Clinical Services Manager – DMC – ODS

California Mental Health Services Authority

. Provide clinical leadership for CalMHSA’s multi-county Drug Medi-Cal Organized Delivery System (DMC-ODS) administrative model .

Posted 11/6/2026full-timeRemote • California • United StatesSeniorLead💰 $140,000 - $165,000 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates extensive clinical leadership in behavioral health and compliance, with a strong focus on DMC-ODS regulatory requirements, quality management, and utilization management. Proven ability to supervise teams, manage audits, and develop training programs while ensuring adherence to HIPAA and confidentiality standards.

Highest-signal resume keywords

Clinical LeadershipDMC-ODS ComplianceQuality ManagementUtilization ManagementSupervisory Experience

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Substance Use Disorder TreatmentClinical Quality ReviewsData AnalysisPolicy DevelopmentMedical Necessity ReviewCorrective Action PlansProvider CredentialingASAM CriteriaBehavioral Health ComplianceUtilization Management

Soft Skills

Leadership SkillsOrganizational SkillsCommunication SkillsProblem-Solving SkillsStakeholder Management

Tools & Technologies

Electronic Health RecordsUtilization Management PlatformsProvider Management SystemsData/Reporting SystemsMicrosoft ExcelMicrosoft WordMicrosoft PowerPointAdobeMicrosoft Outlook

Certifications & Qualifications

California Board of Behavioral Sciences LicensureLMFTLCSWLPCC

Industry Keywords

DMC-ODSHIPAA42 CFR Part 2California County Behavioral Health PlanMedi-CalQuality Improvement ProgramClinical PolicyGrievances and AppealsPrivacy and Security ComplianceBehavioral Health Confidentiality

About the role

Key responsibilities & impact

Provide clinical leadership for CalMHSA’s multi-county Drug Medi-Cal Organized Delivery System (DMC-ODS) administrative model
Serve as designated Compliance Officer with organization-wide responsibility for HIPAA, 42 CFR Part 2, DMC-ODS regulatory, and contractual compliance
Direct clinical quality management, utilization management, and provider compliance functions
Supervise Quality Management Clinician(s) and Quality Management Analyst(s), including hiring, training, workload management, performance reviews, and professional development
Lead responses to DHCS audits, EQRO reviews, readiness reviews, and other oversight activities, including corrective action plans and evidence of completion
Direct clinical policy and utilization management, including policy, procedure, and practice guideline development
Oversee service authorization, reauthorization, medical necessity review, and delegated review activities
Own the quality improvement program, including the QI Work Plan, PIP coordination, clinical trend analysis, and provider compliance oversight
Monitor grievances, appeals, NOABDs, utilization, access, and provider performance data to identify risks and direct investigation, escalation, and remediation
Respond to compliance concerns and privacy/security incidents in coordination with leadership and legal counsel
Provide training and technical assistance to counties, providers, and internal teams
Represent CalMHSA in clinical quality, compliance, utilization management, provider, county, EQRO, and DHCS meetings
Partner with the Senior Program Manager/AOD Administrator on planning, budgeting, staffing, and risk management
Develop clinical and compliance training programs, reports, dashboards, and leadership briefings
Maintain confidentiality and system integrity for consumer demographic and behavioral health data
Perform other duties as assigned

Requirements

What you’ll need

Master’s degree in Social Work, Marriage and Family Therapy, Professional Clinical Counseling, Psychology, or related clinical field, required
Current California Board of Behavioral Sciences (BBS) licensure required; acceptable credentials include LMFT, LCSW, LPCC, or equivalent independent clinical licensure recognized by the BBS
Seven (7) years of experience in behavioral health, substance use disorder treatment, quality management, utilization management, or compliance, including at least three (3) years in a supervisory, management, or compliance leadership role
Substantial experience with DMC-ODS, including ASAM criteria, medical necessity, authorization processes, residential treatment, withdrawal management, and Medi-Cal documentation requirements
Experience serving as, or directly supporting, a Compliance Officer, Privacy Officer, or Security Officer function, including HIPAA and 42 CFR Part 2 compliance
Experience working within or directly with a County Behavioral Health Plan, particularly overseeing DMC-ODS clinical, quality, or compliance functions
Experience managing DHCS audits, EQRO reviews, corrective action plans, and provider credentialing/recredentialing programs
Expert clinical knowledge of substance use disorder treatment, DMC-ODS services, ASAM criteria, medical necessity, and care coordination
Comprehensive knowledge of HIPAA, 42 CFR Part 2, and applicable behavioral health confidentiality, privacy, and program integrity requirements
Strong knowledge of California county behavioral health plan operations, Medi-Cal managed care requirements, and DMC-ODS contract requirements
Demonstrated ability to conduct clinical quality reviews, analyze clinical data, and identify trends, gaps, and improvement opportunities
Demonstrated leadership and supervisory skills
Strong project management and organizational skills
Excellent written and verbal communication skills
Strong facilitation and stakeholder management skills
Strong analytical, organizational, and problem-solving skills
Comfortable and self-directed working in a remote environment
Intermediate knowledge of Excel, Word, PowerPoint, Adobe, and Outlook required
Experience with electronic health records, utilization management platforms, provider management systems, or data/reporting systems preferred
Ability to handle confidential information in accordance with HIPAA, 42 CFR Part 2, state confidentiality requirements, and CalMHSA security policies
Ability to work regular company business hours, 8:00am to 5:00pm, Monday–Friday, with schedule varying according to business needs