MH/SU UM Clinician

About the role

The MH/SU UM Clinician is responsible for providing comprehensive clinical review of services requests for people who experience psychiatric symptoms related to mental health issues and/or co-occurring or co-morbid conditions or symptoms or addictions to substances and/or developmental disabilities.

Responsibilities

• Provide clinical review of services for members or enrollees with mental health, substance use, and/or developmental disabilities including diagnosis review, medical necessity criteria, determining member eligibility; level of care needed and making service authorization decisions regarding individual service authorizations with timely, clear, concise documentation.
• Provide clinical triage for members seeking services through Screening, Triage and Referral.
• Provide consultation and technical assistance to providers regarding clinical care needs, levels of care, Client Rights Rules, evidenced based practices, scope of practice issues etc.
• Provide ongoing review/staffing/consultation of treatment documentation of needs for members participating in group, family or individual services.

Requirements

Trillium Health Resources is seeking a MH/SU UM Clinician who can provide comprehensive clinical review of services requests for people experiencing psychiatric symptoms related to mental health issues and/or co-occurring or co-morbid conditions or symptoms or addictions to substances and/or developmental disabilities. Candidates should have:

• A Master’s degree in a related field such as Psychology, Social Work, Counseling, or Psychiatry.
• Experience in providing clinical services to individuals with mental health, substance use, and/or developmental disabilities.
• Knowledge of medical necessity criteria and eligibility determinations.
• Ability to make timely, clear, and concise documentation of service authorizations.
• Experience in providing consultation and technical assistance to providers.
• Proficiency in reviewing and consulting treatment documentation.

Qualifications

To be considered for this position, candidates must have:

• A Master’s degree in a related field such as Psychology, Social Work, Counseling, or Psychiatry.
• At least 2 years of experience in providing clinical services to individuals with mental health, substance use, and/or developmental disabilities.
• Experience in making timely, clear, and concise documentation of service authorizations.
• Experience in providing consultation and technical assistance to providers.
• Experience in reviewing and consulting treatment documentation.

Skills

Essential skills for this role include:

• Strong clinical judgment and decision-making skills.
• Excellent communication and interpersonal skills.
• Ability to work independently and as part of a team.
• Knowledge of evidence-based practices and Client Rights Rules.
• Proficiency in using electronic health records and other relevant software.

Benefits

Trillium Health Resources offers a competitive benefits package that includes:

• Typical working hours: 8:30 am - 5:00 pm; flexible work schedules with some roles with management approval.
• Work-from-home options available for most positions.

Pay

$68,890 - $92,138 annually.

Schedule

Typical working hours: 8:30 am - 5:00 pm; flexible work schedules with some roles with management approval.