Substance Use Disorder Policy Consultant

Arts In Wilmington; North Carolina; Híbrido; USD 58.000 - 101.000; Jornada completa

Descripción de la vacante

The North Carolina Department of Health and Human Services is seeking a Substance Use Disorder Policy Consultant to plan and develop Medicaid SUD coverage policies and State Plan Amendments for both adolescents and adults.

The role involves monitoring clinical quality, ensuring provider adherence to policy, and collaborating with internal divisions and external partners to enhance behavioral health services in North Carolina.

Formación

• Knowledge of delivering mental health and SUD services in NC.
• Familiarity with ASAM Criteria and related treatment standards.
• Understanding of state and federal mental health/substance programs.
• Experience with compliance monitoring, reviews, and utilization management.
• Ability to build and maintain relationships with internal and external stakeholders.

Responsabilidades

• Plan and develop Medicaid SUD clinical coverage policies and State Plan Amendments for adolescents and adults.
• Monitor clinical quality of services, health plans, and provider adherence to policy.
• Engage with internal and external partners to amend policies and support high quality care.

Conocimientos

SUD policies

ASAM Criteria

Mental health programs

Compliance monitoring

Stakeholder management

Descripción del empleo

**Agency**Dept of Health and Human Services**Division**HEALTH BENEFITS**Job Classification Title**Human Services Program Consultant III (NS)**Position Number**60042690**Grade**NC16The North Carolina Department of Health and Human Services (DHHS) is one of the largest, most complex agencies in the state, and has approximately 17,000 employees. It is responsible for ensuring the health, safety, and well-being of all North Carolinians, providing human service needs for special populations including individuals who are deaf, blind, developmentally disabled, and mentally ill, and helping poor North Carolinians achieve economic independence.**Description of Work**The Substance Use Disorder (SUD) Policy Consultant, classified as a Human Services Program Consultant III, is a member of the Behavioral Health and IDD unit and reports to the Behavioral Health Policy Manager. This position is responsible for planning and development of Medicaid SUD clinical coverage policies and State Plan Amendments. for both adolescents and adults. This position is also responsible for monitoring the clinical quality of the services offered, as well as health plans and provider adherence to policy requirements. The Substance Use Disorder Policy Consultant will engage with both internal and external stakeholders, including other divisions, to develop and amend clinical coverage policies and the State Plan to support the provision of high-quality behavioral health services in North Carolina.**Knowledge Skills and Abilities/Management Preferences****Salary Grade Range** $57,983 - $101,470**Recruitment Range** $57,983 - $74,160**\\*\\*Position is eligible for a hybrid-teleworking schedule to include weekly onsite work hours\\*\\***Candidates now meet the minimum qualifications of a position if they meet the minimum education and experience listed on the vacancy announcement.The Knowledge, Skills, and Abilities (KSAs)/ Management Preferences are not required. Applicants who possess the following skills are preferred:* Working knowledge of the delivery of mental health/substance use disorder services in North Carolina.* Considerable knowledge of the treatment of substance use disorder (SUD) and The American Society of Addiction Medicine (ASAM) Criteria.* Working knowledge of the state and federal programs that govern mental health, developmental disabilities and/or substance use services.* Experience with compliance monitoring, program reviews, utilization management, or care management.* Proven ability in establishing and maintaining effective working relationships with internal and external stakeholders.**Posting closes at 11:59 p.m. the night before the closing date****Position is funded in part through federal funds****About the NC Division of Health Benefits:** **The Division of Health Benefits (DHB)** within NCDHHS is committed to advancing innovative solutions that improve health, promote well-being and foster independence for all North Carolinians. DHB manages and oversees North Carolina Medicaid and other programs that provide access to services and supports for parents, children, seniors, people with intellectual / developmental disabilities, and behavioral health, substance use and traumatic brain injury disorders. With a budget over $27 billion in state and federal funds per fiscal year, DHB ensures that more than 108,000 enrolled providers are reimbursed for delivering covered services to 3.1 million beneficiaries.**Compensation & Benefits:** The State of North Carolina offers excellent comprehensive benefits. Employees can participate in health insurance options, standard and supplemental retirement plans, and the NCFlex program (numerous high-quality, low-cost benefits on a pre-tax basis). Employees also receive paid vacation, sick, and community service leave. In addition, paid parental leave is available to eligible employees.Visit website for## **Supplemental and Contact Information**The North Carolina Department of Health and Human Services (DHHS) is an Equal Opportunity Employer that embraces an Employment First philosophy, which consists of complying with all federal laws, state laws, and Executive Orders. We are committed to reviewing requests for reasonable accommodation at any time during the hiring process or while on the job. For more information about DHHS: .DHHS uses the Merit-Based Recruitment and Selection Plan to fill positions subject to the State Human Resources Act with the most qualified individuals. Hiring salary will be based on relevant qualifications, internal equity, and budgetary considerations pertinent to the advertised position.In accordance with the Governor’s , our agency supports second-chance employment for individuals who were previously incarcerated or justice-involved. We invite all potential applicants to apply for positions for which they may be qualified. Application Process **Be sure to complete the application in its entirety.** *Resumes will not be accepted in lieu of completing this application.** Information should be provided in the appropriate areas, to include the following: Education, including high school and all degrees obtained, Work Experience, and Certificates & Licenses. It is critical to our screening and salary determination process that applications contain comprehensive candidate information.* Answers to Supplemental Questions are not a substitute for providing all relevant information within the body of your application. To receive credit for the supplemental questions, you must provide supporting information within the \"Work Experience\" section of the application to support your answers.* If multiple applications are submitted to an individual posting, only the most recent application received prior to the closing date will be accepted. Applications must be submitted by 11:59 PM the night BEFORE the closing date.* Applicants may be subject to a criminal background check. All candidates selected for positions considered \"Positions of Trust\" will be subject to a criminal background check.* Due to the volume of applications received, we are unable to provide information regarding the status of your application over the phone. To check the status of your application, please log in to your account. Upon the closing date, applications are \"Under Review\" and will be screened by Human Resources for qualified applicants. The hiring process may take several weeks.* Degrees must be received from appropriately accredited institutions. Transcripts and degree evaluations may be uploaded with your application. The State of North Carolina/Office of State Human Resources uses the National Association of Credential Evaluation Services (NACES) as a referral resource for applicants who need to have their credentials certified as equivalent.* For a list of organizations that perform this specialized service, please visit the NACES membership website at .Degree/College Credit VerificationDegrees must be received from appropriately accredited institutions. *Transcripts, degree evaluations and cover letters may be uploaded with your application.*Veterans’ and National Guard Preference* Applicants seeking Veteran's Preference must attach a DD-214 Member-4 Form (Certificate of Release or Discharge from Active Duty) to their applications.* Applicants seeking National Guard Preference must attach an NGB 23A (RPAS), along with the state application, if they are a current member of the NC National Guard in good standing.* Applicants who are former members of either the NC Army National Guard or the NC Air National Guard, with honorable discharge and six years of creditable service, must attach a copy of the DD 256 or NGB 22, along with the state application.ADA AccommodationsConsistent with the Americans with Disabilities Act (ADA) and the Pregnant Workers Fairness Act (PWFA), DHHS is committed to the full inclusion of all qualified