Behavioral Health Medical Director

1 week ago

Trenton, United States CVS Health Full time

Bring your heart to CVS Health. Every one of us at CVS Health shares a single, clear purpose: Bringing our heart to every moment of your health. This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand — with heart at its center — our purpose sends a personal message that how we deliver our services is just as important as what we deliver.

Our Heart At Work Behaviors support this purpose. We want everyone who works at CVS Health to feel empowered by the role they play in transforming our culture and accelerating our ability to innovate and deliver solutions to make health care more personal, convenient and affordable.

**Position Summary**

**Responsibilities include**
- Participation in the development of clinical practice standards, policies, and procedures
- Behavioral health care management performance and coordination with physical health care management
- Participation in DMAHS and other agency/stakeholder meetings when requested
- Oversight and implementation of the utilization management program for behavioral health services, including preventing contraindicated care
- Overseeing the complaint and grievance process for behavioral health denials,
- Review and resolution of quality-of-care concerns
- Participation in clinical staff recruitment and ongoing performance improvement.
- Provide strategic oversight and leadership for all behavioral health activities within the health plan.
- Lead and coordinate efforts with the state and other health plan colleagues to promote integrated care models.
- Oversee coordination activities with the state, ensuring effective collaboration and adherence to regulatory requirements.
- Work closely with health plan leadership, the Chief Medical Officer, other Medical Leadership, Pharmacy Director, clinical staff (including those in utilization management, care management, quality management), and colleagues within network and provider relations, to enhance the delivery of holistic and integrated care.
- Contribute to the development and implementation of policies and procedures that support the health plan's objectives and comply with state guidelines.
- Advocate for and implement innovative approaches to behavioral health care, promoting evidence-based practices that enhance patient outcomes.
- Support duties as required regarding utilization management of the service benefit and pharmacy benefit within the state health plan and additional duties as assigned.
- Actively participate in continuous improvement activities, development and monitoring of SAI initiatives, and other activities that support quality of care and total cost of care oversight.
- Serve as a key health plan external facing liaison, regarding behavioral health initiatives, programs, and projects with state regulators, providers, vendors, and community organizations.
- Provides guidance and/or represents the Health Plan in all state fair hearings for services that are behavioral health related.

**Required Qualifications**
- Clinical experience in the treatment of substance use disorders, including utilization of ASAM criteria, and an understanding of the New Jersey system of care.
- At least five years combined experience in mental health and substance use services and at least two (2) years of BH leadership experience in a government, health management, or managed care organization, and/or at least two (2) years of experience as a Medical Director in clinical practice, and/or at least three (3) years of clinical BH experience (excluding psychiatric residency).

**Preferred Qualifications**
- Experience with NJ Medicaid behavioral health benefits and service
- Ability to effectively interact with providers, advocacy groups and State partners
- Excellent organization and time management skills
- Experience navigating a matrixed organization.
- NJ Medicaid regulatory experience

**Education**

Board-certified psychiatrist licensed in the State of New Jersey. Subspecialty board certification can be by the American Board of Psychiatry and Neurology (ABPN), the American Osteopathic Association (AOA), or the American Board of Preventive Medicine (ABPN).

**Pay Range**

The typical pay range for this role is:
$174,070.00 - $374,900.00

This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above. This position also includes an award target in the company’s equity award program.

In addition to your compensation, enjoy the rewards of an organization that puts our heart into caring for our colleagues and our communities. The Company offers a full range of medical, denta

  • Behavioral Health Medical Director

    2 months ago

    Trenton, United States CVS Full time

    The Behavioral Health Medical Director is a key position on Aetna Better Health of NJs (ABHNJ) leadership team and is responsible for leadership and counsel for utilization management and case management programs for mental health and substance use Behavioral Health, Medical Director, Health, Director, Behavioral, Medical, Retail, Healthcare

  • Behavioral Health Technician-2

    1 month ago

    Trenton, United States Burrell Behavioral Health Full time

    Job Description: Job Title: Behavioral Health Technician Location: Trenton, MO Department: Preferred Family Healthcare: Youth Residential Employment Type: Part Time Job Summary: Are you a passionate and dedicated Behavioral Health Technician looking to make a positive impact in the lives of our clients/patients? Do you want to work in a supportive and...

  • Behavioral Health Technician-2

    4 weeks ago

    Trenton, United States Burrell Behavioral Health Full time

    Job Description: Job Title: Behavioral Health Technician Location: Trenton, MO Department: Preferred Family Healthcare: Youth Residential Employment Type: Part Time Job Summary: Are you a passionate and dedicated Behavioral Health Technician looking to make a positive impact in the lives of our clients/patients? Do you want to work in a supportive and...

  • Transportation Driver- Behavioral Health

    1 month ago

    Trenton, United States Phoenix Behavioral Health Full time

    Job DescriptionJob DescriptionSalary: $16/hr.Phoenix Behavioral Health, a quality provider for mental health and substance abuse treatment, is seeking an experienced part time or full time driver to join our talented and dynamic team.This part-time role will report directly to the site manager and will be responsible for transporting clients to/from day...

  • Transportation Driver- Behavioral Health

    4 weeks ago

    Trenton, United States Phoenix Behavioral Health Full time

    Job DescriptionJob DescriptionSalary: $16/hr.Phoenix Behavioral Health, a quality provider for mental health and substance abuse treatment, is seeking an experienced part time or full time driver to join our talented and dynamic team.This part-time role will report directly to the site manager and will be responsible for transporting clients to/from day...

