Utilization Management Specialist (Social Services Professional)
King County
Pioneer Square, WA
Full-time
Social Service
Posted on March 24, 2023
Salary
$36.67 - $46.48 Hourly
Location
WA 98188, WA
Job Type
Career Service, Full Time, 40 hrs/week
Department
DCHS - Community & Human Srvcs
Job Number
2023AC18508
Division
Behavioral Health and Recovery
Closing
4/8/2023 11:59 PM Pacific
Summary
The Department of Community and Human Services (DCHS) values diverse perspectives and life experiences. The Department encourages people of all backgrounds to apply, including people of color, immigrants, refugees, women, LGBTQ, people with disabilities, veterans and those with lived experience.
The Department of Community and Human Services ( DCHS) provides equitable opportunities for people to be healthy, happy, self-reliant and connected to the community. The Behavioral Health and Recovery Division (BHRD) of DCHS seeks Utilization Management Specialists, Social Services Professionals (SSP). These positions assure Mental Health Residential placements continue to meet medical necessity per level of care in order to provide continued payment by reviewing continuing stay documentation submitted by residential providers. These positions are a member of a team responsible for diversion and discharge planning efforts for King County Behavioral Health-Administrative Service (BH-ASO) at Washington State Hospital (WSH,) local psychiatric hospitals and County funded residential and supported housing resources. These positions focus on mental health residential utilization management.
WHO MAY APPLY: These positions are open to all qualified candidates that meet the minimum qualifications. Interviews for this selection process will take place on or around April 24, 2023.
REQUIRED MATERIALS: Candidates who wish to be considered for these positions must submit an online King County application and respond to the supplemental questions. Your application may be rejected as incomplete if you do not include the requested and relevant information in the online application and supplemental questionnaire. Applications and/or supplemental questionnaires that state, "see my resume" are considered incomplete and will not be considered to be competitive.
WORK SCHEDULE/CONDITIONS: These positions are scheduled to work 40 hours per week, Monday - Friday, 8am - 5pm. These positions meet the provisions of the Fair Labor Standards Act, and is overtime eligible with supervisory pre-approval. Positions in this classification are represented by PSEU.
MISSION CRITICAL POSITION STATUS: These positions have been designated Non-Mission Critical. Unless otherwise directed by the County Executive, department director or agency head, all employees, regardless of designation, are expected to report to work or request leave during an emergency or inclement weather. For more detailed information, please visit HR Policy County Operations During Emergency Situations and the King County Guidelines for Workforce Management in an Emergency .
TELEWORKING REQUIREMENT: The work associated with these positions will be performed through a combination of teleworking complemented with onsite work and meetings as needed. Employees will have access to shared workspaces at various King County facilities. Employees must reside in Washington state and within a reasonable distance to their King County worksite to respond to workplace reporting requirements.
Employees will be provided with a County issued laptop and must maintain a workspace with an internet connection (access may be supplemented in some situations) where they can reliably perform work and remain available and responsive during scheduled work hours. Please note that when an employee conducts work that is likely to bring them in contact with another individual, safety precautions are required , including the wearing of masks in some situations . King County is doing its part to reduce the spread of COVID-19 and remains committed to reducing our carbon footprint.
King County has a robust collection of tools and resources to support working remotely. The individuals selected for these opportunities will be joining an innovative and progressive team that is redefining how we work as we transition to the department's hybrid environment.
RECRUITER: Annette Coleman, ancoleman@kingcounty.gov
Job Duties
• Conduct diagnostic assessments for adults in mental health residential facilities.
• Track clients in mental health residential facilities contracted through the King County Integrated Care Network (KCICN), conduct continuing stay reviews in a timely manner to determine that an individual continues to meet medical necessity per level of care and identify those who meet criteria to step down or step up to an alternative level of care.
• Coordinate continuing stay reviews that do not meet medical necessity with a board-certified Psychiatric Provider to conduct a next level review.
• Develop and maintain excellent working relationships with providers and colleagues working for allied systems, excellent and current knowledge of the system of resources available to those with behavioral health disorders and excellent abilities to communicate clearly with a variety of individuals.
• Attend and participate in assigned meetings, treatment conferences and committees relevant to performance of job functions.
