Clinical Manager

Clinical Manager Admore Behavioral Therapy - 2.8 Houston, TX Job Details Full-time $72,000 - $82,000 a year 12 hours ago Benefits Paid training Disability insurance Health insurance Dental insurance 401(k) Paid time off Vision insurance Paid orientation Opportunities for advancement Life insurance Qualifications Master's degree Bachelor's degree Senior leadership Full Job Description Position Summary The Clinical Manager at Admore Behavioral Therapy is a senior clinical and operational leadership role that bridges direct clinical practice with frontline team oversight. This position sits between the Clinical Director and the Clinicians in Admore's leadership structure, carrying responsibility for the clinical quality, regulatory compliance, and service delivery performance of the case management workforce while also maintaining a direct clinical caseload of their own. The Clinical Manager owns Admore's CMBHS system operations end to end — including initial assessments, CANS/ANSA approvals, deviations, level-of-care determinations, and reassessment monitoring — while simultaneously supervising clinicians, facilitating clinical reviews, approving treatment plans, and providing direct counseling services where medical necessity warrants. This is a dual role that requires someone equally strong as a clinician, a supervisor, and a systems manager. Beyond the clinical functions, the Clinical Manager shares accountability with Team Leads for team performance: documentation quality, caseload productivity, utilization attainment, billing accuracy, and compliance with Admore's payer and regulatory requirements. The Clinical Manager is a key escalation point for complex cases, crisis situations, and any clinical or compliance concern that exceeds a Team Lead's authority or expertise. The Clinical Manager is Admore's clinical conscience: the person who ensures that every client receives the right service at the right level of care, that every plan is clinically sound and fully compliant, and that the team delivering those services is supported, supervised, and held accountable to Admore's clinical standards. Key Responsibilities 1. CMBHS System Management & Level-of-Care Oversight Serve as Admore's primary CMBHS system manager: own all system-level functions including initial assessment reviews, CANS/ANSA approvals, deviation submissions, level-of-care (LOC) determinations, and authorization monitoring across the full active caseload. Review and approve all

CANS/ANSA

assessments submitted by clinicians in the CMBHS system; verify clinical accuracy, completeness, and alignment with the client's presenting needs before approving; return assessments with specific corrective feedback when they do not meet clinical or documentation standards. Complete and submit CMBHS deviations when a client's clinical presentation warrants a service authorization outside standard LOC parameters; document the clinical rationale clearly and compliantly; track deviation status through to resolution. Monitor reassessment due dates for all active clients across the full caseload; produce and distribute a weekly reassessment calendar to Team Leads; ensure no client reaches or passes their reassessment deadline without a completed, approved

CANS/ANSA

on file. Issue and track LOC authorization notices to clinicians and

Team Leads:

communicate the authorized service type, number of authorized hours, authorization period, and any payer-specific conditions that affect service delivery; update authorizations in ICANotes promptly. Monitor CMBHS for system updates, policy changes, and new requirements issued by HHSC; communicate relevant changes to Team Leads and clinicians proactively and update internal protocols accordingly. Serve as the primary point of contact for CMBHS-related questions from Team Leads, clinicians, and the billing department; resolve system issues and escalate technical problems to HHSC support when required. Produce monthly CMBHS compliance reports for the

Clinical Director:

approval turnaround times, deviation outcomes, overdue reassessments, and LOC change trends across the caseload. 2. Clinical Supervision & Clinician Oversight Provide clinical supervision to clinicians and, where applicable, to

Case Manager Team Leads:

facilitate individual and group supervision sessions focused on case review, clinical decision-making, treatment planning, crisis response, documentation quality, and professional development. Review and approve all treatment plans submitted by clinicians before they are implemented and billed against; verify that plans are individualized, clinically justified, goal-specific, measurable, and compliant with Medicaid and payer documentation standards. Review, edit as needed, and co-sign discharge summaries for all clients exiting Admore's case management program; ensure discharge documentation reflects the full course of services, clinical progress, and post-discharge plan. Staff client cases in clinical review meetings: facilitate structured case presentations that cover presenting diagnosis, service history, current functional status, plan progress, barriers, and recommended service modifications; ensure all complex and high-risk cases receive formal staffing at least monthly. Facilitate formal clinical reviews for clients flagged for LOC changes, extended authorization requests, inadequate treatment response, significant deterioration, or crisis involvement; produce written clinical review summaries documenting findings and recommendations. Monitor the quality of clinician documentation across

