Director - Behavioral Health Services - Evernorth
1 month ago
Excited to grow your career?
We value our talented employees, and whenever possible strive to help one of our associates grow professionally before recruiting new talent to our open positions. If you think the open position you see is right for you, we encourage you to apply
Our people make all the difference in our success.
Behavioral Health Director, Evernorth Workplace Care
Summary:
Evernorth Workplace Care is an industry leading business providing custom care delivery and wellness services across five key business lines: Wellness Centers, Health Coaching, Wellness Events, Occupational Medicine, and Behavioral Health.
This leadership position will serve as a critical driver of clinical quality, patient/client safety. and operational effectiveness throughout the organization's Behavioral Health Service Line. This position will develop a comprehensive program to include all aspects of clinical care and administrative functions required and participate in strategic planning to successfully grow this aspect of the business while being consistent with the mission, goals and objectives of Evernorth Workplace Care and the Evernorth Care Delivery organization.
Essential Functions:
- Provide clinical oversight of all behavioral health services including supervising clinical care delivery, clinical quality, client engagement efforts (together with operations and account management), education, and improvement processes.
- Partner with Chief Medical Officer to develop and grow Behavioral Health Strategy for Business Together with recruitment, be involved with assessing all behavioral health staff for hire within EWC and make recommendations to the Chief Medical Officer.
- Develop comprehensive behavioral health clinical program and define scope of work for all behavioral health resources.
- Support the optimizations, development, and implementation of clinical care practice review systems and improvements.
- Participate in various committees and support programs including Quality Management, Credentialing, Client Safety, Medical Executive Committee, and other behavioral health related committees as directed. Serve as the Subject Matter Expert (SME) in behavioral health and develop short-term and long-term goals for the service line.
- Participate in sales presentations, inquiries and RFP/RFIs as required.
- Participate in the development and coordination of client/patient care plans and consult in decisions where behavioral health clinical practice is impacted.
- Provide leadership, counsel, and instruction to internal employees and contractors on both clinical and administrative matters as they pertain to behavioral health.
- Provide case consultation to clinical staff on standards of care and clinical guidelines.
- Provide consultation to clinical staff on clinical productivity and operational KPIs.
- Manage and make recommendations on appropriate behavioral health staffing ratios.
- Provide ongoing chart audits for all behavioral health providers including therapists and coaches and develop a peer review program.
- Provide support, education, and training for all providers on clinically relevant topics.
- Investigate and manage complaints and grievances on behavioral health services and report to the Medical Executive Committee on findings.
- Manage service escalations for behavioral health providers.
- Manage clinical KPIs, quality metrics, and quality outcomes for behavioral health providers.
- Work with Operations Directors and Implementation Managers during implementation and ongoing management of behavioral health services in respective centers and virtual care.
- Participate in ongoing program evaluation and data-driven clinical quality improvement projects that are designed to monitor the effectiveness of the behavioral health clinical program.
- Provide clinical oversight for 18-25 behavioral health professionals and make recommendations on proper oversight as the service line grows.
Qualifications:
- LCSW with Active, unrestricted, and independent licensure
- At least 5 or more years experience as a practicing LCSW
- At least 3 or more years managing behavioral health providers
- Demonstrated successful leadership skills
- Experience developing a comprehensive Behavioral Health Program
- Excellent verbal and written communication skills
- Effective use of data analytics skills, experience, and judgement
- Experience in a culture of customer service and patient-centered care
- Innovative and open to new ideas in a focused, intense, and growth-oriented environment
- Clinical operation experience with key leadership responsibilities
- Travel up to 15%
Desired Qualifications
- History of working in the onsite healthcare industry
- Demonstrated history of working effectively with matrix partners
Location
US Work at Home
If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload.For this position, we anticipate offering an annual salary of 116, ,600 USD / yearly, depending on relevant factors, including experience and geographic location.This role is also anticipated to be eligible to participate in an annual bonus plan.
We want you to be healthy, balanced, and feel secure. That's why you'll enjoy a comprehensive range of benefits, with a focus on supporting your whole health. Starting on day one of your employment, you'll be offered several health-related benefits including medical, vision, dental, and well-being and behavioral health programs. We also offer 401(k) with company match, company paid life insurance, tuition reimbursement, a minimum of 18 days of paid time off per year and paid holidays. For more details on our employee benefits programs, visit Life at Cigna.
Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws.Please note that you must meet our posting guidelines to be eligible for consideration. Policy can be reviewed at this link.
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