• Ensure billing and documentation meet and follow King County BHRD policies and procedures.
• Maintain adherence to King County BH-ASO's Policies and Procedures.
• Perform other duties as assigned.
Experience, Qualifications, Knowledge, Skills
• Master's Degree in Counseling, Social Work, Social Services or a related field
• Mental Health Professional as defined in WAC 246-341-0200 and RCW 71.05.020
• Clinical experience working with a multidisciplinary team at a publicly funded behavioral health service system
• Knowledge of, and experience with, mental health residential treatment
• Demonstrate and maintain excellent diagnostic and assessment skills for adults in mental health residential settings
• Ability to provide functional assessments and clinical formulations consistent with the Diagnostic and Statistical Manual, (DSM)
• Ability to work with a variety of individuals representing allied systems, such as behavioral health providers, Developmental Disabilities Administration, Aging and Long-Term Support Administration, Home and Community Services and other entities
• Knowledge of utilization management strategies and quality management practices in applying medical necessity criteria to behavioral health benefit requests
• Direct experience supporting clients using behavioral health recovery principles and practices.
• Excellent verbal and written communication skills
• Experience gathering and utilizing data and generating reports for presentation to management staff and others
• Knowledge of MS Outlook, Word, PowerPoint and Excel
• Valid Washington State Driver's License, or the ability to travel around the County in a timely manner
• Must be able to pass a criminal background check on a post offer/pre-employment basis
DESIRED QUALIFICATIONS
• Knowledge of and experience with the behavioral health services system in Washington State • In recovery or have lived experiences in behavioral health
Supplemental Information
Forbes named King County as one of Washington State's best employers.
Together, with leadership and our employees, we're changing the way government delivers service and winning national recognition as a model of excellence. Are you ready to make a difference? Come join the team dedicated to serving one of the nation's best places to live, work and play.
Guided by our "True North" , we are making King County a welcoming community where every person can thrive. We value diversity, inclusion and belonging in our workplace and workforce. To reach this goal we are committed to workforce equity. Equitable recruiting, support, and retention is how we will obtain the highest quality workforce in our region; a workforce that shares and will help advance our guiding principles - we are one team; we solve problems; we focus on the customer; we drive for results; we are racially just; we respect all people; we lead the way; and we are responsible stewards. We encourage people of all backgrounds and identities to apply, including Native American and people of color, immigrants, refugees, women, LGBTQ+, people living with disabilities, and veterans.
King County is an Equal Employment Opportunity (EEO) Employer
No person is unlawfully excluded from employment opportunities based on race, color, religion, national origin, sex (including gender identity, sexual orientation and pregnancy), age, genetic information, disability, veteran status, or other protected class. Our EEO policy applies to all employment actions, including but not limited to recruitment, hiring, selection for training, promotion, transfer, demotion, layoff, termination, rates of pay or other forms of compensation.
To Apply
If you are interested in pursuing this position, please follow the application instructions carefully. If you need this announcement in an alternate language or format, would like to request accommodation or assistance in the application or assessment process or if you have questions please contact the recruiter listed on this job announcement.
King County offers a highly-competitive compensation and benefits package designed to meet the diverse needs of our employees and support our employees' health and well-being. Eligible positions receive the following benefits and have access to the following programs:
This is a general description of the benefits offered to eligible King County employees, and every effort has been made to ensure its accuracy. If any information on this document conflicts with the provisions of a collective bargaining agreement (CBA), the CBA prevails. Also, in the event of any incorrect information in this document, applicable laws, policies, rules, CBAs, or official plan documents will prevail.
NOTE: Benefits for Term Limited Temporary (TLT) or Short Term Temporary (STT) positions, including leave eligibility and/or participation in the pension plan through the Washington State Department of Retirement Systems, will vary based upon the terms and details of the position.Short Term Temporary positions are not eligible for an ORCA transit pass.
For inquiries about the specifics of this position, please contact the recruiter identified on this job posting.
$36.67 - $46.48 Hourly
Location
WA 98188, WA
Job Type
Career Service, Full Time, 40 hrs/week
Department
DCHS - Community & Human Srvcs
Job Number
2023AC18508
Division
Behavioral Health and Recovery
Closing
4/8/2023 11:59 PM Pacific
Summary
The Department of Community and Human Services (DCHS) values diverse perspectives and life experiences. The Department encourages people of all backgrounds to apply, including people of color, immigrants, refugees, women, LGBTQ, people with disabilities, veterans and those with lived experience.
