Behavioral Health And Integration Nurse Consultant (Onc/Mpd)

Salary : $84,744.00 - $138,852.00 Annually
Location : Thurston County - Olympia, WA
Job Type: Full Time - Permanent
Remote Employment: Remote Optional
Job Number: 2024-01684
Department: Health Care Authority
Division: MPD
Opening Date: 02/06/2024
Closing Date: 2/20/2024 11:59 PM Pacific
Description
Behavioral Health and Integration Nurse Consultant (ONC/MPD)
71036748
The Washington State Healthcare Authority is looking for a Nurse with Behavioral Health care experience. Are you passionate about health equity? Come join this amazing, collaborative team and change lives in your community!
All HCA employees will apply an equity lens to their work, which may include but is not limited to all analyses of core business and processes.
About the division:
The Mission of Medicaid Program Division (MPD) in the Health Care Authority (HCA) is to provide high quality healthcare through innovative health policies and purchasing strategies which assist in the purchase and delivery of healthcare services to qualified Washington citizens. MPD staff work across the agency and between agencies (Department of Health, Department of Social and Health Services, etc.) and in partnership with health care providers and community stakeholders to develop and manage high-quality, evidence-based, health care programs and purchasing of services that enhance clients' ability to access appropriate, quality health care. MPD is responsible for the implementation and oversight of Washington Apple Health managed delivery system programs, including Managed Care Organization (MCO), Behavioral Health Administrative Services Organization (BH-ASO), and Dually Eligible Special Needs Plans (DSNP) systems of care, serving over 2 million Washington residents in all 39 counties.
About the position:
The purpose of this Occupational Nurse Consultant (ONC) is to provide clinical expertise as the Behavioral Health and Integration Nurse Consultant and support the section and larger division to design and implement system-level initiatives that promote quality healthcare within the managed care delivery system, supporting clinical integration of physical Health andBehavioral Health services. This position links internal and external partners to support access to quality care available through our delivery system, focusing on specialized populations transitioning between systems (e.g., discharge from state hospitals). This position is HCA's lead for cross-agency development of improvement strategies for programs with statewide impact, specifically clinical integration and Behavioral Health services delivered under the managed care delivery system. This position will work with key members of the team, including management, professional and technical staff to identify and resolve needs for project completion and report out. This role supports efficiency in business process change, legislative direction, and program change.
This position is eligible to telework, but on-site reporting may be required. The default assigned work location of all Health Care Authority (HCA) positions - both on-site and telework eligible positions - is within the State of Washington. Frequency of onsite work will vary based on business and operational needs. HCA may choose, but is not required, to support out-of-state telework on a case-by-case basis.
Duties
Some of what you will do:

• Provide clinical expertise in the Behavioral Health care provided within the managed care delivery system and related care, focusing on care delivered to high-risk individuals and special populations exiting the state hospitals or other civil beds.
• Participate in and/or lead internal and external meetings with state agency staff, policymakers, providers, payers, and other stakeholders.
• Provide expert consultative role in support of the managed care delivery system and participate in contracting and compliance oversight activities for the system.
• Participate in technical assistance with managed care plans, providers, and state staff workgroups to provide clinical expertise.
• Develop and revise agency documents, including policies and procedures, contractual requirements, billing and encounter instructions, monitoring tools, and other program expectations to support connecting program design and monitoring strategies to lead to quality outcomes.
• Consult regarding a tribal-centric approach and provide subject matter expertise to better serve AI/AN population for delivering Behavioral Health services.
• Serve as managed care delivery system clinical liaison for state hospital and related DSHS' Behavioral Health Administration agency staff to support better access, timeliness, and quality of care for BH-ASO clients and MCO enrollees.
• Lead problem resolution, technical assistance, and communication efforts between state hospitals and DSHS staff, and the managed care delivery system.
• Support state hospital liaisons within MCO and BH-ASOs in understanding contractual and programmatic expectations.
• Identify care system connection and transition issues that affect care delivered to high-risk individuals and special populations, including those exiting the state hospitals or other civil beds. Support connection to MCOs and BH-ASOs.
• Serve as lead, working in collaboration with other divisions and agencies, for systems level issues regarding discharge planning from court ordered civil beds.
• Provide compliance oversight and technical support of MCO/ASO Liaisons in their roles around discharge planning.
• Lead the design, development, and implementation of clinical integration of Behavioral Health and physical health services for Medicaid and other publicly funded clients.