ICANotes and CMBHS:

review random samples of session notes, treatment plans, and assessments each week; identify patterns of documentation inadequacy and intervene with targeted coaching or training. Ensure that clinicians are operating within their credentialed scope of practice; escalate scope-of-practice concerns to the Clinical Director immediately; coordinate supervision requirements for license-eligible staff working toward full licensure. Review case assignments made by

Team Leads:

verify that caseload distributions align with CM credentials, capacity, and client complexity; recommend reassignments when clinical needs exceed a CM's current skill level or bandwidth. Serve as the primary clinical escalation point for

Team Leads:

receive and respond to escalated client situations including crisis, non-engagement, safety concerns, complex co-occurring needs, and inter-agency conflicts; provide clinical guidance and document the consultation. 3. Direct Clinical Services Conduct initial assessments with diagnostic impressions for new clients as assigned by the Clinical Director; produce clinically complete intake evaluations that include presenting history, DSM-5 diagnostic formulation, functional assessment, risk assessment, and initial LOC and service recommendations. Provide individual counseling services to an assigned caseload of clients based on documented medical necessity; deliver evidence-based therapeutic interventions appropriate to each client's diagnosis, goals, and level of care. Develop individualized treatment plans for directly assigned clients; ensure plans are SMART, clinically justified, reflect the client's stated goals and preferences, and are reviewed and updated at required intervals. Maintain complete, timely, and clinically sound progress notes for all direct clinical encounters; complete documentation within Admore's required same-day or next-business-day standard; meet or exceed the 5% or below documentation error threshold on internal audits. Conduct risk assessments for clients presenting with safety concerns; implement safety planning protocols; coordinate with emergency services, inpatient facilities, and crisis teams as clinically indicated; document all risk-related contacts and decisions with specificity. Provide crisis intervention services as needed for clients on the active caseload or as an escalation resource for the broader team; stabilize, assess, and coordinate higher-level care when community-based intervention is insufficient. Maintain clinical records in ICANotes that are accurate, complete, and fully compliant with Medicaid, MCO, and HHSC documentation requirements; ensure that all billed services are supported by clinically adequate, contemporaneous documentation. 4. Clinical Quality, Compliance & Audit Readiness Own Admore's clinical quality assurance process: conduct routine internal audits of case management documentation, treatment plans, CANS/ANSAs, and session notes; report audit findings to the Clinical Director with pattern analysis and a corrective action plan. Ensure Admore's case management program remains in continuous compliance with Texas Medicaid regulations, HHSC rules, MCO contract requirements, and applicable state and federal behavioral health standards; identify compliance gaps before they become audit findings. Prepare the clinical operations function for external audits, Medicaid managed care reviews, and HHSC inspections: ensure all clinical records are complete, signed, dated, and accessible; coordinate documentation requests and staff preparation with the Clinical Director. Monitor clinical documentation error rates across the team; track individual CM error rates, first-run billing accuracy by clinician, and QA audit results; report to Team Leads and the Clinical Director monthly with accountability assignments. Ensure that all clinical staff complete required annual training: trauma-informed care, crisis intervention, documentation standards, HIPAA, and any HHSC or MCO-mandated training; maintain training completion records in coordination with HR. Maintain current knowledge of Texas CMBHS requirements, HHSC policy updates, Medicaid managed care clinical standards, and evidence-based practice guidelines relevant to Admore's client population; disseminate updates to the team promptly. Coordinate with the billing department on clinical documentation issues that affect claim accuracy or denial rates; provide clinical context for appeal letters, payer disputes, and authorization reconsiderations. 5. Team Performance, Utilization & Productivity Partnership Identify clinical barriers to utilization — clients who are disengaging, plans that are not driving contact frequency, documentation backlogs that are affecting billing — and distinguish these from operational or scheduling issues that fall within the Team Lead's scope. Review treatment plan authorization currency across the caseload weekly: flag plans approaching expiration, ensure

