California Licensed Clinical Services Manager

Job Summary

Providing clinical leadership in a fully remote capacity, the California Licensed Clinical Services Manager will oversee clinical quality management, utilization management, and compliance functions for the multi-county Drug Medi-Cal Organized Delivery System (DMC-ODS), while supervising Quality Management staff and ensuring adherence to regulatory standards.

Key responsibilities

• Supervise Quality Management staff, managing hiring, training, and performance evaluations while directing clinical quality and compliance functions
• Serve as Compliance Officer, leading the organization's response to audits and ensuring compliance with HIPAA and DMC-ODS regulations
• Direct clinical policy and utilization management, including the development of policies and oversight of service authorization processes

Required qualifications

• Master's degree in Social Work, Marriage and Family Therapy, Professional Clinical Counseling, Psychology, or a related clinical field
• Current California Board of Behavioral Sciences licensure (LMFT, LCSW, LPCC, or equivalent)
• Seven years of experience in behavioral health or compliance, with at least three years in a supervisory or management role
• Substantial experience with DMC-ODS services and Medi-Cal documentation requirements
• Experience managing audits and compliance reviews, particularly related to HIPAA and 42 CFR Part 2