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Jobs at Oakland Community Health Network (Now Hiring) — 25 open

Oakland Community Health Network logoOakland Community Health Network

Utilization Management Clinical Analyst HYBRID (PCN 1534)

Troy, Michigan, United States · Hybrid

$56k–$70k/yr

Mid level

Job Summary The Utilization Management Clinical Analyst conducts prospective reviews of authorization requests to determine medical necessity and clinical appropriateness of behavioral health services in accordance with …

Skills: Utilization Management, Medical Necessity Review, Clinical Analysis, Behavioral Health Expertise, Care Coordination

Oakland Community Health Network logoOakland Community Health Network

Substance Use Disorder Prevention Coordinator

Troy, Michigan, United States · Hybrid

$56k–$70k/yr

Mid level

Job Summary The Substance Use Disorder Prevention Coordinator (SUDPC) is responsible for network management of substance use disorder prevention services for OCHN. This includes collaborating with other OCHN departments …

Skills: Network Management, Contract Management, Budgeting, Technical Assistance, Strategic Planning

Oakland Community Health Network logoOakland Community Health Network

Crisis Registered Nurse (RN)

Pontiac, Michigan, United States · On-site

$41/hr–$45/hr

Senior

Job Summary This position works under the direct supervision of the Nurse Supervisor. The Crisis RN is responsible for delivering high-quality, trauma-informed, and person-centered nursing care within the stabilization u…

Skills: Interpersonal Skills, Organizational Skills, Data Analysis, Strategic Planning, Written And Oral Communication

Oakland Community Health Network logoOakland Community Health Network

Utilization Review Analyst HYBRID (PCN 1542)

Troy, Michigan, United States · Hybrid

$56k–$70k/yr

Senior

Job Summary Utilization Review Analyst conducts prospective, concurrent, and retrospective reviews of service authorizations, ensuring the appropriate, effective, and efficient use of acute psychiatric inpatient and stat…

Skills: Utilization Review, Clinical Documentation Review, Medical Necessity Determination, Behavioral Health Care, Case Management

Oakland Community Health Network logoOakland Community Health Network

Support Specialist - PART TIME

Troy, Michigan, United States · Hybrid

Mid level

Job Summary The Support Specialist role is responsible for providing clerical, data, and information-related technical support to the Team Manager/Department Director and members of the assigned team. Location: Troy, MI …

Skills: Microsoft Word, Microsoft Excel, Database Management, Interpersonal Skills, Oral Communication

Oakland Community Health Network logoOakland Community Health Network

Utilization Review Supervisor (PCN 1547)

Troy, Michigan, United States · Hybrid

$70k–$88k/yr

Senior

Job Summary The Supervisor of Utilization Review (UR) oversees the development, implementation, and maintenance of Utilization Review (UR) clinical policies, procedures, and protocols. This position supervises UR Analyst…

Skills: Utilization Review, Clinical Supervision, Data Analysis, Case Management, Regulatory Compliance

Oakland Community Health Network logoOakland Community Health Network

Utilization Management Clinical Analyst - SUD HYBRID (PCN 1543)

Troy, Michigan, United States · Hybrid

$56k–$70k/yr

Senior

Job Summary The Utilization Management Clinical Analyst – Substance Use Disorder (SUD) conducts prospective and concurrent reviews of substance use disorder authorization requests to determine medical necessity and…

Skills: Utilization Management, Clinical Case Review, Data Analysis, Interpersonal Skills, Written and Oral Communication

Oakland Community Health Network logoOakland Community Health Network

Clinician (CRU)

Pontiac, Michigan, United States · Hybrid

$31/hr–$39/hr

Mid level

Job Summary Under the direct supervision of clinical supervisor, the CRU Clinician provides psychosocial support to individuals experiencing acute mental health crises. This role includes conducting assessments, developi…

Skills: Psychosocial Assessment, Crisis Intervention, Treatment Planning, Trauma-Informed Care, Case Management

Oakland Community Health Network logoOakland Community Health Network

Sober Support Unit Supervisor (PCN 1568)

Pontiac, Michigan, United States · On-site

$70k–$88k/yr

Mid level

Job Summary The SSU Supervisor provides direct oversight and support to Substance Use Stabilization Unit staff while ensuring the delivery of high-quality, recovery-oriented services to adults experiencing a substance us…

Skills: Interpersonal Skills, Organizational Skills, Data Analysis, Strategic Planning, Written And Oral Communication

