Behavioral Health Director

 

Main characteristics

Location

Orange, California

Company

JobTracks, Inc.

Industry

Healthcare|Health Wellness Director

Job summary

JOB SUMMARY:

Responsible for the clinical administration and management of Behavioral health and Substance Use Disorder Services. Maintain a professional, positive and caring attitude at all times.

ROUTINE:

Know and follow PBHC's Employee Handbook policies and procedures.

Communicate verbally and in writing through proper channels.

Adhere to all Compliance Regulations including, OSHA, HIPAA/HITECH, Fraud, Waste, and Abuse, Harassment, Code of Conduct, Model of Care, Cultural and Linguistics, Cyber Security, Harassment in the workplace, and Injury and Illness.

Know and follow daily schedule.

Follow department time clock and request for time off process.

Always be punctual.

Follow dress code.

Use time keeping system appropriately.

Be courteous.

Be flexible and adaptable.

Promote departmental and organizational goals.

Know and follow applicable safety standards.

ESSENTIAL JOB FUNCTIONS:

Requires Driving to and from provider sites, medical group sites, hospitals. Frequency; approximately 15% Work Position:

Sitting - 70% or more.

Standing - less than 20%.

Walking - less than 10%.

Body Movements:

Lifting - 0-10 lbs. - Frequency - approximately 5%.

Standing, stooping, and squatting - Frequency - approximately 5%.

Reaching above head to 75 degrees - Frequency - approximately 5%.

Hand/grip dexterity - Frequency - approximately 85%.

SPECIFICS:

Manage large number of clinical and non clinical staff in a managed care environment

Develop, operationalize and manage inpatient and outpatient utilization management systems focused on behavioral health and Substance Use Disorders

Develop, operationalize and manage inpatient and outpatient case management systems focused on behavioral health and Substance Use Disorders

Develop, operationalize and manage condition management programs including the risk stratification of condition specific data focusing on behavioral health and substance use disorder programs

Manage 24 x 7 call center operations

Manage data analytics for all operating areas and maintain responsibility for all internal and external client reporting.

Ability to manage and negotiate w/ contracted providers and facilities; focusing on behavioral health and substance use disorders.

Be able and ready to be cross trained on other tasks as may be assigned, and willing to rotate jobs within the department or outside of department with the scope of the job description.

Follow and adhere to PBHC's standards of attendance policy, as it is pertinent to be available to assist patients, providers, contacted facilities and associates.

Perform other duties as assigned.

EDUCATION, TRAINING, EXPERIENCE:

Minimum Bachelors degree from accredited University, Masters preferred

Valid CA clinical license; RN, LCSW, PsyD, NP

Minimum 10 years management role Managed Care Environment, preferably in Behavioral health. Includes Utilization Management, Case management, Disease Management and Demand management experience

Excellent written and verbal communication skills.

Excellent data management skills

Proficiency in WORD, EXCEL, and Powerpoint

Proficiency in navigating multiple UM/CM platforms as well as EMR and PMS systems

Ability to handle and prioritize tasks in order to meet all given deadlines and productivity goals.

Ability to responsibly handle matters of a confidential nature.

Ability to work in a multi-task, high-productive environment.