- Plans, organizes and directs the work of the Behavioral Health Inpatient Care/Case Managers department to ensure safe, high quality patient care. Manages the daily clinical operations, including staffing schedules, phone access to the health care team, and patient flow. Ensures departments provides timely access to an episode of care. Ensures that high quality, efficient, and medically appropriate treatment programs that are evidenced-based are delivered throughout the service area and region. Provide clinical supervision of mid-level providers: psychotherapists, psychologists and advanced practice nurses other professional staff including nurses and mental health assistants.
- Collaborates with the Chief of Behavioral Health to design, manage, and continually improve the operations of the department in accordance with strategic goals and targets and within appropriate clinical guidelines, including identifying and developing strong diagnostically responsive and preventive programming that addresses patient needs at the outpatient level of care.
- Executes the service delivery plan for the department, set by the Chief and Director. Standardize workflows across the service area and reduce service area variation in accordance with regional expectations. Directs and leads customer service, service recovery, and MPS initiatives.
- Works with Human Resources staff to recruit and hire staff; coordinates comprehensive orientation of new staff, and completes annual performance evaluations, competencies, etc. Collaborates with Health Plan leaders to establish performance goals and provides counseling, coaching, feedback, recognition, training and development to staff.
- Assists with budget development and is responsible for payroll and non-payroll targets and variances. Creates action plans for areas not meeting target.
- Supports, co-leads, and champions UBT work in and across the department. Responsible for process improvement, including but not limited to the following: efficiencies in the workflow (i.e. reducing waste, skills/role maximization.
- Responsible for facility and equipment within the clinical departments and associated building egress space. Reports and escalates work orders exceeding service level agreement.
- Partners with regional and service area space planning committees and teams. Manages space in the clinical areas to ensure appropriate assignment and utilization.
- Monitors and validates workflows in KPHC and other related electronic health record systems. Support documentation and upgrade initiatives, and address issues with direct reports and staff, as needed.
- Serves as on-site leader to the health care team, as needed and serves as Behavioral Health expert for the region. Act as service area representative for Behavioral Health leadership team in the KP GA.
- Under the guidance of the BH Service Line Director, analyze data and prepare data driven written and oral updates to leadership or other stakeholders.
- Maintains current knowledge of applicable federal and state regulations or laws and monitors changes to ensure organizational adaptation and compliance. Ensures department is compliant with all accreditation, licensing, and regulatory requirements.
- Maintains proficiency and competency in clinical skills, techniques, etc. Provides direct patient care, as needed.
- Minimum five (5) years of experience as a psychotherapist, three (3) of which must have been in a supervisory/management and/or practice management experience required.
- Minimum three (3) years experience in management experience including managed care operations, program development, and outcome evaluation required.
- Minimum three (3) years experience in Utilization/Case Management required.
- Masters degree in social work (MSW), masters degree in education (MEd), masters degree in psychology, Advanced Practice Nurse or PH D Psychologist, or PsyD required or bachelors degree in Nursing with an unrestricted current RN licensure in the State of Georgia.
- Licensed Psychologist (Georgia) required at hire OR Professional Counselor License (Georgia) required at hire OR Registered Professional Nurse License (Georgia) required at hire OR Licensed Clinical Social Worker (Georgia) required at hire
- A broad knowledge of the range of therapy techniques and therapy methods and modalities of care in the areas of mental health and chemical dependency required.
- Clinical experience in individual, group, and family psychotherapy.
- Management theory and experience in supervising and managing staff.
- Productivity standards - help to formulate these in coordination with Behavioral Health Management Team. Interpret, recommend, observe, monitor, and alter these as needed.
- Knowledge of cognitive behavioral techniques, brief therapy models, group work, crisis theory, chemical dependency treatment, and management experience required.
- Strong understanding of teamwork and the interdisciplinary team, both in-pt and out-pt, required.
- Must be able to travel within the service area and region to multiple locations.
- A broad range of clinical experience preferred.
- Experience in collaborating with Psychiatrists preferred.
- Masters degree in Nursing preferred.
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Manager, Behavioral Health Hospital Care/Case - Atlanta, United States - HealthEcareers - Client
Description
Job Summary:Under the direction of the director of QRM and Outside services serves as the leadership for Behavioral Health hospital care/case management. Coordinates the daily delivery of quality patient care in the integrated Care Delivery System and delivers optimal member experience. Executes on the service delivery model in partnership with the Service Chief and Director. The Behavioral Health Hospital Manager has direct oversight of Behavioral Health care/case managers for both core and non-core hospitals accountability for ensuring consistency of service delivery and treatment across the Georgia Region.
Essential Responsibilities:
