To provide daily oversight, leadership, and support to Behavioral Health Access Guides. Oversees the coordination of medically necessary behavioral health treatment services for adults and children with behavioral health needs.
Responsibilities
Provides daily leadership, direction, resources, and support to assigned staff in screeningand coordinating necessary treatment services. Oversees a specialized case load of members with behavioral health needs which interfere with positive healthcare outcomes. Collaborates and consults with care providers, members, and/or the multidisciplinary care team to assist in understanding the member’s behavioral health needs. Provides support/resource to others within the organization for behavioral health cases. Screens members using proscribed screening tools and directs members to appropriate providers. Knowledge of and ability to coordinate with multiple systems of care including county based behavioral health services. Provides supervision of staff as designated by department leadership. Utilizes best practices in coordination of behavioral health services in accordance with established guidelines associated with access line workflows. Coordinates with medical providers, psychiatrists, drug and alcohol counselors, case managers, and other support staff to ensure continuum of care. Performs screenings to assist in coordinating behavioral health services. Maintains accurate and timely documentation, records, and case files in the Partnership HealthPlan of California (Partnership) Case Management System for members in behavioral health access line management system. Develops and maintains knowledge of a community-based network of alternative modes of care. Aids members to connect with community-based organizations to support and enhance wellness. Provides training and relevant educational materials for Behavioral Health Access Guides. Conducts and contributes to special training for Partnership staff, professionals, public and private agencies and others as identified. Handles complex and lengthy calls that cannot be resolved by the Behavioral Health Access Guides. Attends and delivers community presentations and orientations as needed.
Educates members and providers on the guidelines and policies of Partnership. Assesses and resolves problems within scope of authority; escalates unusual questions or problems to higher authority levels. Communicates clearly and effectively through all mediums of communication with members, providers, vendors, community partners, and Partnership employees. Oversees the successful transition of care for members discharged from a residential setting transitioning to a lower level of care within the community, to include assessing member needs and identifying appropriate staff to carry out identified needs, effective and frequent communication with providers, members, county partners and identified health care designee. Performs other duties as assigned including the assumption of new duties.
Qualifications
Education and Experience
Master’s degree in a behavioral health related area preferred. In lieu of a degree, a minimum of five (5) years of relevant experience to include a minimum of three (3) years supervisory experience will be considered.Experience supervising teams with multiple position levels. Experiencein publicly funded behavioral health and in a health plan environment preferred.
Special Skills, Licenses and Certifications
Ability to actively listen, engage members who may be having active behavioral health challenges by using motivational interviewing techniques. Considerable knowledge of prevention, treatment and rehabilitation techniques used in the identification and treatment of mental illness and emotional disorders. Federal, state and local laws, rules and regulations associated with mental health treatment and education programs. Understanding of the treatment of mental illness and substance use disorders Valid California driver’s license and proof of current automobile insurance compliant with Partnership policy are required to operate a vehicle and travel for company business.
Performance Based Competencies
Strong organizational, communication, attention to detail and critically thinking skills required. Ability to work within an interdisciplinary structure and function independently in a fast-paced environment while managing multiple priorities and meeting deadlines. Ability to work across systems of care and engage members and providers to coordinate care and services. Effective telephone and computer data entry skills required. Experience in managed care business practices and ability to access data information using computer systems. Excellent English written and verbal communication skills.
Work Environment And Physical Demands
Daily use of the telephone and computer for most of the day. Standard cubicle workstation. Must be able to lift, move, or carry objects of varying size, weighing up to 10lbs.
All HealthPlan employees are expected to:
Provide the highest possible level of service to clients;
Promote teamwork and cooperative effort among employees;
Maintain safe practices; and
Abide by the HealthPlan’s policies and procedures, as they may from time to time be updated.
HIRING RANGE
$93,690.86 - $117,113.58
IMPORTANT DISCLAIMER NOTICE
The job duties, elements, responsibilities, skills, functions, experience, educational factors and the requirements and conditions listed in this job description are representative only and not exhaustive or definitive of the tasks that an employee may be required to perform. The employer reserves the right to revise this job description at any time and to require employees to perform other tasks as circumstances or conditions of its business, competitive considerations, or work environment change.
Regular Full-Time