CANS/ANSA

reassessments are initiated in time to prevent authorization lapses, and communicate urgency to Team Leads and individual CMs. Support Team Leads in managing underperforming clinicians from a clinical perspective: provide clinical coaching as part of the PIP process, evaluate whether performance gaps reflect clinical skill deficits versus motivation or organizational issues, and make recommendations to the Clinical Director. Participate in Admore's weekly utilization review meeting: bring clinical perspective to billing discrepancies, documentation errors, and authorization issues; distinguish between documentation errors that require clinical correction versus billing system errors. Provide clinical input on caseload sizing and complexity weighting: advise the Clinical Director and Team Leads on which clients require higher-intensity contact, which CMs are equipped for complex cases, and how caseload distribution affects both clinical outcomes and utilization performance. 6. Administrative Functions & Organizational Leadership Meet weekly with the Clinical Director for supervision, clinical consultation, performance review, and organizational planning; come prepared with a current clinical operations summary including CMBHS status, audit findings, staffing concerns, and escalated client situations. Attend and contribute to administrative team meetings with the Clinical Director, Operations Manager, and other department leads; represent the clinical operations function with current data and a forward-looking perspective. Collaborate with the CEO and Director of Operations on matters requiring clinical input: new service line development, contract compliance, regulatory inspections, workforce planning, and organizational risk. Partner with HR on clinical staff performance management: provide clinical perspective on performance reviews, PIPs, and onboarding assessments for new clinicians; participate in interviews for clinical positions when requested. Contribute to Admore's learning and development function: identify clinical skill gaps across the team, recommend targeted training content, and deliver or facilitate clinical training sessions including documentation standards, CMBHS workflows, and evidence-based practice updates. Maintain complete and current personnel-adjacent clinical records: supervision logs, competency assessments, training completions, and scope-of-practice documentation for all supervised clinical staff. Participate in the onboarding of new clinicians: conduct or co-facilitate clinical orientation, verify initial CMBHS competency, observe and evaluate early documentation quality, and provide a clinical readiness sign-off before new CMs carry independent caseloads. Key Performance Indicators (KPIs) The Clinical Manager will be evaluated on the following metrics, reviewed monthly and at each semi-annual and annual performance review: CMBHS & Authorization Management

CANS/ANSA

approval turnaround: 100% of submitted assessments reviewed and approved or returned with feedback within 3 business days of submission Reassessment compliance rate: Zero clients reaching reassessment deadline without a completed, approved

CANS/ANSA

on file Deviation approval rate: Deviation submissions approved at ≥85% on first submission; all denials receive a documented appeal Authorization lapse rate: Zero clients receiving services against a lapsed or expired authorization Clinical Supervision & Documentation Quality Treatment plan approval timeliness: 100% of submitted treatment plans reviewed and approved or returned within 5 business days Clinical review completion: All complex and high-risk cases staffed formally at least monthly; all flagged cases receive a written clinical review summary Discharge summary completion: 100% of discharged clients have a completed, co-signed discharge summary within 10 business days of discharge Team documentation error rate: Team-wide first-run billing error rate at or below 3%; individual CM error rate monitored monthly QA audit completion: Monthly random documentation audits completed for each Team Lead's caseload; findings reported to Clinical Director with action plan Direct Clinical Practice Personal documentation compliance: Own session notes completed same-day or by next business day; personal documentation error rate ≤5% Initial assessment turnaround: Initial assessments with diagnostic impressions completed within 5 business days of intake assignment Risk assessment documentation: 100% of clients presenting with safety concerns have a documented, dated risk assessment and safety plan on file Team Performance Partnership Clinical barrier identification: Clinical barriers to utilization identified and communicated to Team Leads within the same weekly utilization cycle Supervision log completion: Supervision sessions documented for all supervised staff; logs current and audit-ready at all times Training completion oversight: 100% of clinical staff complete required annual training by deadline; records maintained and accessible Qualifications Required Master's degree in social work, counseling, psychology, marriage and family therapy, or a closely related behavioral health field from an accredited institution. Active, unrestricted Texas license at the full independent practice level: Licensed Clinical Social Worker (LCSW), Licensed Professional Counselor (LPC), Licensed Marriage and Family Therapist (LMFT), or Licensed Chemical Dependency Counselor (LCDC) with clinical scope. Must qualify as a Licensed Mental Health Professional (LMHP) under Texas Medicaid requirements. Minimum 3-5 years of post-licensure clinical experience in a behavioral health, mental health, or community-based setting, with demonstrated experience providing clinical supervision to less-experienced staff. Direct working knowledge of the Texas CMBHS system: experience conducting, reviewing, or approving

