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Responsibilities About Michael’s House: We are dedicated to providing comprehensive, evidence-based, integrated treatment that addresses both addiction and co-occurring mental health issues. Our focus on professionalism, clear communication, and accuracy lets our treatment teams connect daily about each patient’s needs. We prioritize social and life skills development as well as health, wellness, and holistic approaches to recovery. Our system of care offers comprehensive, integrated inpatient treatment with individually tailored plans to address addiction and mental health issues in a supportive atmosphere. The integrated and holistic approach to our inpatient treatment includes group, individual therapy, psychiatric, medical follow-up, as well as trauma resolution. Our patient-centered care and emphasis on education sets us apart from others in the industry. If you have a passion for helping others, find hope and healing, we want to hear from you! You can expect our employees to: Prioritize patient well-being Be open, honest, and empathetic Be committed to patient-centered care Be supportive, compassionate, and respectful Be focused on patient recovery mindset Thrive on working collaboratively with others Additionally, we will provide: Competitive compensation Generous Paid Time Off 401K with company match and discounted stock plan Excellent Medical, Dental, Vision, and Prescription Drug Plan, etc. We are seeking: An experienced and compassionate Clinical Program Manager to lead our outpatient team in providing individualized care for our patients experiencing addiction and co-occurring mental health conditions. We’re looking for a collaborative leader who supports and develops clinicians, builds trust with clients and families, and promotes evidence-based treatment in a welcoming, recovery-focused environment. Qualifications Essential Duties and Responsibilities Create and manage operational workflows within Clinical Services and across the facility, overseeing day to day operations Provide training and monitor competencies for clinical skill within Clinical Services Ensure clinically appropriate programing and patient interactions are in place and are being followed within the clinic and across departments Meet with patients, stakeholders, and family members to resolve issues and provide direct patient as needed Identify opportunities for improvement within the facility, leading and participating in change initiatives Supervise, manage and evaluate: Complete continued stay reviews with external review agencies as indicate Maintain Utilization Management files and logs in a neat, accurate, and orderly form Provide feedback to clinical team regarding documentation, medical necessity criteria and patients’ benefits Provide timely notification of denials and accurate MIDAS entries/reports Advocates on behalf of patients and facility Prioritize and coordinate daily UM workload, ensure appropriate staffing levels, and covers caseloads of staff as needed Complete continued stay reviews as needed Review all cases for days that were not authorized to determine appeal options Conduct routine chart audits or as indicated Collaborate with the Business Office to coordinate appeals process, writes appeal letters, and processes appeals in timely manner Provide documentation training to new employees or current employees on as needed basis Promote a positive work environment, encourage staff development, provide timely and meaningful recognition that promotes job satisfaction and retention Understand and adhere to the facility’s Professional Boundary standards and policy Meet all annual competency requirements as assigned Other duties as assigned Education and Experience Master’s degree in psychology, MFT, social work, or related field preferred. Minimum of 1-3 years’ experience working in a substance dual diagnosis facility with client contact. Minimum 1-3 years’ experience working in a managed care position. Minimum State of California licensure as LPC, LMFT, LCSW, LLMSW, or Registered Nurse About Universal Health Services One of the nation’s largest and most respected providers of hospital and healthcare services, Universal Health Services, Inc. (UHS) has built an impressive record of achievement and performance. Growing steadily since its inception into an esteemed Fortune 500 corporation, annual revenues were $13.4 billion in 2022. During the year, UHS was again recognized as one of the World’s Most Admired Companies by Fortune; and listed in Forbes ranking of America’s Largest Public Companies. Headquartered in King of Prussia, PA, UHS has approximately 94,000 employees and continues to grow through its subsidiaries. Operating acute care hospitals, behavioral health facilities, outpatient facilities and ambulatory care access points, an insurance offering, a physician network and various related services located all over the U.S. states, Washington, D.C., Puerto Rico and the United Kingdom. www.uhs.com. EEO Statement All UHS subsidiaries are committed to providing an environment of mutual respect where equal employment opportunities are available to all applicants and teammates. UHS subsidiaries are equal opportunity employers and as such, openly support and fully commit to recruitment, selection, placement, promotion and compensation of individuals without regard to race, color, religion, age, sex (including pregnancy, gender identity, and sexual orientation), genetic information, national origin, disability status, protected veteran status or any other characteristic protected by federal, state or local laws. We believe that diversity and inclusion among our teammates is critical to our success. Avoid and Report Recruitment Scams At UHS and all our subsidiaries, our Human Resources departments and recruiters are here to help prospective candidates by matching skill set and experience with the best possible career path at UHS and our subsidiaries. During the recruitment process, no recruiter or employee will request financial or personal information (e.g., Social Security Number, credit card or bank information, etc.) from you via email. Our recruiters will not email you from a public webmail client like Hotmail, Gmail, Yahoo Mail, etc. If you suspect a fraudulent job posting or job-related email mentioning UHS or its subsidiaries, we encourage you to report such concerns to appropriate law enforcement. We encourage you to refer to legitimate UHS and UHS subsidiary career websites to verify job opportunities and not rely on unsolicited calls from recruiters.
