Clinical Documentation Manager

Location

RW Martinsville
504 Grand Valley Blvd
Martinsville, IN 46151, USA

Pinnacle Treatment Centers is a growing leader in addiction treatment services. We provide care across the nation, touching the lives of more than 35,000 patients daily. Our mission is to remove all barriers to recovery and transform individuals, families, and communities with treatment that works. Employees believe we are creating a better world where lives and communities are made whole again through comprehensive treatment.

Clinical Documentation Manager – responsible for ensuring the clinical team meets or exceeds the standards for documentation excellence through daily clinical documentation review, support, and training. The role focuses on improving the quality of patient care by working closely with the clinical team and site leadership to ensure that clinical services are delivered efficiently, effectively, and in alignment with the organization's strategic goals.

• 18 days PTO (Paid Time Off)
• 401k with company match
• Company sponsored ongoing training and certification opportunities
• Full comprehensive benefits package including medical, dental, vision, short‑term disability, long‑term disability and accident insurance
• Substance Use Disorder Treatment and Recovery Loan Repayment Program (STAR LRP)
• Discounted tuition and scholarships through Capella University

• Monitor all clinical records to ensure clinical quality, timeliness, and thoroughness/accuracy of all clinical documentation daily.
• Ensure adherence to the clinical program requirements, including local/state/federal laws and payer standards.
• Resolve any non‑adherence of clinical documentation by training and coaching counselors for same‑day revision or by annotating the document when revisions cannot be made.
• Attend clinical team meetings and other assigned meetings.
• Complete all assigned training courses on schedule.
• Provide teaching and training to support clinical excellence.
• Ensure forms in the Electronic Health Record (EHR) meet applicable standards.
• Collaborate with the Information Technology (IT) team on EHR form development.
• Support accreditation processes, scheduling, and corrective action for the DR&A division.
• Oversee outcomes, processes, and ensure collection and integrity of data across the DR&A division while maintaining confidentiality of patient records/data.
• Develop training material and calendar to support continuous clinical excellence.
• Develop, implement, and maintain quality improvement standards, systems, policies, and procedures as applicable.
• Act as a resource to teammates to help solve problems related to quality of services.
• Other duties as assigned.

• Master’s degree in Social Work, Psychology, Addiction Counseling, or related field.
• Independent Clinical License to practice in the field associated with the master’s or higher degree.
• Indiana (IN) specific requirements:
• LCSW
• LMHC
• LCAC (required to provide supervision)
• LMFT

• Experience treating individuals with substance use disorder.
• Counseling and documentation of treatment experience following payer guidelines strongly preferred.
• Clinical chart audit experience strongly preferred.
• Experience developing and facilitating training for staff strongly preferred.

Equal Opportunity Employer
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