The Access-UM Manager position is a program and administrative management position providing operational oversight and direction for behavioral health services utilization across the region respective to the Region 10 PIHP Access Unit and Utilization Management Unit.  An employee at this level is required to perform, among others, the following essential duties:

·       Provide oversight of Access-UM clinical operations, including backup to the Lead Clinician and clinical staff

·       Provide direction and supervision of all Access-UM clinical staff and program support staff

·       Monitor and ensure daily staff coverage, including on-call after-hours coverage

·       Ensure completion of Access Management System reports

·       Provide oversight of regional Utilization Management (UM) and Utilization Review (UR) activities across the CMH and SUD provider networks, including case finding and case record review, protocol updates, and quarterly and end of year activity reports

·       Assist in the development and periodic evaluation of regional clinical practice guidelines

·       Facilitate and support provider network implementation and sustainment activities pertaining to MDHHS evidence-based practices and UM/UR guidance documents

·       Complete staff performance reviews and staff development plans

·       Develop Access-UM Staff Meeting Agenda and conduct staff meetings

·       Assist with developing and implementing regional Utilization Management Program Plan

·       Provide lead clinical support and participation on Region 10 committees (UMC, IPLT, SERC), including backup to the UMC Chair

·       Participate on other committees and work groups as assigned

·       Provide SME input and representation on HSAG audit Standards and contract monitoring

·       Serve as backup to the CCO on the state-wide UM Directors Group

·       Provide technical guidance on clinical issues related to regional Credentialing and Privileging policy standards and Grievance and Appeal reviews and policy standards

Salary : $78,000