National Search Services is looking for a Clinical Manager located in the Chicago area. This is a permanent direct hire position.

Location and Pay Range:

• 77 W Wacker Dr #1200, Chicago, IL 60601

Description:

• Position Purpose: Manage clinical services to include management of clinical services, marketing of clinical services and supervision of clinical staff.
• Manage clinical services including oversight of clinical policies and procedures, day to day clinical services and staff
• Ensure compliance with established initial and concurrent review, case management, referral, pre-certification and authorization policies, procedures and processes
• Ensure all programs and clinical operations are in full compliance with state and federal regulations. Including HIPAA
• Ensure compliance with plan’s emergency management policies, procedures and processes by acting as liaison with other business units
• Ensure payer contract clinical deliverables are met
• Monitor the effectiveness of existing procedures and outreach/intervention efforts
• Ensure appropriate knowledge/education and interventions are conducted for members defined to be at risk
• Monitor data to address trends or potential quality improvement opportunities including provider issues, service gaps, member needs
  Additional Responsibilities for New Hampshire:
• Oversee the implementation and maintenance of the provider training program for community agencies. Collaborate with network development team to track and analyze needs and recommend training plans
• Act as liaison with provider and community agencies, including state hospital facilities, Community Mental Health Centers (CMHC) and various providers, foster care system and community organizations

Requirements:

• Education/Experience: Master’s degree in behavioral health or RN required.
• 3-5 years case and/or utilization management.
• Thorough knowledge in assessment, diagnosis and treatment of individuals with general mental health or substance abuse disorders.
• Knowledge of utilization review procedures, case management and familiarity with mental health community resources.
• 2-3 years supervisory experience preferred.
• Licenses/Certifications for both roles: LCSW, LMFT or LPC, or a PhD, PsyD or RN license in applicable state. Independent certification by the State Board of Behavioral Health Examiners required.

WE ARE AN EQUAL OPPORTUNITY EMPLOYER. Applicants and employees are considered for positions and are evaluated without regard to mental or physical disability, race, color, religion, gender, national origin, age, genetic information, military or veteran status, sexual orientation, marital status or any other protected Federal, State/Province or Local status unrelated to the performance of the work involved.