A Clinical Auditor or Utilization Reviewer reviews the efficiency of healthcare delivery. Individuals tend to have had experience as a registered nurse or other healthcare delivery roles before transferring into this quality review role.
The Advocate Program, Inc. is a private, not-for-profit, 501 c (3) justice agency that offers probation, diversion, community service, DUI and traffic programs, domestic violence programs, substance abuse and mental health evaluations and treatment to court-ordered individuals. It has expanded to work with juveniles and families in the juvenile justice field, families impacted by family conflict and violence, and homeless veterans and their families. Skills /
Qualifications:
Evaluators shall possess a minimum of a bachelor's degree in human services, nursing or a Doctorate in medicine (M.D.). They shall possess a minimum of four thousand hours of experience in mental health/rehabilitative direct client services. A master's degree in human services, nursing or a doctorate in medicine (M.D.) may be substituted for two thousand hours of experience. A Certified Addiction Professional (CAP), a certified Criminal Justice Addiction Professional (CCJAP), or four thousand hours of experience in human services substituted for a degree that is not in human services, but shall not preclude the requirements for a minimum of a bachelor's degree Each beginning evaluator shall complete 20 hours of pre-service training. Each certified evaluator shall thereafter, complete a minimum of 24 hours of in-service training bi-annually.
Major Function:
Responsible for Clinical interviewing, assessing to determine a client's involvement with alcohol/other drugs and referral of DUI clients under the direction of a Clinical Supervisor who possesses a minimum of a Master's Degree.
Responsibilities:
All Clients:
Complete all required forms accurately and completely. Answer questions posed by clients within the scope of the evaluator's expertise and information, and refer client to competent authorities for all other information. Maintain a demeanor of respect and professionalism at all times. Communicate with the instructors and clinical supervisor regarding individual students, as needed for final disposition, and document comments for the client file. Conducts psychosocial evaluations using objective tests. Interviews clients to determine substance abuse involvement. Prepares narrative reports and makes referrals for treatment when indicated. Synthesizes client data to determine referral. Interfaces with community agencies and DUI Probation in the referral and client monitoring process. Review client documentation, including all Ignition Interlock Device reports, AA logs, and driving records to ensure client compliance with program. Documents all pertinent data in client files. Provides follow-up to termination of client from DUI Program. Attends monthly clinical staffing meetings remotely. Works evenings as required or other assigned duties when necessary.
Special Supervision:
Conduct extended evaluation as prescribed in the DHSMV Rules No. 15A-10.30 for clients who have been repeat offenders to determine if client will be admitted to the program and granted restricted driving permit. Supervise the Special Supervision Client privately for one half-hour on a monthly, bi-monthly or tri-monthly basis. Meets with Clinical Supervisor as the staffing committee to decide on case management plan, as well as other requirements that the client, if granted a restricted license, must fulfill to continue in the program. Meets with Clinical Supervisor as the staffing committee to decide on appointment frequency in second, third, fourth and succeeding years. Completes all documentation and paperwork required for administration of the case.