Oakland Community Health Network logoOakland Community Health Network

Chief Corporate Compliance Officer

Troy, Michigan, United States · Hybrid

Senior

This position serves as OCHN's principal advisor on compliance, ethics, and regulatory governance, providing strategic counsel to executive leadership and the Board of Directors. About the Role Oakland Community Health N…

Skills: Corporate Compliance, Regulatory Governance, HIPAA Privacy, Risk Assessment, Ethics Program Management

Oakland Community Health Network logoOakland Community Health Network

Case Manager Supervisor (PCN 1569)

Troy, Michigan, United States · Hybrid

$80k–$90k/yr

Mid level

Job Summary The IDD Targeted Case Management Lead provides support to Oakland County youth who receive Applied Behavioral Analysis (ABA) and IDD (intellectual and/or developmental disability) services, including waivers …

Skills: Case Management, Supervision, Person-Centered Planning, Wraparound Planning, Crisis Intervention

Oakland Community Health Network logoOakland Community Health Network

Mental Health Technician (CRU)- CONTINGENT

Pontiac, Michigan, United States · On-site

$20/hr–$25/hr

Entry level

Job Summary Under the direct supervision of the Unit Charge Nurse, the Behavioral Technician helps maintain a safe, supportive, and therapeutic environment for individuals in mental health crisis. This role requires emot…

Skills: Interpersonal Skills, Organizational Skills, De-escalation, Conflict Resolution, Mental Health Knowledge

Oakland Community Health Network logoOakland Community Health Network

Mental Health Technician (CRU)

Pontiac, Michigan, United States · On-site

$20/hr–$25/hr

Entry level

Job Summary Under the direct supervision of the Unit Charge Nurse, the Behavioral Technician helps maintain a safe, supportive, and therapeutic environment for individuals in mental health crisis. This role requires emot…

Skills: Interpersonal Skills, Organizational Skills, De-escalation, Conflict Resolution, Mental Health Knowledge

Oakland Community Health Network logoOakland Community Health Network

Support Specialist

Pontiac, Michigan, United States · Hybrid

Mid level

Job Summary The Support Specialist role is to provide clerical, data, and information related technical support to Team Manager/Department Director and members of the assigned team. ​ ​ Note: This position supports our C…

Skills: Microsoft Word, Microsoft Excel, Power Bi, Microsoft PowerPoint, Interpersonal Skills

Oakland Community Health Network logoOakland Community Health Network

Crisis Assessment Shift Supervisor - PART TIME

Pontiac, Michigan, United States · On-site

$33/hr–$42/hr

Mid level

Job Summary This position supervises clinicians, ensuring quality care and documentation. It oversees hiring, training, and performance evaluations, provides direct clinical services, response, and supports quality assur…

Skills: Clinical Supervision, Crisis Intervention, Mental Health Assessment, Electronic Health Records, Trauma-Informed Care

Oakland Community Health Network logoOakland Community Health Network

Peer Support Specialist - PART TIME (CRU)

Pontiac, Michigan, United States · On-site

$20/hr–$25/hr

Mid level

Job Summary This position supports clients during their stay by providing compassionate care, de-escalation, and coordination of services. Responsibilities include developing discharge and safety plans, offering follow-u…

Skills: Crisis Intervention, De-escalation, Risk Assessment, Short-term Counseling, Trauma-informed Care

Oakland Community Health Network logoOakland Community Health Network

Peer Support Specialist (CRU)

Pontiac, Michigan, United States · On-site

$20/hr–$25/hr

Mid level

Job Summary This position supports clients during their stay by providing compassionate care, de-escalation, and coordination of services. Responsibilities include developing discharge and safety plans, offering follow-u…

Skills: De-escalation, Discharge Planning, Crisis Intervention, Case Coordination, Patient Advocacy

Oakland Community Health Network logoOakland Community Health Network

Peer Support Specialist - PART TIME (CSU)

Pontiac, Michigan, United States · On-site

$20/hr–$25/hr

Mid level

Job Summary This position supports clients during their stay at the Resource and Crisis Center by providing compassionate care, de-escalation, and coordination of services. The role includes developing discharge and safe…

Skills: Crisis De-escalation, Discharge Planning, Case Coordination, Interpersonal Communication, Problem Solving

Oakland Community Health Network logoOakland Community Health Network

Peer Support Specialist (CSU)

Pontiac, Michigan, United States · On-site

$20/hr–$25/hr

Mid level

Job Summary This position supports clients during their stay at the Resource and Crisis Center by providing compassionate care, de-escalation, and coordination of services. The role includes developing discharge and safe…