The Department of Community and Human Services ( DCHS) provides equitable opportunities for people to be healthy, happy, self-reliant and connected to the community. The Behavioral Health and Recovery Division (BHRD) of DCHS seeks Utilization Management Specialists, Social Services Professionals (SSP). These positions assure Mental Health Residential placements continue to meet medical necessity per level of care in order to provide continued payment by reviewing continuing stay documentation submitted by residential providers. These positions are a member of a team responsible for diversion and discharge planning efforts for King County Behavioral Health-Administrative Service (BH-ASO) at Washington State Hospital (WSH,) local psychiatric hospitals and County funded residential and supported housing resources. These positions focus on mental health residential utilization management.
WHO MAY APPLY: These positions are open to all qualified candidates that meet the minimum qualifications. Interviews for this selection process will take place on or around April 24, 2023.
REQUIRED MATERIALS: Candidates who wish to be considered for these positions must submit an online King County application and respond to the supplemental questions. Your application may be rejected as incomplete if you do not include the requested and relevant information in the online application and supplemental questionnaire. Applications and/or supplemental questionnaires that state, "see my resume" are considered incomplete and will not be considered to be competitive.
WORK SCHEDULE/CONDITIONS: These positions are scheduled to work 40 hours per week, Monday - Friday, 8am - 5pm. These positions meet the provisions of the Fair Labor Standards Act, and is overtime eligible with supervisory pre-approval. Positions in this classification are represented by PSEU.
MISSION CRITICAL POSITION STATUS: These positions have been designated Non-Mission Critical. Unless otherwise directed by the County Executive, department director or agency head, all employees, regardless of designation, are expected to report to work or request leave during an emergency or inclement weather. For more detailed information, please visit HR Policy County Operations During Emergency Situations and the King County Guidelines for Workforce Management in an Emergency .
TELEWORKING REQUIREMENT: The work associated with these positions will be performed through a combination of teleworking complemented with onsite work and meetings as needed. Employees will have access to shared workspaces at various King County facilities. Employees must reside in Washington state and within a reasonable distance to their King County worksite to respond to workplace reporting requirements.
Employees will be provided with a County issued laptop and must maintain a workspace with an internet connection (access may be supplemented in some situations) where they can reliably perform work and remain available and responsive during scheduled work hours. Please note that when an employee conducts work that is likely to bring them in contact with another individual, safety precautions are required , including the wearing of masks in some situations . King County is doing its part to reduce the spread of COVID-19 and remains committed to reducing our carbon footprint.
King County has a robust collection of tools and resources to support working remotely. The individuals selected for these opportunities will be joining an innovative and progressive team that is redefining how we work as we transition to the department's hybrid environment.
RECRUITER: Annette Coleman, ancoleman@kingcounty.gov
Job Duties
• Conduct diagnostic assessments for adults in mental health residential facilities.
• Track clients in mental health residential facilities contracted through the King County Integrated Care Network (KCICN), conduct continuing stay reviews in a timely manner to determine that an individual continues to meet medical necessity per level of care and identify those who meet criteria to step down or step up to an alternative level of care.
• Coordinate continuing stay reviews that do not meet medical necessity with a board-certified Psychiatric Provider to conduct a next level review.
• Develop and maintain excellent working relationships with providers and colleagues working for allied systems, excellent and current knowledge of the system of resources available to those with behavioral health disorders and excellent abilities to communicate clearly with a variety of individuals.
• Attend and participate in assigned meetings, treatment conferences and committees relevant to performance of job functions.
• Ensure billing and documentation meet and follow King County BHRD policies and procedures.
• Maintain adherence to King County BH-ASO's Policies and Procedures.
• Perform other duties as assigned.
