Serves as the primary assistant to the Vice President of Compliance for the administration of the DWIHN Compliance Office. Supervises various aspects of the compliance program. Serves as a leader and manages a team of professional investigators and maintains a team oriented management style. Ensures proper adherence to policies and procedures. Responds to and manages indi

Assists with the planning, development and implementation of compliance activities for DWIHN. Performs regular audits and internal reviews. Conducts investigations. Performs research. Implements DWIHN policies and design control systems. Educates DWIHN employees about compliance related matters including billing and documentation requirements; vendor relationships; DWIHN

Receives and reviews complaints of suspected or alleged violations of the rights of recipients of services in accordance with the Michigan Mental Health Code. Investigates complaints of alleged violations throughout the Network's service delivery system. Conducts interviews with recipients of services, witnesses, and employees. Conducts reviews of service sites. Writes co

Under the supervision of the DWIHN Call Center Director, the Substance Use Disorder (SUD) Technician is responsible for conducting brief screenings, electronic case review and providing authorization and care management services. This position is responsible for providing behavioral health utilization management services for the treatment provider network through the impl

Determines appropriate levels of care for referral, assisting clients in selecting appropriate service providers. Initiates referrals to selected providers. Provides re authorization of SUD/Mental Health/co occurring services. Assists providers with additional client information to provide appropriate referral for treatment services. Evaluates clinical appropriateness for

Consistent with the mission of DWIHN and the goals of the Team, Student Intern's will Provide support to department initiatives as described by the department leader. Engage in activities designed to enhance the Network's system of care. Documentation of work completed electronically. Attend meetings internally and externally as appropriate. Provide support to provider ne

Develops and oversees processes and procedures to ensure department wide compliance with contractual, regulatory (Federal/State) and accreditation entities. Serves on the executive management team and coordinates activities with other department directors to ensure utilization management tasks are integrated with other Department functions. Assists the Chief Medical Offic

Provides nursing care and services within the standards and scope of nursing practice as defined within the state Nurse Practice Act regulations, policies, procedures, and protocols, in addition to facility specific policies and procedures. Utilizes the nursing process of assessment, planning, implementation, and evaluation, to provide, delegate, supervise and document ca

Under the general supervision of the Vice President of Crisis Services, the Site Director is responsible for planning, developing, organizing and maintaining activities within the 24/7 Crisis Program. PRINCIPAL DUTIES AND RESPONSIBILITIES Supervises, trains and schedules assigned staff to ensure that service delivery is offered on a 24 hour basis. This is to address immed