Special Service for Groups, Inc - HOPICS

The Drug Medi-Cal Manager will also plan, track, measure, and report on the status of all SUD program operations while overseeing Sage authorization requests and supporting documentation to ensure clients meet DMC eligibility criteria and receive payment for DMC/RBH from LA County’s Department of Public Health- Substance Abuse Prevention and Control (SAPC).. Must be familiar with substance use disorder continuum of care model and 12 core competencies of addiction counseling. Licensed Marriage and Family Therapist. Working knowledge of policies and procedures of LA County Department of Public Health- Substance Abuse Prevention and Control (SAPC). Alcohol and drug prevention, screening, assessment, intervention, treatment, aftercare

program manager

Job Description Job Description SPECIAL SERVICE FOR GROUPS, Inc.
Job Announcement Title: Drug Medi-Cal Program Manager Division: HOPICS
FLSA: Exempt, Full-Time Supervisor: Senior SUD Manager
Pay Rate: $3,958.33-$4,666.67 Semi-Monthly Revised: 11.15.2023 Summary
Under the direction of the Senior SUD Manager, the Drug Medi-Cal Manager is responsible for the programmatic and contract tasks associated with Drug Medical (DMC) programs, Recovery Bridge Housing (RBH), Contingency Management – Recovery Incentives (CM-RI) program, and FDDC. This position will be responsible for supervising brief screenings, case management, placement, group, and direct services provided by the SUD staff. This position will foster a collaborative and coordinated approach with subcontracted staff to the delivery of SUD and collateral services as needed. The Drug Medi-Cal Manager will also plan, track, measure, and report on the status of all SUD program operations while overseeing Sage authorization requests and supporting documentation to ensure clients meet DMC eligibility criteria and receive payment for DMC/RBH from LA County’s Department of Public Health- Substance Abuse Prevention and Control (SAPC). The Drug Medi-Cal Manager will also collaborate with different treatment providers for the submission of needed documentation, ensuring the clients concurrent enrollment in Outpatient, Intensive Outpatient, Opiate Treatment Programs, and Withdrawal Management treatment.
Essential Functions
Oversight of invoicing and billing for DMC, CM-RI and RBH
Supervise day to day programmatic task and adherence to protocols and procedures for all SUD programs (DMC, FDDC, CM-RI and RBH)
Developed tracking mechanisms for all SUD programs to assure program fidelity and quality assurance
Maximize contractual goals and revenue
Provide direct administrative and clinical support and supervision to all SUD staff
Responsible for ensuring that Service Bed Availability Tool (SBAT) is updated daily for DMC and RBH availability
Facilitate internal referrals and/or appointments within HOPICS and coordinate services with other HOPICS programs
Manage coordination of SUD services, staff and subcontractor for RBH placements
Develop and maintain systematic process to monitor RBH placements, lengths of stay and exit
Provide quality control duties to ensure required documentation is accurate and up to date on SAGE and HMIS
Develop and coordinate reports and statistical data to reflect program outcomes; and use it to inform process improvements as necessary
Implement and monitor quality improvement process for clinical services
Create and manage protocol and procedures for Narcan implementation, training and field safety practices
Monitor all crisis intervention efforts and track all incident reports.
Identify and implement program enhancement opportunities
Oversee contract compliance and submissions of SAGE authorizations
Responsible for ensuring seamless client and process flows and a high level of customer service
Coordination efforts with indirect funding streams including, but not limited to, General Relief, Department of Children and Family Services (DCFS), Cal-WORKS, LA County Probation Department (AB 109), LA Superior Court (PC 1210), and LA County Department of Public Social Services
This position will work with SAPC partners, subcontractors, community agencies and SPA 6 Providers.
Must attend provider meetings, SAPC related meetings, staff development and staff training
Responsible for convening, coordinating and facilitating provider meetings, weekly staff meetings and necessary DMC, RBH, CM-RI and FDDC related in-service trainings
Conduct quarterly, at minimum, subcontractor site visits and document/work with them to resolve identified issues
Must be familiar with Addiction Severity Index and how to interpret results.
Must be familiar with substance use disorder continuum of care model and 12 core competencies of addiction counseling
Responsible for supervising and coordinating SUD (all Level of care) and Mental Health services, some programs consisting of a multiple–level system, which increases with duration and intensity depending on the assesses severity of a client. Will provide county authorized process and outcome evaluations.
