Manager Behavioral Health - Health Plan

JOB SUMMARY

The Manager of Behavioral Health coordinates programs and operational activities for behavioral health services provided to patients and members. The Manager helps with behavioral health clinical development and operations for patients and members across all lines of business. The Manager will help implementation, maintenance and evaluation of behavioral health program metrics and outcomes under the supervision of the Director. Works in partnership with other departments and ensures delivery of consumer centric behavioral health interventions resulting in improved patient and member outcomes. This is a remote position.

SALARY

The pay range for this position is $36.26 (entry-level qualifications) - $56.19(highly experienced). The specific rate will depend upon the successful candidate's specific qualifications and prior experience.

ESSENTIAL FUNCTIONS OF THE ROLE

• Implements and monitors the effectiveness of behavioral health services. Works to improve processes, services, patient satisfaction, physician satisfaction and employee satisfaction on a regular cadence. Helps the corporate compliance program by adhering to the best practices and standards stated in the Corporate Code of Conduct and Code of Ethical Behavior.
• May give services to include direct nursing care, psychotherapy, member case management and/or utilization review during periods of staff shortages or high acuity.
• Ensures that project, department milestones and goals are met, while adhering to approved budgets.
• Develops, establishes and monitors policies, procedures and processes to meet regulatory, legal and accreditation requirements. Monitors delivery of culturally delicate and inclusive interventions initiated by behavioral health staff.
• Promotes, coordinates and supervises the staff development process; validates aptitude of staff, provides mandatory training, monitors current licensure, and fosters synergy and cooperation between programs and services.
• Communicates effectively with the Director, Medical Director and Clinical Director. Works cooperatively with all departments and disciplines. Runs unit community meetings as required.
• Supervises the treatment planning and the provision of the care process. Oversees comprehensive documentation of interdisciplinary participation and patient response.
• Consults with Director and/or designee and other departments about behavioral health issues.
• Provides direct clinical and administrative supervision to licensed behavioral health clinical and non-clinical staff. Accountable for hiring, scheduling, developing and evaluating staff to help case management and utilization management services for patients and members. Maintains adequate team members for coverage in times of regular staff non-availability. Monitors accuracy of utilization review process to cut potential for variance days.

KEY SUCCESS FACTORS

• Demonstrated leadership, communication, organizational and problem-solving skills.
• Demonstrated effectiveness in team development strategies.
• Excellent verbal and written communication skills. Experience in dealing with physicians on an administrative level and ability to work collaboratively with medical staff members and leadership.
• Demonstrated ability to evaluate and stabilize team and separate workloads through effective time management, prioritization, and organizational skills.
• Exceptional attention to detail.

BENEFITS

Our competitive benefits package includes the following

• 401(k) savings plan with dollar-for-dollar match up to 5%
• Tuition Reimbursement
• PTO accrual beginning Day 1
• Immediate eligibility for health and welfare benefits

Note: Benefits may vary based on position type and/or level

QUALIFICATIONS

• Licensed Masters Social Worker (LMSW)
• EXPERIENCE - 2 Years of Experience
• EDUCATION - Masters'
• CERTIFICATION/LICENSE/REGISTRATION -Lic Clinical Social Worker (LCSW), Lic Masters Social Worker (LMSW), Lic Professional Counselor (LPC): Must have one of the following:
  • Licensed Clinical Social Worker (LCSW)
  • Licensed Masters Social Worker (LMSW)
  • Licensed Professional Counselor (LPC).
• Licensed Clinical Social Worker (LCSW)
• Licensed Professional Counselor (LPC).