Skills: Crisis De-escalation, Discharge Planning, Case Coordination, Interpersonal Communication, Problem Solving

Oakland Community Health Network logoOakland Community Health Network

Milieu Specialist

Pontiac, Michigan, United States · On-site

$23/hr–$28/hr

Mid level

Job Summary This position works under the direct supervision of the Unit Charge Nurse. The Milieu Specialist plays a critical role in maintaining a safe, supportive, and therapeutic environment for individuals experienci…

Skills: Crisis De-escalation, Emotional Intelligence, Conflict Resolution, Trauma-Informed Care, Patient Safety

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Showing 1–20 of 25

Oakland Community Health Network logo

Utilization Management Clinical Analyst HYBRID (PCN 1534)

Oakland Community Health Network

Troy, Michigan, United States • Hybrid

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Mid level

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  • $56k–$70k/yr
  • Full-time
  • postgraduate degree, professional certificate
  • Posted 2d ago
  • ~40 hrs/week

Responsibilities

The analyst conducts prospective and retrospective reviews of authorization requests to determine the medical necessity and clinical appropriateness of behavioral health services. They collaborate with providers and internal stakeholders to ensure quality, person-centered care and compliance with state and federal regulations.

Requirements

Requires a Master's degree in a mental health field and a current unrestricted State of Michigan professional license (e.g., LMSW, LPC, RN). Candidates must have at least three years of post-graduate clinical experience with adults and children facing mental illness or developmental disabilities.

Full job description

Job Summary

The Utilization Management Clinical Analyst conducts prospective reviews of authorization requests to determine medical necessity and clinical appropriateness of behavioral health services in accordance with Level of Care Need, Medicaid guidelines, MDHHS requirements and the Michigan Mental Health Code. This position applies clinical expertise and evidence-based criteria to support timely utilization management decisions, promote appropriate resource utilization, and ensures quality, person-centered care through collaboration with providers and internal stakeholders.

Essential Functions

  • Apply advanced clinical expertise, behavioral health best practices, medical necessity criteria, Medicaid and PIHP requirements, regulatory standards, and organizational policies to determine the clinical appropriateness of behavioral health and intellectual/developmental disability service authorization requests.
  • Independently perform comprehensive medical necessity reviews of service authorization requests by analyzing complex clinical information, assessments, treatment plans, and supporting documentation to determine the appropriate amount, scope, duration, intensity, and level of care needed to meet assessed needs, ensuring decisions are clinically sound, timely, well-documented, and consistent with person-centered planning principles and applicable benefit requirements.
  • Ensure authorization decisions comply with applicable federal and state regulations, Medicaid Provider Manual requirements, PIHP contractual obligations, parity requirements, evidence-based clinical guidelines, and organizational policies and procedures.
  • Complete retrospective utilization reviews to evaluate whether services provided were medically necessary, clinically appropriate, adequately documented, and delivered in the appropriate amount, scope, duration, and intensity to achieve the goals identified in the Individualized Plan of Service (IPOS).
  • Participate in the development, validation, implementation, and continuous improvement of utilization management policies, clinical protocols, decision-support tools, audit processes, and workflow enhancements.
  • Collaborate with internal clinical teams, provider organizations, and community partners to facilitate effective care coordination, timely communication, discharge planning, and continuity of care.
  • Participate in interdisciplinary committees, quality improvement initiatives, utilization management workgroups, and external stakeholders to support system-wide clinical quality and compliance.
  • Monitor and analyze utilization patterns, service trends, and authorization data to identify opportunities for quality improvement, ensure appropriate utilization, support regulatory compliance, and inform utilization management practices.
  • Maintain current knowledge of behavioral health standards of care and state and federal policy and regulations.
  • Perform other duties and special projects as assigned.

Job Requirements and Qualifications

Education:

  • Master’s degree in the mental health field or relevant discipline required.

Training Requirements (licenses, programs, or certificates): 

  • Possession and maintenance of a current, unrestricted State of Michigan professional license in one of the following disciplines:
  • Licensed Psychologist (LLP or LP)
  • Licensed Master's Social Worker (LMSW)
  • Licensed Professional Counselor (LPC)
  • Licensed Marriage and Family Therapist (LMFT)
  • Registered Nurse (RN)
  • Must maintain Child Diagnostic and Treatment Professional (CDTP) eligibility, including 24 hours of annual child-specific training.

Experience Requirements:

  • Minimum of three (3) years of relevant post-graduate clinical experience providing services to adults with mental illness, intellectual or developmental disabilities, and/or substance use disorders, as well as children with serious emotional disturbance and/or intellectual or developmental disabilities.