Conduct ASAM Screening
Approve ASAM assessment, treatment plan and progress notes in SAGE PCNX.
Coordinate with billing and administration department to submit up-to-date and accurate documentation in a timely manner
Provide individual, group, family crisis intervention, and collateral counseling in accordance with the client needs, when necessary
Provide education on HIV/AIDS, when necessary
Ensure timely submission of all reports due weekly, monthly and quarterly to the funder, SSG’s accountant,
several web-based computer systems, etc.
Responsible for ongoing quality assurance and audit preparation; addressing audit findings and implementing corrective action plans.
Maintain up to date and accurate documentation in client files i.e. progress notes, counselor supervision notes
Monitor staff compliance in administering the ASAM Screening, Case Conference, and Progress Notes
Research, implement and adapt the usage of approved Best, Promising or Evidence-Based Practices
Recruit, train, supervise and manage student interns in conjunction with the SA Treatment Supervisor/Coordinator
Maintain appropriate boundaries; and adhere to SSG’s Code of Ethics and HOPICS’ Core Values
Represent the Agency in a professional manner at meetings and community events
Secondary Functions
Maintain files/records on client services in compliance with HIPPA, 42 CFR Part 2 and other funding requirements for auditing purposes.
Perform other duties as assigned by supervisor or Division Director
Minimum Qualifications - Knowledge, Skills and Abilities Required
Education and Work Experience
Licensed Practitioner of the Healing Arts (LPHA) with management experience.
• Physician
• Nurse Practitioner
• Physician Assistant
• Registered Nurse
• Registered Pharmacist
• Licensed Clinical Psychologist
• Licensed Clinical Social Worker
• Licensed Professional Clinical Counselor
• Licensed Marriage and Family Therapist
• Licensed-Eligible LPHA: Working under the supervision of a licensed clinician
Working knowledge of policies and procedures of LA County Department of Public Health- Substance Abuse Prevention and Control (SAPC)
Ability to work with clients from diverse cultural, ethnic and socio-economic backgrounds
Ability to communicate effectively, both written and orally
Demonstrated knowledge of core competencies of Substance Abuse Counselor/Clinician and outpatient treatment services
Experience facilitating substance Use groups
Ability to organize and manage multiple priorities
Proficient in Microsoft Word, Excel, PowerPoint, Internet, Email
Alcohol and drug prevention, screening, assessment, intervention, treatment, aftercare
Experience developing budgets and monitoring expenses
Excellent written and verbal communication; good listener; good with numbers; people person
Desirable proficiency in SAPC staff hours and budgets; Knowledge of various community-based treatment providers is desirable
CPR, Finger Printing and First Aid Certification within the first thirty-days (60) of employment (along with HIV/AIDS training) in the first 3 months of employment. Verification of Employment Eligibility and Background clearance required. TB test required. Valid Driver’s License and auto insurance required
Supervisory Responsibilities
This person is responsible for supervising day-to-day operation of Drug Medi-Cal and Recovery Bridge Housing Program staff.
Environmental Conditions (Working Conditions)
May be exposed to aggressive clients: must work in conjunction with other collaborative staff members; communicate with many sources including courts, Los Angeles County Department of Probation, Department of Children and Family Services and other community agencies. Some evenings and weekends may be required. Local automobile travel may be required. There is some responsibility to work in noisy environments where adults are free to talk loud and expressive; must be able to work effectively and produce quality work under pressure.
Physical Requirements
In the course of performing this job, the incumbent typically spends time sitting, standing, walking, driving car/van speaking, and listening. Must sit at computer for data entry and reports: sometimes spend time driving and walking and carrying equipment/files/charts. Speak to staff and outside agencies in public meetings and Provider Meetings. Represent the Agency in a professional and positive manner
Typically spends time sitting, standing, walking, typing, thinking, bending, reading, and writing.
Mental Requirements
Must be able to handle multiple tasks; constant distractions; ongoing deadlines; interruptions, uncontrollable changes in priorities/work schedules; budgetary cuts and reductions; staff changes and reductions; be able to process volumes of information, think, and conceptualize and transfer knowledge on best practices for Substance Abuse Assessments and treatment. Special Service for Groups is an Equal Opportunity/Affirmative Action Employer Powered by JazzHR
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