Clinical Reviewer I- Part-Time

Position Information
Location: Elgin, IL

Job Id: 222

# of Openings: 1

Classification: Exempt

Reports to: Director of Care Coordination

Type: Contract

Summary
The Licensed Clinical Assessment Reviewer is responsible for reviewing IM+CANS for the Pathways to Success program. The reviewer will determine and document medical necessity for treatment, complete reviews in a timely manner, and adhere to Rule 140 and FSA standards for documentation. The position requires a clinical license in the State of Illinois.

Essential Duties and Responsibilities \ Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. The essential duties and responsibilities include the following. Other duties may be assigned.

Clinical

Review initial and updated IM+CANS from the Pathways to Success program to determine medical necessity

Provide feedback to the MHP and/or QMHP on submitted IM+CANS, when appropriate

Participate in cross‑training and gain knowledge of all programs in order to review IM+CANS from other programs on a case‑by‑case basis.

Be knowledgeable on Rule 140 and Rule 132

Provide support to New Hire Trainings with regards to Rule 140

Supervision

Responsible for supervision on a monthly basis

Responsible for reporting to supervisor regularly about problem cases, need for special services, and resource information.

Administrative

Responsible for completion of and meeting deadlines for all clinical paperwork for cases, including, but not limited to: IATPs and case notes.

Responsible for completion of and meeting deadlines for all agency administrative paperwork, including, but not limited to: timesheets, expense reports, and car insurance verification.

Responsible for attending Quarterly All Staff Clinical Meetings and other meetings as assigned by supervisor.

Responsible for participating in Utilization Review on a quarterly basis.

Training

Responsible for learning basics of Pathways to Success Program & CCSO operations

Responsible for completion of annual training requirements.

Maintain IM+CANS Certification and attend required HFS trainings

Documentation/Billing Notes should be completed with 7 days of service.

Documentation should follow Rule 140

Responsible for ongoing training assigned by supervisor.

Other Duties/Special Assignments/Projects

Maintain licensure and/or certification that are available and appropriate to educational/professional background.

Perform other duties as assigned by supervisor.

Perform incidental business‑related travel as needed.

Participate in agency Risk Management and Continuous Quality Improvement activities.

Other Duties

Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties, or responsibilities that are required of the employee for this job. Duties, responsibilities, and activities may change at any time with or without notice.

Physical and Environmental Considerations
The work environment is mostly office‑based and requires working on a computer. However, the incumbent can expect to work in client’s homes, schools, public libraries, and community agencies. The physical demands and work environment described above are representative of those that should be met by an employee to perform the essential functions of this job successfully.

Travel
This position requires light travel on occasion. Must hold a valid, unexpired Illinois driver’s license.

Position Type / Expected Hours of Work
This position is part-time, 15-20 hours per week.

Hourly Pay Rates

In accordance with Illinois state law, we are committed to transparency in compensation. The hourly pay range for this position is $26.65 to $32.49, depending on experience and qualifications.

In addition to base pay, we offer a comprehensive benefits package and opportunities for professional development and growth.

Qualifications

Licensed Practitioner of the Healing Arts (LPHA) credential (LCPC, LCSW, LMFT) in Illinois

Previous experience in community mental health

Previous experience with utilizing the Illinois Medicaid Comprehensive Assessment of Strengths and Needs (IM+CANS)

Family Service Association of Greater Elgin provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state, or local laws. Discrimination of any type will not be tolerated. The company takes affirmative action to ensure that applicants are employed and employees are treated during employment without regard to any of these characteristics.

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