SSG SCHOOL-BASED MENTAL HEALTH PROGRAM- North Carolina- Hybrid position
Job Title: School-Based Medicaid Clinical Manager
Supervisor: Clinical Director, Mental Health Client Services Director, and other Administrative Team Members
Terms of Employment: Employee understands that he/she is employed by Employer to provide services to assigned client site at the beginning of the school year (specific date to be determined) and continue
through the end of the school year, unless terminated earlier. Employee will be supervised by
Employer and should coordinate work, time off request, changes in schedule and any other issues
with the supervisor.
Essential Duties:
● Read and adhere to all protocols set forth in the Local Education Agency Medicaid Policy and RBHS Procedure Manual.
● Collaborate with SSG team members to develop appropriate services for each beneficiary through the development of an Individualized Plan of Care.
● Provide Behavioral Health Screenings, Assessments, and Individual, family and group therapy to identified beneficiaries.
● Participate in all relevant treatment team meetings.
● Complete all required paperwork related to the Clinical Components of the SC DHHS LEA and RBHS Provider Manual.
● Review and approve clinical documentation related to the RBHS treatment services and assure all billing codes and procedures and policies are accurately followed and entered in a time manner.
● Participate in Company (SSG), SCDE, DHHS in-service trainings as identified.
● Participate in all individual or team sessions, as related to the program.
● Properly maintain all clinical records as defined by the Department of Health and Human Services (SCDHHS) this would include a monthly chart audit using the self-audit instrument provided by the SCDE.
Additional Duties:
● Consult monthly with the SSG Clinical Director of School-Based RBHS services to ensure program efficiency.
● Review assessments of clinician caseload to determine appropriate DSMV-5-TR or ICD 10 diagnosis of clients and Individualized Plan of Care
● Sign all relevant forms related to RBHS services to initiate treatment.
● Review and sign medical necessity on all supervising Mental Health Provider Diagnostic Assessments and Individual Plans of Care
● Supervise assigned Mental Health Providers providing School-Based RBHS
● Conduct periodic chart audits (clinical records) on random clients to ensure charts are compliant with Medicaid LEA standards under the protocols of the Department of Health and Human Services.
● Manage and maintain obtaining all required CEUs as mandated by the State Licensure Board (LLR).
Job Specifications:
Performance review of this position will be evaluated on an annual time frame in accordance with SSG's employee guidelines.
Minimum Qualifications Knowledge, Skills, and Abilities Required
Version 10/2022
Medicaid Clinical Manager Job Description
● Master's degree in Social Work (with SC DHHS qualified license), Counseling, Psychology or other related Behavioral Health field from an accredited Institution of higher learning.
● Licensed Eligible Social Worker (LISW-CP), Professional Counselor, or Doctoral psychologist preferred.
● Minimum of 3 years working in the field of Social Work and/or Clinical Counse