Manager, Behavioral Health Treatment

1 month ago

French Camp, United States Health Plan San Joaquin Full time

The expected pay range is based on many factors such as geography, experience, education, and the market. The range is subject to change.

Remote position - must reside in California.

What You Will Be Doing:

The Behavioral Health Treatment Manager works closely with the Behavioral Health and Social Services, Contracting, Provider Services, Compliance, Audits and Oversight, and Quality Improvement departments on the behavioral health program initiatives as directed by HPSJ strategies and objectives. BCBA certification & managed care experience required. Work is varied and complex and requires a moderate to high degree of discretion and independent judgement.

Supervises

  • BHT Case Managers
  • BHT Care Coordinators
Our Vision:

Continuously improve the health of our community.

Our Mission:

We provide healthcare value and advance wellness through community partnerships.

Essential Functions:
  • Develops team goals based on established objectives, participating with peers to ensure effective integration; oversees the department and implementation of associated action plans.
  • Identifies, develops, and implements effective behavioral health treatment program to address identified needs of our members.
  • Monitors and analyzes performance; takes appropriate actions based on findings.
  • Establishes and recommends changes to policies; ensures implementation of appropriate procedures, guidelines, and other documents.
  • Oversees the process of the team to closely with patients seeking behavioral health treatment; from initiation to access of services and referrals to community supports.
  • Attends and participates in external stakeholder meetings relevant to behavioral health treatment services.
  • Assists in the development of department budget; manages budget for area of responsibility.
  • Identifies the need for and oversees department implementation of system enhancements.
  • Resolves or assists with the resolution of complex, sensitive and other service issues.
  • Prepares for internal and external audits, and in the preparation of recommendations, responses, and reports.
  • Complies, develops, and submits internal and external reports with presentations at meetings and committee meetings.
  • Promotes and maintains and ensures that direct reports promote and maintain an environment that supports the organization’s strategy, vision, mission, and values.
  • Hires, develops, supervises, and retains an adequate and competent staff.
What You Bring:

Knowledge, Skills, Abilities and Competencies

Required
  • Strong interpersonal skills – interacts effectively with individuals both inside and outside of HPSJ; relates openly and comfortably with diverse groups of people.
  • Strong written and oral communication skills, with the ability to communicate professionally to diverse individuals inside and outside of HPSJ, effectively explain complex information and document according to standards.
  • Strong knowledge of community resources related to healthcare.
  • Strong knowledge of medical policy benefits and exclusions.
  • Strong knowledge of and proficient skills in administering protocols.
  • Strong analytical and assessment skills.
  • Strong problem-solving skills.
  • Ability to read, interpret and apply complex written regulations, guidelines, and other materials; ability to read and interpret basic clinical information.
  • Ability to read and apply clinical information, practice guidelines and other complex data and information.
  • Decision Quality: makes good and timely decisions that keep the organization in alignment with regulatory requirements.
  • Strategic mindset: sees ahead to future possibilities and translates them into breakthrough strategies.
  • Ensures accountability holds self and others accountable to meet commitments.
  • Plans and aligns plans and prioritizes work for self.
  • Produces work that is accurate and complete.
  • Knows the most effective and efficient process to get things done, with a focus on continuous improvement.
  • Ability to work independently and as part of a team.
  • Time management and organizational skills. Uses time effectively and efficiently. values time. Concentrates efforts on the more important priorities. Can attend to a broader range of activities and meet deadlines.
  • Strong management skills, including but not limited to the ability to supervise staff in a manner that maximizes employee performance and business results.
  • Strong Microsoft Office suite technical skills and abilities (Word, Excel, PowerPoint, SharePoint, etc.)
  • Ability to handle confidential information with appropriate discretion.
What You Have:

Education and Experience

Required
  • Current active unrestricted license certification of a Board-Certified Behavioral Analyst (BCBA
  • 5 years of previous experience in case management/utilization management with a broad range of experience with ABA/BHT cases; managed care experience.
  • Excellent communication, presentation, and interpersonal skills.
  • Ability to maintain and expand knowledge and be easy to work with.
  • Consistent modeling of leadership behavior/values in the industry/workplace are essential.
Preferred
  • Master’s degree in Human Services, Public Health, Social Work, Mental Health, Healthcare administration or similar field strongly preferred.
  • Deep knowledge of DHCS and NCQA accreditation requirements preferred.
Licenses, Certifications

Required
  • Active and Current Board-Certified Behavioral Analyst (BCBA)
What You Will Get:

HPSJ Perks:
  • Competitive salary
  • Robust and affordable health/dental/vision with choices in providers
  • Generous paid time off (starting at 3 weeks of PTO, 4 paid floating holidays including employee’s birthday, and 9 paid holidays)
  • CalPERS retirement pension program, automatic employer-paid retirements contributions, in addition to voluntary defined contribution plan
  • Two flexible spending accounts (FSAs)
  • Employer-Paid Term Life and AD&D Insurance
  • Employer-Paid Disability Insurance
  • Employer-Paid Life Assistance Program
  • Health Advocacy
  • Supplemental medical, legal, identity theft protection
  • Access to exclusive discount mall
  • Education and training reimbursement in addition to employer-paid elective learning courses.
  • A chance to work for an organization that is mission-driven – our members and community are at the core of everything we do.
  • A shorter commute ­– if you’re commuting from the Central Valley to the Bay Area.
  • Visibility and variety – you have a chance to work with people at all levels of the organization, and work on diverse projects.


We are an equal opportunity employer and diversity is one of our core values. We believe that differences including race, ethnicity, gender, sexual orientation and other characteristics, will help us create a strong organization that is sensitive to the needs of those we serve. Employment decisions are made on the basis of qualifications and merit.

HPSJ provides equal employment opportunities to employees and applicants for employment and prohibits discrimination based on color, race, gender (including gender identity and gender expression), religion (including religious dress and grooming practices), marital status, registered domestic partner status, age, national origin (including language use) or ancestry, physical or mental disability, medical condition (including cancer and genetic characteristics), sex (including pregnancy, childbirth, breastfeeding or related medical condition), genetic information, sexual orientation, military or veteran status, political affiliation or any other characteristic made unlawful by applicable Federal, State or local laws. It also prohibits unlawful discrimination based on the perception that anyone has these characteristics, or is associated with anyone who has or is perceived to have these characteristics.

Important Notice: This job description is not a contract between HPSJ and the employee performing the job. The duties listed in the job description may be changed at the discretion of HPSJ, and HPSJ may request the employee to perform duties that are not listed on the job description.

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