CLINICAL PROGRAM MANAGER

About the role

Michael’s House is 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.

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.

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

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 programming 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 care as needed
• Identify opportunities for improvement within the facility, leading and participating in change initiatives
• Supervise, manage and evaluate staff
• Complete continued stay reviews with external review agencies as indicated
• 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
• Advocate on behalf of patients and facility
• Prioritize and coordinate daily UM workload, ensure appropriate staffing levels, and cover 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, write appeal letters, and process 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

Qualifications

• 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

Benefits

• Competitive compensation
• Generous Paid Time Off
• 401K with company match and discounted stock plan
• Excellent Medical, Dental, Vision, and Prescription Drug Plan

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.