Post Date: 02/02/2018
Close Date: 02/11/2018
The Mental Health Consultant in the Utilization Review Department provides care management to Health Share's Multnomah Medicaid members. Health Share has a full risk contract with the State of Oregon for the provision of managing inpatient and outpatient mental health care services to approximately 100,000 Multnomah County Adults/Children who are eligible for the Oregon Health Plan.
Responsibilities include but is not limited to the following:
Responsible for authorizing Health Share Multnomah dollars for mental health treatment through utilization management care practices.
Applying medical necessity criteria to clinical information for initial and concurrent service authorizations.
Coordinating care with community providers, partners, and consumer/advocates who create plans for successful treatment engagement and outcomes.
Advocating for the most appropriate level of care matching individualized clinical needs of Medicaid members.
Diversity and Inclusion: At Multnomah County, we don't just accept difference; we value it and support it to create a culture of dignity and respect for our employees. We are proud to be an Equal Opportunity Employer.
We will consider any combination of relevant work experience, volunteering, education, and transferable skills as qualifying unless an item or section is labeled required. Please be clear and specific about how your background is relevant. For details about how we typically screen applications, review our overview of the selection process page.
Minimum Qualifications/Transferable Skills:
Master's degree from an accredited college or university in the mental health field with major coursework in social science, or a related field demonstrating the capacity for the required knowledge and skills to meet provider Qualified Mental Health Professional (QMHP) credentialing requirements as required by Oregon Administrative Rules (OARs) to treat adults. See qualified degrees listed below:
Graduate degree in psychology.
Graduate degree in social work.
Graduate degree in recreational therapy
Graduate degree in art therapy.
Graduate degree in music therapy.
Graduate degree in a behavioral science field
Bachelor's degree in nursing AND licensed by the State or Oregon
Bachelor's degree in occupational therapy AND licensed by the State of Oregon
Experience/Certification: Two (2) years of professional experience as a Qualified Mental Health Professional (QMHP) providing mental health treatment through utilization management care practices.
Other: May require valid drivers' license. These positions may require a background investigation, which may include being fingerprinted. Employment is contingent on a passing a background investigation.
May require valid driver license.
*Transferable skills: Your transferable skills are any skills you have gained through education, work experience (including the military) or life experience that are relevant for this position. Be sure to describe any transferable skills on your application and clearly explain how they apply to this position.
SCREENING AND EVALUATION:
The Application Packet:
1. A resume. Include month and year for each listed work experience.
2. A cover letter addressing why you are interested in this opportunity with us and how your qualifications and experiences make you the ideal candidate for this position.
The resume and cover letter should demonstrate your work experience/skills and how it is related to those shown in the Overview and To Qualify sections of the job announcement. Please be thorough as this section will be scored and determine your eligibility for an interview.
3. An attached copy of Graduate Degree and/or State of Oregon license in Nursing or Occupation Therapy