Manager, HP Behavioral Health- Programs

Job Summary:

The Manager, HP Behavioral Health - Programs is responsible for developing, implementing, and overseeing BH clinical/non-clinical programs and reports to the Ohio Market BH Director. Additionally, the Manager is responsible for leading the team engaged in collaboration across the Market's regional and operational leadership to contribute to the operational, clinical and provider execution of the initiative to ensure Care Source's behavioral health quality, compliance, business, and advocacy goals are met, and to support the defined population and requirements.

Coordinates with Ohio Leadership, Behavioral Health Regional Coordinators and Behavioral Health Initiative Specialists to ensure program execution; with matrixed responsibilities to Enterprise Behavioral Health to ensure needed resources and programs for implementation. Health Partner engagement shall be measured by confidence in Care Source's ability to fulfill promises, integrity to make things right when problems occur, pride in working with Care Source and their passion about Care Source being a vital member of the care team.

Essential Functions:

• Creates and Manages multiple projects in coordination with Ohio and Enterprise BH teams, collect and analyze data and disseminate to appropriate departments as necessary
• Collaborate with the OH MKT Leadership, HP Behavioral Health and Enterprise BH on the development of the program documentation, workflows, operational processes and resources for program implementation and execution
• Responsible to ensure initiative alignment with Care Source strategy and programs, business and quality goals
• Engagement and alignment with Ohio's regulatory programs to include Medicaid and CMS.
• Collaborate with HEDIS team to identify opportunities to improve HEDIS measures
• Provide BH clinical support for SIU, Case Management, Care4U and Coordinated Services Program, Patient Centered Medical Homes
• Collaborate with health care services, communications and provider relations to communicate and educate key providers.
• Assists with the development and evolution of the team's strategic direction, annual goals and objectives, recommends new processes and changes for increased department productivity
• Provide proactive, high-level account development and support in order to drive the overall satisfaction and engagement of key Health Partners
• Develop and implement the team business plan objectives, both in creating new plans and in identifying and responding to customer needs
• Develop and educate providers on current Quality Initiatives and Cost Savings
• Establish and maintain strong working relationships with key internal and external business partners
• Develop and report on key accomplishments and issues to upper management
• Set targets and priorities in order to contribute towards meeting overall Care Source Network Strategy
• Oversee the achievement of customer specific performance guarantees to include operations, clinical, pharmacy, behavioral
• Implement local strategic plans in order to effectively influence providers, provider associations and Caresource impacted departmental departments
• Outwardly support and be able to communicate the Care Source mission, goals of senior leadership and other stakeholders to the Health Partner community as well to the Provider Engagement team
• Ensure appropriate documentation of interactions and projects by all team members
• Perform any other job duties as requested

Education and Experience:

• Degree in Behavioral Health or Nursing is required, OR Bachelor's/Master's in healthcare field is required
• Behavioral health clinical experience in a community behavioral health center setting preferred
• Managed Care experience preferred
• Minimum of one (1) year leadership/management experience preferred

Competencies, Knowledge and

Skills:

• Proficient with Microsoft Office to include Word, Excel and Power Point
• Excellent written and verbal communications skills
• Ability to develop, prioritize and accomplish goals
• Detail oriented
• Strong interpersonal skills and high level of professionalism
• Effective listening and critical thinking skills
• Effective problem solving skills with attention to detail
• Ability to work independently and within a team
• Strong negotiation skills
• Excellent leadership skills
• Ability to create and maintain excellent working relationships

Licensure and Certification:

• Employment in this position is conditional pending successful clearance of a driver's license record check. If the driver's license record results are unacceptable, the offer will be withdrawn or, if you have started employment in this position, your employment in this position will be terminated
• Current, unrestricted RN, PCC, LPC, LCSW and/or LISW licensure in the state of practice is required; supervisory designation and/or additional chemical dependency licensure preferred
• Certification in Case Management preferred
• To help protect our employees, members, and the communities we serve from acquiring communicable diseases, Influenza vaccination is a requirement of…