3. May attend workshops, seminars, or meetings, read journals, periodicals, and research subjects on the Internet to maintain professional proficiency and disseminate information.</p><p style='margin-top:0in;margin-right:0in;margin-bottom:8.0pt;margin-left:0in;line-height:115%;font-size:16px;font-family:\"Aptos\",sans-serif;'>4. Must react productively to change and handle other essential tasks as assigned.</p><p style='margin-top:0in;margin-right:0in;margin-bottom:8.0pt;margin-left:0in;line-height:115%;font-size:16px;font-family:\"Aptos\",sans-serif;'>5. Required to drive to off-site locations as needed.</p><p style='margin-top:0in;margin-right:0in;margin-bottom:8.0pt;margin-left:0in;line-height:115%;font-size:16px;font-family:\"Aptos\",sans-serif;'><br></p><p style='margin-top:0in;margin-right:0in;margin-bottom:8.0pt;margin-left:0in;line-height:115%;font-size:16px;font-family:\"Aptos\",sans-serif;'>(The above statements are intended to describe the general nature and level of work being performed by people assigned to this classification. They are not intended to be construed as an exhaustive list of all duties and responsibilities required of personnel so classified.)</p><p style='margin-top:0in;margin-right:0in;margin-bottom:8.0pt;margin-left:0in;line-height:115%;font-size:16px;font-family:\"Aptos\",sans-serif;'><br></p><p style='margin-top:0in;margin-right:0in;margin-bottom:8.0pt;margin-left:0in;line-height:115%;font-size:16px;font-family:\"Aptos\",sans-serif;'><strong>REPORTING RELATIONSHIPS:</strong></p><p style='margin-top:0in;margin-right:0in;margin-bottom:8.0pt;margin-left:0in;line-height:115%;font-size:16px;font-family:\"Aptos\",sans-serif;'><strong>Reports to:</strong> Manager of Utilization and Care Authorization</p><p style='margin-top:0in;margin-right:0in;margin-bottom:8.0pt;margin-left:0in;line-height:115%;font-size:16px;font-family:\"Aptos\",sans-serif;'><strong>Supervises: None</strong></p><p style='margin-top:0in;margin-right:0in;margin-bottom:8.0pt;margin-left:0in;line-height:115%;font-size:16px;font-family:\"Aptos\",sans-serif;'><strong>&nbsp;</strong></p><p style='margin-top:0in;margin-right:0in;margin-bottom:8.0pt;margin-left:0in;line-height:115%;font-size:16px;font-family:\"Aptos\",sans-serif;'><strong>WORKING CONDITIONS/ENVIRONMENT:</strong></p><p style='margin-top:0in;margin-right:0in;margin-bottom:8.0pt;margin-left:0in;line-height:115%;font-size:16px;font-family:\"Aptos\",sans-serif;'>Works in an office environment with normal time constraints and pressures. Uses a workstation, keyboard and views a computer screen for long periods, uses telephone and headset. May involve travel to multiple service locations.</p><p style='margin-top:0in;margin-right:0in;margin-bottom:8.0pt;margin-left:0in;line-height:115%;font-size:16px;font-family:\"Aptos\",sans-serif;'><strong>&nbsp;</strong></p><p style='margin-top:0in;margin-right:0in;margin-bottom:8.0pt;margin-left:0in;line-height:115%;font-size:16px;font-family:\"Aptos\",sans-serif;'><strong>QUALIFICATIONS:</strong></p><p style='margin-top:0in;margin-right:0in;margin-bottom:8.0pt;margin-left:0in;line-height:115%;font-size:16px;font-family:\"Aptos\",sans-serif;'><strong>Education:&nbsp;</strong>Master&rsquo;s degree in a mental health related field from an accredited school required.