CANS/ANSA

assessments, managing LOC authorizations, and completing CMBHS deviations is required. Demonstrated familiarity with Texas Medicaid behavioral health documentation requirements, HHSC rules governing case management services, and MCO clinical standards for service authorization and review. Experience developing and reviewing treatment plans, conducting diagnostic assessments (DSM-5), performing risk assessments, and delivering individual counseling services in a community mental health context. Proficiency with electronic health records systems; ICANotes experience strongly preferred.

Strong written communication skills:

ability to produce clinically sound, payer-compliant documentation and to review and provide specific, actionable feedback on others' documentation. Strongly Preferred Prior experience in a Clinical Manager, Clinical Supervisor, or Team Lead role at a Medicaid-funded CMHC, behavioral health agency, or community-based mental health organization. Experience managing CMBHS system operations at the program or agency level, including deviation management and LOC monitoring across a multi-CM caseload. Bilingual English/Spanish strongly preferred given the population and workforce served by Admore. Training or certification in evidence-based practices relevant to Admore's population: Trauma-Focused CBT, Motivational Interviewing, wraparound process planning, or co-occurring disorder treatment. Experience preparing for and responding to Medicaid managed care audits, HHSC inspections, and external clinical record reviews. What Makes This Role Different The original Clinical Manager job description at Admore was four bullet-point sections totaling fewer than 300 words. For a role that sits at the clinical and operational center of the organization — responsible for the CMBHS system, the quality of every treatment plan, the supervision of every clinician, and the delivery of direct clinical services — that level of definition was inadequate. This updated description gives the role the scope, accountability, and performance standards it actually carries. The Clinical Manager at Admore does not just manage the CMBHS system and review treatment plans. This person is the organization's primary safeguard against clinical errors, documentation failures, and authorization lapses that translate directly into claim denials, audit findings, and harm to clients. At the same time, they are a practicing clinician, a supervisor, a trainer, and a leadership team member. The right person for this role brings all of those capabilities together — and brings genuine commitment to the quality of care Admore's clients receive. Working Conditions Office-based with regular community and client home visits required for direct clinical caseload. The Clinical Manager is present in Admore's office the majority of the week to maintain visibility with clinical staff and be available as an escalation resource for Team Leads. Standard full-time hours with periodic flexibility required to accommodate clinical crises, staff supervision needs, audit preparation, and CMBHS deadlines. Regular exposure to clients experiencing acute mental health crises, trauma histories, co-occurring disorders, and complex psychosocial needs; clinical boundaries, professional composure, and secondary trauma awareness are essential. High-volume, multi-priority environment requiring the ability to shift between system management, clinical supervision, direct client contact, and administrative work within the same day without loss of quality or attention to detail.

Pay:

$72,000.00 - $82,000.00 per year

Benefits:

401(k) Dental insurance Disability insurance Health insurance Life insurance Opportunities for advancement Paid orientation Paid time off Paid training Vision insurance

License/Certification:

LPC/LCSW/LMFT

(Required)

Work Location:

In person