Insurance Program Manager Jobs in Clio, MI (NOW HIRING)

*If you are hired as a LMSW for this position, you are eligible for a $3,000 signing bonus! *

ESSENTIAL JOB DUTIES

Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

1. Responsible for program structure of the behavioral health services for outpatient treatment, focusing on positive outcomes, program growth and development, operational efficiency and fiscal soundness. Develops programming designed to build resilience and wellness for patients and promotes a symbiotic relationship with primary care to meet the needs of patients in most appropriate care level and best utilize scarce specialty resources for those in need. Interacts with department leadership to prepare and implement formal policy, procedure and guidelines associated with clinical services and associated documentation.
2. Maintain quality and efficient clinical operations by initiating, coordinating, and enforcing program, operational and personnel policies and procedures. Monitors departmental/staff productivity in relation to budget expectations. Adheres to department policy and programming to meet the needs of patient population, licensing and accreditation standards. Coordinate and compile information/data to produce useful reports of program outcomes and describes performance in relation to charting, documentation and compliance with policy, procedure and other regulations. Complete professional reports that include relevant data, findings, and recommendations per individual, program and department as assigned
3. Educate staff on matters and topics relevant to programming and regulations. Monitor program and staff performance through supervision, appraisal and monitoring of key areas, including the implementation of a quality and utilization review process that includes regular chart audits and peer review activities. Responsible for oversight of program staffing and job performance. Participates in recruitment and selection, provides orientation and training. Improves and maintains program staff job results by coaching, counseling, and disciplining employees.
4. Serves as a champion of the Behavioral Health vision and liaison with GLBHC staff and other organizations. Collaborates, reaches out to develop positive relationships with, and partners with community organizations to adequately address community need around assigned Behavioral Health program. Fosters a good working relationship with other disciplines as part of an integrated team. Connects with the public and other community organizations through representation at outreach events.
5. Provides clinical services as needed to ensure there is adequate coverage, including assessment, treatment planning, crisis intervention, patient consultation, and education. 

MARGINAL JOB DUTIES

1. Participates and/or chairs various department functions, committees and department meetings as assigned.
2. Performs other duties as assigned.

JOB SPECIFICATIONS

1. Education: Master's Degree in Social Work from an accredited graduate school of social work or Master's Degree in psychology or counseling with appropriate accreditation.
2. Licensure: Licensed in the State of Michigan. Basic Life Support (BLS) certification Required.
3. Experience: Minimum of five years in a behavioral health field. Minimum two years management experience preferred. Experience in a Community health center or medical setting preferred.
4. Skills: Acts independently; consistently exercises discretion and judgement in performing work. Develop a positive image/presence with the program, the department and the company, exercise confidentiality and professionalism at all times.
5. Interpersonal Skills: Ability to promote confidence of service population. Ability to communicate effectively with a diverse population. Professional attitude/behavior. Demonstrate ability to function as part of the health care team and strong leadership skills.
6. Physical Effort: Must be able to sit, stand, and or walk for an entire workday. Must be able to lift, carry, push, pull, and or twist while holding up to 25 lbs. frequently.
7. Hours of Work: Full-time, and/or part-time; flexible and varied.
8. Travel: May require limited travel within service area. If use of personal vehicle is required, reimbursement for mileage provided at the existing rate of the corporation. Must be a licensed driver with proof of personal liability and property damage insurance.

All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, or national origin.