Preferred Experience

  • Experience within a Community Mental Health Services Program (CMHSP), Prepaid Inpatient Health Plan (PIHP), Managed Care Organization (MCO), hospital, or behavioral health setting.
  • Preference for CADC or CAADC credentials.

Knowledge Requirements:

  • Michigan Mental Health Code.
  • Medicaid guidelines, regulations, and Michigan Medicaid Provider Manual.
  • Manage Care Principles and Utilization Management.
  • Preference for knowledge of the PIHP responsibilities for utilization management.

Job Specific Competencies/Skills:

  • Ability to work effectively in a team environment.
  • High level of understanding of various treatment processes.
  • Effective communication skills (oral and computer)
  • Ability to apply knowledge and evidence-based practices to complex decision-making situations.

Oakland Community Health Network’s Core Competencies:

  • Interacting with others in a way that gives them confidence in one’s intentions and those of the organization; demonstrating loyalty to the organization and its mission and values; maintaining social, ethical, and organizational norms; firmly adhering to codes of conduct and ethical principles. (Integrity/Building Trust)
  • Making customers and their needs a primary focus of one’s actions; developing and sustaining productive customer relationships, recognizing that the ultimate customer is the person served. (Customer Focus)
  • Actively identifying new areas for learning; regularly creating and taking advantage of learning opportunities; using newly gained knowledge and skill on the job and learning through their application. (Continuous Learning) 
  • Setting high standards of performance for self and others; assuming responsibility and accountability for successfully completing assignments or tasks; self-imposing standards of excellence in addition to consciously adopting organizational standards of excellence. (Work Standards)
  • Clearly conveying information and ideas through a variety of media to individuals or groups in a manner that engages the audience and helps them understand and retain the message. (Communication)

Other Information

(Travel required, physical requirements, and so on):  

  • Must have available means of transportation to and from OCHN and for required offsite meetings or site visits.
  • Must be available for meetings and events which may occur outside of standard office hours.
  • Work performed primarily in an office environment.
  • Hybrid (onsite/remote) work schedule available.
  • The ideal candidate must be able to complete all physical requirements of the job with or without a reasonable accommodation.

 

Related keywords

Utilization ManagementMedical NecessityBehavioral HealthMedicaidMichigan Mental Health CodePIHPMDHHSLMSWLPCLMFTRNCDTPCADCCAADCIPOSManaged Care

About Oakland Community Health Network

LinkedInVisit site

Inspire Hope. Empower People. Strengthen Communities.

Industry
Mental Health Care
Company size
201-500 employees
Founded
1963
Headquarters
Troy, Michigan
LinkedIn followers
3,987

OCHN has a long-standing history of promoting independence, choice, and community inclusion for adults and children with intellectual / developmental disabilities, mental health concerns, and substance use disorders. Its mission to “inspire hope, empower people, and strengthen communities” reflects an unyielding belief in a "Valuable System for Valued People."​ Programs and supports provided by OCHN's service network are available at www.oaklandchn.org. Most people who receive services through Oakland County’s public mental health system, which is managed by OCHN, have Medicaid insurance coverage.

Offices: 5505 Corporate Dr, Troy, Michigan 48098, US

Substance Use ServicesIntellectual/Developmental Disability ServicesAdult Mental Healthand Children with Serious Emotional Disturbance ServicesHospitalHealth CareCommunitiesMedicalMental HealthAssociation
View all jobs at Oakland Community Health Network

About Oakland Community Health Network

LinkedInVisit site

Inspire Hope. Empower People. Strengthen Communities.

Industry
Mental Health Care
Company size
201-500 employees
Founded
1963
Headquarters
Troy, Michigan
LinkedIn followers
3,987

OCHN has a long-standing history of promoting independence, choice, and community inclusion for adults and children with intellectual / developmental disabilities, mental health concerns, and substance use disorders. Its mission to “inspire hope, empower people, and strengthen communities” reflects an unyielding belief in a "Valuable System for Valued People."​ Programs and supports provided by OCHN's service network are available at www.oaklandchn.org. Most people who receive services through Oakland County’s public mental health system, which is managed by OCHN, have Medicaid insurance coverage.

Offices: 5505 Corporate Dr, Troy, Michigan 48098, US

Substance Use ServicesIntellectual/Developmental Disability ServicesAdult Mental Healthand Children with Serious Emotional Disturbance ServicesHospitalHealth CareCommunitiesMedicalMental HealthAssociation
View all jobs at Oakland Community Health Network

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