Part-Time Alcohol and Drug (AOD) Utilization
(Part-Time) Reporting to
the Clinical Manager, the Alcohol and Drug (AOD) Utilization Review Clinician
is responsible for implementing and maintaining Utilization Management and its
philosophy in their area of operation and influence. The Utilization Review
Clinician functions as part of the multidisciplinary treatment team and has the
responsibility to assist the team in appropriate access and use of internal and
ESSENTIAL DUTIES AND RESPONSIBILITIES
- Perform both internal
and external record reviews as part of daily department operations.
- Cooperates with
Admissions to complete certifications as needed and documents outcome in
- Performs concurrent
utilization review with insurance companies and relevant payers, documenting
outcome of same in the certification record.
- Obtains and documents
authorization for services not covered under per diems and communicates
directly to physicians/clinician.
- Maintains an appropriate
and ethical performance of reviews, both internal and external.
- Develop and maintain
professional relationships with treatment team members to enhance the role of
Utilization Management within the organization.
- Communicates to
appropriate members of the treatment team the status of the cases assigned with
mandatory reporting to the physician or team designee.
- Communicates need for
Peer Reviews between physician and payers, facilitating as needed; completes
- Attends team/staff
meetings per program scheduling, as clinically indicated.
- Assist in preparedness
for surveys by regulatory agencies and payers.
charts-depth and intensity to be determined by data collection reports.
- AMFT or ACSW with
current California Board of Behavioral Sciences (BBS) Registration required.
- Evidenced Based
Trained/Certified in MAP, TF-CBT, SS Preferred
- Preferred strong
clinical foundation, EMR experience, knowledge of Drug Medi-Cal expectations
towards clinical documentation, case management experience related to community
linkages for mental health, medical and housing services
- Must maintain a valid CA
Drivers' License, have proof of automobile insurance and maintain a safe
driving record based on Phoenix House policy.
- Demonstrated commitment
and adherence to Phoenix House Mission, Vision, and Values: I CARE For–
Integrity, Collaboration Appreciation, Respect, Excellence, and
- Proficiency in MS Office
- Ability to utilize an
electronic medical record
- Proficiency with SPAC,
DMH, Community Care Licensing, and other governing bodies
- Establish and maintain
effective working relationships with others
- Communicate effectively
with others both orally and in writing
- Ability to work
effectively in a fast-paced changing environment
- Ability to establish and
consistently enforce appropriate boundaries with patients
- Ability to model
positive behavior and demeanor
- Understanding of
addiction, co-occurring models, and treatment modalities
- Understanding of
adult/adolescent development and family systems
- Excellent time
management and organizational skills
- Ability to be flexible;
problem solver, self-directed; customer service-oriented, and collaborative
- Skills and ability to
engage and develop a rapport with patients and families of various backgrounds
- Bilingual in Spanish
Job Location: Venice, CA
Job ID: 92