  • Director of Clinical Services

    5 days ago

    Trenton, United States Phoenix Behavioral Health Full time

    Job DescriptionJob DescriptionSalary: $90,000.00 to $100,000.00The Director of Clinical Services reports directly to the CEO but works in close collaborationwith all departments. The Director of Clinical Services is responsible for the overall quality andcompliance of services across all programs. This critical role ensures Phoenix BehavioralHealth’s...

  • Behavioral Health Technician

    4 weeks ago

    Trenton, United States Aliya Health Group Full time

    Job DescriptionJob DescriptionSalary: $18-$20/hr DOEAliya Health Group is a nationwide network of addiction treatment centers known for diverse, evidence-based programs for substance use disorders and co-occurring mental health disorders. With a highly personalized clinical approach to treatment and a full continuum of care, we provide clients with the tools...

  • Behavioral Health Technician

    4 weeks ago

    Trenton, United States Aliya Health Group Full time

    Job DescriptionJob DescriptionSalary: $18-$20/hr DOEAliya Health Group is a nationwide network of addiction treatment centers known for diverse, evidence-based programs for substance use disorders and co-occurring mental health disorders. With a highly personalized clinical approach to treatment and a full continuum of care, we provide clients with the tools...

  • Medical Receptionist

    3 weeks ago

    Trenton, United States Mindwell Behavioral Health Full time

    MindWell Behavioral Health is seeking a part-time fluent in English Receptionist (12-20 hours weekly or more), All day Saturday and some weekday hours at our Ewing, NJ office. There is a good possibility that hours will be increased. MindWell Behavioral Health is a fast-paced outpatient mental health office where you will be supported by a dynamic and fun...

  • Medical Receptionist

    2 weeks ago

    Trenton, United States Mindwell Behavioral Health Full time

    MindWell Behavioral Health is seeking a part-time fluent in English Receptionist (8-12 hours weekly or more), All day Saturday annd some weekdays hours at our Ewing, NJ office. There is a good possibility that hours will be increased. MindWell Behavioral Health is a fast-paced outpatient mental health office where you will be supported by a dynamic and fun...

  • Behavioral Health Care Manager

    3 weeks ago

    Trenton, United States CVS Health Full time

    Bring your heart to CVS Health. Every one of us at CVS Health shares a single, clear purpose: Bringing our heart to every moment of your health. This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand — with heart at its center — our purpose sends a personal message that how we...

  • Medical Director

    4 weeks ago

    Trenton, United States CVS Health Full time

    Bring your heart to CVS Health. Every one of us at CVS Health shares a single, clear purpose: Bringing our heart to every moment of your health. This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand — with heart at its center — our purpose sends a personal message that how we...

  • Psychiatric Nurse Practitioner

    7 days ago

    Trenton, United States MindWell Behavioral Health Full time

    **Mindwell Behavioral Health** has excellent opportunities for Licensed Professionals to work at our site in Ewing, NJ. We provide an array of outpatient behavioral health services, which include individual, group and family therapy; medication evaluation and management; integrated behavioral health services. **Full Job Description** Duties &...

  • Program Director

    1 month ago

    Trenton, United States Oaks Integrated Care Inc. Full time

    Join our team today and immerse yourself in a rewarding career for years to come! As the Program Director, you will work within our certified community behavioral health clinic (CCBHC) in Trenton, Mercer County NJ. The CCBHC program features a new approach to care designed to improve overall health by treating the whole person through community based mental...

  • Program Director

    4 weeks ago

    Trenton, United States Oaks Integrated Care Inc. Full time

    Join our team today and immerse yourself in a rewarding career for years to come! As the Program Director, you will work within our certified community behavioral health clinic (CCBHC) in Trenton, Mercer County NJ. The CCBHC program features a new approach to care designed to improve overall health by treating the whole person through community based mental...

  • Behavioral Health Care Management, Associate Manager

    3 weeks ago

    Trenton, United States CVS Health Full time

    Bring your heart to CVS Health. Every one of us at CVS Health shares a single, clear purpose: Bringing our heart to every moment of your health. This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand — with heart at its center — our purpose sends a personal message that how we...

  • Lead Facilities Support

    5 days ago

    Trenton, United States Phoenix Behavioral Health Full time

    Job DescriptionJob DescriptionSalary: $40,000.00Summary:Phoenix Behavioral Health, LLC is recognized as a leader in the field of behavioral health and substance use disorders. We are seeking a lead facilities support staff to provide daily oversight and support for transportation, meals, and route management.  Responsibilities Prep’s fully prepared daily...

  • Behavior Specialist

    1 month ago

    Trenton, United States SERV Behavioral Health System Full time

    Job DescriptionJob DescriptionSERV, a well-established leader in behavioral healthcare in New Jersey, supports people with mental illness and/or intellectual/developmental disabilities as they achieve greater independence and life satisfaction through a wide range of services.We are currently seeking an experienced Behavior Specialist for our Behavior...

  • Behavior Specialist

    4 weeks ago

    Trenton, United States SERV Behavioral Health System Full time

    Job DescriptionJob DescriptionSERV, a well-established leader in behavioral healthcare in New Jersey, supports people with mental illness and/or intellectual/developmental disabilities as they achieve greater independence and life satisfaction through a wide range of services.We are currently seeking an experienced Behavior Specialist for our Behavior...

  • Associate Director, Medical Strategy

    2 months ago

    Trenton, United States OPEN Health Group Full time

    Associate Director, Medical Strategy Reports to SVP, Medical Strategy Job Summary The Associate Director, Medical Strategy is responsible for providing strategic medical and tactical direction to support all of OPEN Health’s Scientific Communications teams in (1) the development of strategic medical plans and multi-stakeholder scientific communication...