SUD Managed Care Clinical Specialist at NorthCare Network

Marquette, Michigan, United States -

Full Time

Start Date

Immediate

Expiry Date

24 Jun, 26

Salary

85280.0

Posted On

26 Mar, 26

Experience

2 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Clinical Screening, Care Coordination, Utilization Management, Eligibility Determination, Level Of Care Determination, Telephone Screening, Medicaid Regulations, ASAM Criteria, Benefit Plan Expertise, Clinical Resource

Industry

Mental Health Care

Description

Description STATUS/HOURS: Competitive Wage, plus full-time benefits. Regular full-time/80 hours biweekly SALARY RANGE: $57,387.20 to $85,280.00. Starting salary will be determined based on education, certifications, and experience. LOCATION: Marquette, Michigan - Many positions offer a hybrid work schedule with supervisor approval. ABOUT US: NorthCare Network is a Specialty Prepaid Inpatient Health Plan (PIHP) located in Marquette, Michigan and is responsible for the management and service array available to residents of Michigan’s Upper Peninsula with behavioral health needs covered by Michigan Medicaid and specialty grants for substance use disorder services. RESPONSIBILITIES INCLUDE: Under the supervision of the SUD Clinical Manager, this position serves as the clinical entry to services, serves as a community resource for people who are seeking services, makes eligibility and Level of Care (LOC) determinations by way of telephone screening, care coordination, and is responsible for utilization management. This position primarily serves the NorthCare SUD population. The SUD Managed Care Clinical Specialist will provide clinical screening and referral services to recipients in the NorthCare Network region. This position works closely with NorthCare Clinical Leadership, and access and eligibility staff throughout the region. This person will become an expert in benefit/insurance plans, Medicaid regulations/Michigan Medicaid Provider Manual, ASAM and medical necessity criteria, and be a clinical resource for the NorthCare Network region. Send a cover letter and resume to: Attn: Human Resources Email: hr@northcarenetwork.org NorthCare Network 1230 Wilson Street Marquette, MI 49855 Deadline to apply: Until the position is filled. NOTICE TO APPLICANTS: Any offer of employment is contingent on a criminal background check, primary source verifications, exclusion, and reference checks. NorthCare Network is an Equal Opportunity Employer. Requirements QUALIFICATIONS: Bachelor’s Degree in Human Services or related field required. Master’s Degree in Human Services or related field preferred. State of Michigan Licensure in a Human Services field preferred. Michigan Certification Board of Addiction Professionals (MCBAP) certification preferred or required to be obtained through an approved MCBAP development plan. Experience working in the substance use disorder field preferred. Knowledge of addiction, treatment, and recovery processes preferred. Knowledge of ASAM criteria, Medicaid rules and regulations, and insurance and benefit plans preferred.

Responsibilities

This position serves as the clinical entry to services, providing community resource support, making eligibility and Level of Care determinations via telephone screening, and managing utilization primarily for the NorthCare SUD population. The specialist will also provide clinical screening and referral services across the NorthCare Network region.