Clinical Therapist In-Custody Program

CalAIM a Department of Health Care Services (DHCS) initiative aims to improve Medi-Cal recipients quality of life and health outcomes through system reforms. The Case Management In-Custody program through Californias Justice-Involved Reentry initiative mandates correctional facilities to provide targeted Medi-Cal services up to 90-days before release. Eligible incarcerated adults are auto enrolled in Enhanced Care Management (ECM) which provides a lead care manager to coordinate physical behavioral and social services seamlessly during Licensed Clinical Review Specialist (LCRP) conducts clinical reviews of documentation case notes assessments and care plans for HealthRIGHT 360s jail-based case management program ensuring all services meet Medi-Cal billing standards state compliance guidelines and organizational quality requirements. This role is responsible for reviewing and supporting Health Risk Assessments monitoring case management practices for clinical and regulatory compliance and providing feedback and consultation to case management staff to promote high-quality service delivery. The Licensed Clinical Review Specialist may also provide direct clinical case management services for clients with complex or escalated needs. Serving as a bridge between correctional care clinical quality assurance care coordination and public funding compliance this position supports effective service delivery positive client outcomes and adherence to local state and federal RESPONSIBILITIES Documentation & Clinical Record ReviewAudit clinical case management notes for accuracy and case notes and supporting documentation to ensure compliance with program regulatory and billing that all documentation fulfills California Medi-Cal each Comprehensive Assessment Health Risk Assessment (HRA) additional assessments and Care Plans developed by Case Management In-Custody documentation of services provided in applicable EHR and/or Provider portal within 24 hours of service Assurance & ComplianceEnsure care plans match the clients documented clinical feedback to Case Managers to improve documentation case management activities and documentation to ensure adherence to Medi-Cal requirements and organizational with the care management team to establish quality improvement oversight and assistance to the Case Management In-Custody team to support effective service delivery while ensuring compliance with local state and federal regulations and Consultation & Case SupportAssist with Case Management In-Custody member cases that require additional or escalated clinical clinical case management services for clients as needed particularly in complex or high-acuity consultation and support to staff as needed including being available for Lead Case Managers (LCMs) to debrief difficult consultation regarding clinical and administrative issues to other resources as Coordination & Community CollaborationServe as a clinical liaison between the Case Management In-Custody program healthcare providers and community resources to foster collaboration and coordinate in Solano County and HealthRIGHT 360 meetings on a recurring basis (e.g. care plan development care plan updates due to changes in member condition and Interdisciplinary Care Team (ICT) meetings).Participate in multidisciplinary teams and committees to advocate for Case Management In-Custody services and the members & Program SupportParticipate in required internal and external meetings related to care planning care coordination quality assurance and program other duties special projects and assignments as directed by the workshops meetings and training as requested by Certification or LicensureMasters degree in counseling social work or related Behavioral Board of Sciences (BBS) license from an accredited institution recognized in California (LMFT LPCC LCSW). License must be current and in good First Aid and CPR California drivers license and access to registered and insured of 3 years clinical experience with at least 1 year in care management population health or related Clinical experience working with individuals recently released from jail or prison or experiencing working with clients experiencing acute withdrawal from working with Medi-Cal Medi-Care and private medical insurance plans providing trauma-informed services preferred.