</p><p style='margin-top:0in;margin-right:0in;margin-bottom:8.0pt;margin-left:0in;line-height:115%;font-size:16px;font-family:\"Aptos\",sans-serif;'><strong>Experience:</strong> A minimum of five (5) years progressive experience in preferably diverse treatment settings including: psychiatric inpatient, SUD outpatient, managed care, and case management. Consideration of experience and scope of practice will be uniquely considered for each team vacancy as the agency requires a team which enables us to manage a wide range of special needs populations (developmental disabilities, substance use disorder, VA, children, mentally ill and medical health specifically in a hospital setting and/or medical clinic.) and determined in interviews, with depth and range given more preference.</p><p style='margin-top:0in;margin-right:0in;margin-bottom:8.0pt;margin-left:0in;line-height:115%;font-size:16px;font-family:\"Aptos\",sans-serif;'><strong>Licenses and Certifications:</strong> Valid Michigan Driver&rsquo;s license with a good driving record. Must be able to apply and obtain a limited licensed master&rsquo;s social worker (LLMSW), licensed master&rsquo;s social worker (LMSW), limited licensed professional counselor (LLPC), licensed professional counselor (LPC), limited licensed marriage and family therapist (LLMFT), licensed marriage and family therapist (LMFT), limited licensed psychologist (LLP) and licensed psychologist (LP). Must have or obtain a certification in substance use treatment specialist area. CADC, CAADC</p><p style='margin-top:0in;margin-right:0in;margin-bottom:8.0pt;margin-left:0in;line-height:115%;font-size:16px;font-family:\"Aptos\",sans-serif;'><br></p><p style='margin-top:0in;margin-right:0in;margin-bottom:8.0pt;margin-left:0in;line-height:115%;font-size:16px;font-family:\"Aptos\",sans-serif;'><strong>Knowledge, Skills, and Abilities:</strong></p><p style='margin-top:0in;margin-right:0in;margin-bottom:8.0pt;margin-left:0in;line-height:115%;font-size:16px;font-family:\"Aptos\",sans-serif;'>1. Demonstrated competency in scope of practice as social worker, Substance Use Counselor.</p><p style='margin-top:0in;margin-right:0in;margin-bottom:8.0pt;margin-left:0in;line-height:115%;font-size:16px;font-family:\"Aptos\",sans-serif;'>2. Possess knowledge of BH and SUD benefits.</p><p style='margin-top:0in;margin-right:0in;margin-bottom:8.0pt;margin-left:0in;line-height:115%;font-size:16px;font-family:\"Aptos\",sans-serif;'>3. Professional level verbal and written communication skills.</p><p style='margin-top:0in;margin-right:0in;margin-bottom:8.0pt;margin-left:0in;line-height:115%;font-size:16px;font-family:\"Aptos\",sans-serif;'>4. Ability to produce accurate and comprehensive work products with minimal direction.</p><p style='margin-top:0in;margin-right:0in;margin-bottom:8.0pt;margin-left:0in;line-height:115%;font-size:16px;font-family:\"Aptos\",sans-serif;'>5. Ability to exercise mature judgment and maintain strict confidentiality.</p><p style='margin-top:0in;margin-right:0in;margin-bottom:8.0pt;margin-left:0in;line-height:115%;font-size:16px;font-family:\"Aptos\",sans-serif;'>6. Ability to maintain favorable interpersonal working relationships and positive public relations.</p><p style='margin-top:0in;margin-right:0in;margin-bottom:8.0pt;margin-left:0in;line-height:115%;font-size:16px;font-family:\"Aptos\",sans-serif;'>7. Ability to plan and organize work, perform tasks consistently and adhere to priorities.</p><p style='margin-top:0in;margin-right:0in;margin-bottom:8.0pt;margin-left:0in;line-height:115%;font-size:16px;font-family:\"Aptos\",sans-serif;'>8. Ability to provide small group leadership.</p><p style='margin-top:0in;margin-right:0in;margin-bottom:8.0pt;margin-left:0in;line-height:115%;font-size:16px;font-family:\"Aptos\",sans-serif;'>9. Ability to assess and diagnosis chemical dependency. Knowledge of chemical dependency, ASAM and mental health best practice.