Rutgers, The State University of New Jersey is seeking a Mental Health Clinician III for the Interim Managing Entity Program at Rutgers, University Behavioral Health Care.
The primary purpose of the Mental Health Clinician III is to perform clinical utilization reviews with providers of care for: entry into all levels of care based on a determination of medical necessity and the appropriateness of the level of care, continuing length of stay reviews, retrospective stay reviews and issues to provider authorizations for care that meets utilization management criteria.
Among the key duties of this position are the following:
Performs utilization/quality improvement reviews in accordance with quality management procedures.
Maintains effective monitoring system to identify clients needing certification.
Assists in preparation of utilization/quality improvement data, as required by Supervisor and Director of Managed Care Services.
Assists in documenting and monitoring all incident reports on Incident Report form.
Communicates with utilization management team regarding client clinical information obtained during pre-certification for admission to care, concurrent continuing length of stay and retrospective reviews with providers of care.
Minimum Education and Experience:
Master's Degree in a mental health discipline or a related social science required.
Must have an active, unencumbered license as required by their New Jersey State Board of licensure.
Applicants possessing a degree in Social Work must have an active New Jersey certification/licensure as required by the New Jersey Board of Social Work.
Required Knowledge, Skills, and Abilities:
Currently licensed in the state of New Jersey as a Licensed Clinical Alcohol and Drug Counselor (LCADC), or a Licensed Clinical Social Worker (LCSW), or a Licensed Professional Counselor (LPC), or a Licensed Marriage and Family Therapist (LMFT).
Must process a valid driver's license with a clean driving record.
At least two (2) years documented substance use disorder treatment experience.
Experience with Treatment Authorization procedures.
Experience conducting utilization review procedures in managed care and familiarity with ASAM criteria are desirable.
Posting Number: 20ST0091
Location: Piscataway (RBHS)
Internal Number: 109175
About Rutgers University
Rutgers, The State University of New Jersey, is a leading national public research university and the state's preeminent, comprehensive public institution of higher education. Rutgers is dedicated to teaching that meets the highest standards of excellence; to conducting research that breaks new ground; and to turning knowledge into solutions for local, national, and global communities. As it was at our founding in 1766, the heart of our mission is preparing students to become productive members of society and good citizens of the world. Rutgers teaches across the full educational spectrum: preschool to precollege; undergraduate to graduate and postdoctoral; and continuing education for professional and personal advancement. Rutgers is New Jersey's land-grant institution and one of the nation's foremost research universities, and as such, we educate, make discoveries, serve as an engine of economic growth, and generate ideas for improving people's lives.