Mgr - Clinical Svcs

Clinical Services Manager

Lincoln Prairie Behavioral Health Center is dedicated to providing youth with compassionate mental health treatment that encourages self-responsibility and personal growth. We are the only facility of our kind in Central Illinois. We provide psychiatric treatment to children and adolescents that present with a broad range of psychiatric and behavioral disorders. A clinically skilled multidisciplinary team works to partner with the youth and family to accomplish their goals in a supportive and therapeutic environment.

The Clinical Services Manager coordinates and oversees the delivery of hospital clinical services and case management services and provides clinical supervision, coordination and leadership to staff under the direction of the Director of Clinical Services & Regulatory Compliance. The Clinical Services Manager is responsible for the maintenance of the clinical services standards of practice, and provides assistance with quality initiatives, clinical planning and program coordination with other hospital departments.

This position will consult with all services to ensure the provision of an effective treatment plan for all patients, oversees the response to requests for services and interfaces with managed care organizations, external reviewers and other payers.

Duties include, but are not limited to:

• Provides individual and group supervision to staff to ensure that high quality clinical services are provided to patients.
• Ensures clinical records are accurate, timely and meet regulatory requirements.
• Provides clinical oversight of treatment planning and crisis management of patients.
• Provides social work services including evaluation, treatment planning, discharge planning & case management to patients & their families as needed.
• Provides direction and assists with management of difficult and/or complex patient discharge plans.
• Provides ongoing clinical supervision, including licensure-required supervision to clinical staff.
• Develops policies and procedures to support social work, utilization review and recreational therapy and case management initiatives, quality outcomes and related performance improvement activities.
• Provides clinical consultation to other treatment team providers as requested.
• Evaluates work performance and other relevant factors of all social workers, UR and RT staff periodically, and at least annually, in writing.
• Serves as liaison between the hospital and the community to integrate services, coordinate care for patients and enhance working relationships through public relation activities.
• Manages calls during off hours as needed regarding clinical services and coverage issues.
• Oversees department scheduling for social work, utilization review and recreational therapy.
• Assists the Director of Clinical Services & Regulatory Compliance in interviewing as needed.
• Assists in directing the response to requests for services, including the initial response, the assessment and referral process, the designation of appropriate level of care, initiating of services, and follow up activity.
• Assists in reviewing the effectiveness of the comprehensive interface with external reviewers, communicates with external reviewers and managed care organizations to assure timely and appropriate interactions, monitor outcomes of the reviews and provide consultation as needed
• Maintains an awareness of community and market-related activities which includes knowledge of the activities of other providers, needs of local payers and the political climate related to mental health.
• Assists in developing and maintain a system to minimize and address denials in consult with the facility Business Office Manager and CFO