</p><p style='margin-top:0in;margin-right:0in;margin-bottom:8.0pt;margin-left:0in;line-height:115%;font-size:16px;font-family:\"Aptos\",sans-serif;'>10. Problem solving and mediation abilities.</p><p style='margin-top:0in;margin-right:0in;margin-bottom:8.0pt;margin-left:0in;line-height:115%;font-size:16px;font-family:\"Aptos\",sans-serif;'><br></p><p style='margin-top:0in;margin-right:0in;margin-bottom:8.0pt;margin-left:0in;line-height:115%;font-size:16px;font-family:\"Aptos\",sans-serif;'><strong>Physical/Mental Requirements:</strong></p><p style='margin-top:0in;margin-right:0in;margin-bottom:8.0pt;margin-left:0in;line-height:115%;font-size:16px;font-family:\"Aptos\",sans-serif;'>1. Hearing acuity to converse in person and on telephone.</p><p style='margin-top:0in;margin-right:0in;margin-bottom:8.0pt;margin-left:0in;line-height:115%;font-size:16px;font-family:\"Aptos\",sans-serif;'>2. Ability to walk, stand or sit for extended periods of time.</p><p style='margin-top:0in;margin-right:0in;margin-bottom:8.0pt;margin-left:0in;line-height:115%;font-size:16px;font-family:\"Aptos\",sans-serif;'>3. Manual dexterity to write and to operate standard office equipment (PC, Keyboard, Copy Machine, Fax Machine, etc.)</p><p style='margin-top:0in;margin-right:0in;margin-bottom:8.0pt;margin-left:0in;line-height:115%;font-size:16px;font-family:\"Aptos\",sans-serif;'>4. Ability to lift and carry files and supplies at least 20 pounds.</p><p style='margin-top:0in;margin-right:0in;margin-bottom:8.0pt;margin-left:0in;line-height:115%;font-size:16px;font-family:\"Aptos\",sans-serif;'>5. Strong interpersonal skills to interact with varied community representative and leadership, parolees and the general public.</p><p style='margin-top:0in;margin-right:0in;margin-bottom:8.0pt;margin-left:0in;line-height:115%;font-size:16px;font-family:\"Aptos\",sans-serif;'>6. Analytical skills necessary to conduct research, analyze, and interpret complex data and identify and solve problems by proposing courses of action.</p><p style='margin-top:0in;margin-right:0in;margin-bottom:8.0pt;margin-left:0in;line-height:115%;font-size:16px;font-family:\"Aptos\",sans-serif;'>7. Ability to plan short and long range and to manage and schedule time.</p><p style='margin-top:0in;margin-right:0in;margin-bottom:8.0pt;margin-left:0in;line-height:115%;font-size:16px;font-family:\"Aptos\",sans-serif;'>8. Ability to handle stress in meeting deadlines and dealing with large numbers</p><p style='margin-top:0in;margin-right:0in;margin-bottom:8.0pt;margin-left:0in;line-height:115%;font-size:16px;font-family:\"Aptos\",sans-serif;'><br></p><p style='margin-top:0in;margin-right:0in;margin-bottom:8.0pt;margin-left:0in;line-height:115%;font-size:16px;font-family:\"Aptos\",sans-serif;'>(Listed qualifications are for guidance in filling this position. Any combination of education and experience that provides the necessary knowledge, skills, and abilities will be considered; however, mandatory licensing or certification requirements cannot be waived. Physical/mental requirements cannot be waived unless specifically indicated.)</p><div><span style=\"font-size: 18px;\" data-pasted=\"true\"><span style=\"font-family: tahoma,sans-serif;\"><span style=\"font-size: 18px;\" data-pasted=\"true\"><span style=\"font-family: tahoma,sans-serif;\">#IH</span></span></span></span></div></div></div></div></div></div></div></div></div></div></div>\n",
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