Utilization and Quality Improvement Manager – CMHAM – Community Mental Health Association of Michigan
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Utilization and Quality Improvement Manager

Agency Name: Pathways Community Mental Health

Agency Contact: Tammy Burton

  • Position Type: Full Time
  • Job Type: Permanent
  • County: Marquette
  • Salary Range: $64,771.20 - $84,572.80 per Year
  • Send applications to: tburton@up-pathways.org
  • Please include your resume when applying.
  • Download this job posting.

About the Role:
The Utilization and Quality Improvement Manager leads and manages programs focused on utilization and quality improvement. This leadership position is responsible for supervising and coordinating staff to ensure individuals served receive services that are efficient, cost-effective, and aligned with quality standards, medical necessity, and person-centered planning.
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Key Responsibilities:
Leadership and Supervision
• Supervise and direct Utilization and Quality Improvement staff, ensuring high performance and adherence to standards.
Utilization Review
• Assist and guide clinical staff in understanding and determining clinical Medical Necessity for specific services.
• Conduct reviews of service delivery for efficient, cost-effectiveness, and compliance with medical necessity.
• Approve or deny service authorization requests, ensuring proper feedback, and documentation.
Compliance and Accreditation
• Oversee liaison with accreditation bodies (CARF, MDHHS, MIFAST, etc.), helping to ensure full compliance with standards.
• Supervise Quality staff responsible for monitoring and reporting on program outcomes and quality metrics.
• Provide leadership and direction to incorporate required standards and best practices within Pathways’ clinical programs.
Training and Development
• Provide training to clinical staff on tools, documentation standards, and person-centered planning.
• Mentor and support staff in achieving clinical excellence.
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Qualifications:
• Education: Master’s degree in relevant field (required).
• Licensure:
o Licensed Master of Social Work (MSW / LMSW)
o Limited Licensed Psychologist (LLP) with 2 years of experience
o Licensed Professional Counselor (LPC)
o Limited Licensed Masters of Social Work (LLMSW) would be considered for strong candidate.
• Experience: Preferred experience working with individuals with developmental disabilities or mental illness.
• Other Requirements:
o Valid Driver’s License.
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Schedule:
• Monday to Friday, Day shift
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(517) 374.6848

507 S. Grand Avenue, Lansing, MI  48933

 

 

CMHA is an equal opportunity employer and service provider. CMHA celebrates diversity and is committed to creating an inclusive environment for all employees, partners, and those whom CMHA serves. CMHA does not discriminate in employment nor in the provision of services on the basis of race, color, religion, sex (including pregnancy and gender identity), national origin, political affiliation, sexual orientation, marital status, disability, genetic information, age, membership in an employee organization, parental status, or other non-merit factor.

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