Experience, Qualifications, Knowledge, Skills
• Master's Degree in Counseling, Social Work, Social Services or a related field
• Mental Health Professional as defined in WAC 246-341-0200 and RCW 71.05.020
• Clinical experience working with a multidisciplinary team at a publicly funded behavioral health service system
• Knowledge of, and experience with, mental health residential treatment
• Demonstrate and maintain excellent diagnostic and assessment skills for adults in mental health residential settings
• Ability to provide functional assessments and clinical formulations consistent with the Diagnostic and Statistical Manual, (DSM)
• Ability to work with a variety of individuals representing allied systems, such as behavioral health providers, Developmental Disabilities Administration, Aging and Long-Term Support Administration, Home and Community Services and other entities
• Knowledge of utilization management strategies and quality management practices in applying medical necessity criteria to behavioral health benefit requests
• Direct experience supporting clients using behavioral health recovery principles and practices.
• Excellent verbal and written communication skills
• Experience gathering and utilizing data and generating reports for presentation to management staff and others
• Knowledge of MS Outlook, Word, PowerPoint and Excel
• Valid Washington State Driver's License, or the ability to travel around the County in a timely manner
• Must be able to pass a criminal background check on a post offer/pre-employment basis
DESIRED QUALIFICATIONS
• Knowledge of and experience with the behavioral health services system in Washington State • In recovery or have lived experiences in behavioral health
Supplemental Information
Forbes named King County as one of Washington State's best employers.
Together, with leadership and our employees, we're changing the way government delivers service and winning national recognition as a model of excellence. Are you ready to make a difference? Come join the team dedicated to serving one of the nation's best places to live, work and play.
Guided by our "True North" , we are making King County a welcoming community where every person can thrive. We value diversity, inclusion and belonging in our workplace and workforce. To reach this goal we are committed to workforce equity. Equitable recruiting, support, and retention is how we will obtain the highest quality workforce in our region; a workforce that shares and will help advance our guiding principles - we are one team; we solve problems; we focus on the customer; we drive for results; we are racially just; we respect all people; we lead the way; and we are responsible stewards. We encourage people of all backgrounds and identities to apply, including Native American and people of color, immigrants, refugees, women, LGBTQ+, people living with disabilities, and veterans.
King County is an Equal Employment Opportunity (EEO) Employer
No person is unlawfully excluded from employment opportunities based on race, color, religion, national origin, sex (including gender identity, sexual orientation and pregnancy), age, genetic information, disability, veteran status, or other protected class. Our EEO policy applies to all employment actions, including but not limited to recruitment, hiring, selection for training, promotion, transfer, demotion, layoff, termination, rates of pay or other forms of compensation.
To Apply
If you are interested in pursuing this position, please follow the application instructions carefully. If you need this announcement in an alternate language or format, would like to request accommodation or assistance in the application or assessment process or if you have questions please contact the recruiter listed on this job announcement.
King County offers a highly-competitive compensation and benefits package designed to meet the diverse needs of our employees and support our employees' health and well-being. Eligible positions receive the following benefits and have access to the following programs:
- Medical, dental, and vision coverage: King County pays 100% of the premiums for eligible employees and family members
- Life and disability insurance: employees are provided basic coverage and given the opportunity to purchase additional insurance for both the employee and eligible dependents
- Retirement: King County employees are eligible to participate in a pension plan through the Washington State Department of Retirement Systems and a 457(b) deferred-compensation plan
- Transportation program and ORCA transit pass
- 12paid holidays each year (plus 2 personal holidays)
- Generous vacation and paid sick leave
- Paid parental leave, family and medical leaves, and volunteer leave
- Flexible Spending Account
- Wellness programs
- Onsite gyms and activity centers
- Employee giving program
- Employee assistance programs
- Flexible schedules and telecommuting options, depending on position
- Training and career development programs
This is a general description of the benefits offered to eligible King County employees, and every effort has been made to ensure its accuracy. If any information on this document conflicts with the provisions of a collective bargaining agreement (CBA), the CBA prevails. Also, in the event of any incorrect information in this document, applicable laws, policies, rules, CBAs, or official plan documents will prevail.
NOTE: Benefits for Term Limited Temporary (TLT) or Short Term Temporary (STT) positions, including leave eligibility and/or participation in the pension plan through the Washington State Department of Retirement Systems, will vary based upon the terms and details of the position.Short Term Temporary positions are not eligible for an ORCA transit pass.
For inquiries about the specifics of this position, please contact the recruiter identified on this job posting.