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Director of Behavioral Health Services

2 months ago


New York, New York, United States VNS Health Full time
About the Role

We are seeking a highly experienced and skilled Director of Behavioral Health Services to join our team at VNS Health. As a key member of our leadership team, you will be responsible for driving the strategic planning process for Behavioral Health services, identifying opportunities for differentiation and enhanced service delivery.

Key Responsibilities
  • Strategic Planning: Develop and implement comprehensive strategies to improve member outcomes and operational efficiency, ensuring alignment with the organization's strategic vision.
  • Leadership: Lead the Behavioral Health clinical operations team with a strategic and growth-oriented mindset, aiming to achieve improved clinical outcomes and reduced healthcare costs.
  • Protocol Development: Develop and revise behavioral health protocols and guidelines to ensure compliance with state requirements and medical necessity criteria.
  • Clinical Services: Design and implement clinical services that are member-centric, utilizing a comprehensive approach incorporating behavioral health, social care, physical health, and pharmacologic data.
  • Collaboration: Foster collaboration and coordination between physical health and behavioral health care to enhance integrated member care.
  • Utilization Review: Oversee the implementation and monitoring of utilization review and quality management procedures, while also conducting specialized studies and audits as necessary.
  • Training and Development: Assist in the development and implementation of training programs for staff and network providers, ensuring they are comprehensive, up-to-date, and aligned with the latest industry practices and state regulations.
  • Staff Management: Approve staff training, hiring, promotions, terminations, and salary actions, and evaluate staff performance for direct reports.
Requirements
  • Work Experience: Minimum of eight years' experience in behavioral health or social work required within a behavioral health organization (BHO), with minimum of 4 years in a BH utilization and care management Director or above leadership role within a managed care organization required.
  • Leadership Experience: Proven experience in developing and implementing Behavioral Health-specific protocols, including policies, procedures, and NYS level of care guidelines that comply with state-level care requirements and medical necessity criteria required.
  • Education: Master's Degree in Social Work required.
  • Licenses and Certifications: License and current registration to practice as a Licensed Clinical social worker (LCSW) in New York State or other independent licensure (LMHC, LMFT, clinical psychologist, or psychiatric Nurse Practitioner) required.