Qualifications
Required qualifications:

• A bachelor's degree involving major study in nursing AND three (3) years of clinical or functional nursing experience with at least one year experience in Behavioral Health.
• A valid Washington State license to practice as a registered nurse (RN) is required.

Note: A master's degree in nursing may be substituted for one (1) year of clinical or functional nursing experience.
Required Competencies (knowledge, skills, abilities and behaviors):

• Knowledge of health care and social services delivery, including nursing theory, practice, administration and/or education as applied to mental health or chemical dependency treatment.
• Knowledge of recovery promotion and harm prevention principles in mental health.
• Knowledge of best practices in cross-system collaboration between mental Health and medical providers.
• Knowledge of public safety practices involving persons with mental illness with forensic involvement.
• Knowledge of state and federal managed care and related laws, policies, regulations, and procedures that apply to Medicaid and healthcare both within and outside HCA.
• Knowledge of and skills in applying Medicaid performance measures and general quality measurement theory.
• Knowledge and skills in researching evidence basis for performance measures and quality improvement interventions.
• Knowledge and expertise in mental Health and Integration principles.
• Knowledge of racial and ethnic diversity within Medicaid population and how performance measurement incorporates principles of addressing disparities in health processes and outcomes for diverse populations.
• Knowledge and skills in developing contract language and monitoring requirements.
• Knowledge and skills in project management, including team facilitation and process improvement methods.
• Knowledge and experience in working with diverse client populations with complex conditions, especially clients with needs for mental Health and chemical dependency services.
• Knowledge of cultural competency principles as they relate to program development, implementation, management, and quality oversight.

Skills:

• Excellent verbal and written communication skills, including technical and non-technical report writing and oral presentations with a wide variety of audiences including the legislature, managed care organizations, providers, DSHS, HCA and other state agency staff.
• Conducting or directing system assessment research.
• Facilitating large meetings with state and external participants.
• Computer software literacy.
• Critical thinking skills.
• Manage multiple projects and assignments concurrently.

Ability to:

• Communicate about nursing and mental health principles and interventions in clear, understandable language for non-professional audiences.
• Maintain effective relationships with multiple disciplines and agencies involved in Medicaid program.
• Facilitate timely communications and interchange between diverse groups of internal and external departments, agencies, and the public.
• Independently manage competing timelines to meet critical deadlines and handle multiple projects.
• Collaborate across systems, build teams and work cooperatively with internal and external resources for successful project management and development.
• Public relations and customer service skills, including conflict resolution and negotiating techniques.
• Plan strategically and perform research.
• Interpret data and provide written analysis to understand the data.
• Function as a highly effective team member in the Grants and Program Development Section.

Behaviors:

• Adhere to the core values of HCA: honest, forthright, and respectful discourse among equals; timely, active and meaningful engagement/performance of work.
• Maintain the highest standards of personal/professional and ethical conduct.
• Model behaviors that encourage an open, inclusive work environment.
• Share appropriate information internally and externally.
• Work schedule flexibility.

Preferred qualifications:

• Expertise in one or more field of nursing practice: mental health, chemical dependency treatment, community health delivery systems, crisis intervention, and/or administration or research in such fields.
• Background in systems theory and health services reform, including working collaboratively with multiple stakeholders to determine changes needed to effect reform.
• Experience in managed care systems, including health plans, accountable care organizations, and/or large multi provider Health and service delivery systems.

How to apply:
Only candidates who reflect the minimum qualifications on their NEOGOV profile will be considered. Failure to follow the application instructions below may lead to disqualification. To apply for this position, you will need to complete your profile which includes three professional references and attach:

• A cover letter that specifically addresses how you meet the qualifications for this position.
• Current resume.

To take advantage of veteran preference, please do the following:

• Attach a copy of your DD214 (Member 4 long-form copy), NGB 22, or USDVA signed verification of service letter.
• Please black out any PII (personally identifiable information) data such as social security numbers. Include your name as it appears on your application in careers.wa.gov.

Supplemental Information
About HCA:
Functioning as both the state's largest health care purchaser and its Behavioral Health authority, the Washington State Health Care Authority (HCA) is a leader in ensuring Washington residents have the opportunity to be as healthy as possible. There are three pillars of our work: Apple Health (Medicaid); the Public Employees Benefits Board (PEBB) and School Employees Benefits Board (SEBB) programs; and Behavioral Health and recovery. Under these pillars, HCA purchases health care, including Behavioral Health treatment for more than 2.7 million Washington residents and provides Behavioral Health prevention, crisis, and recovery supports to all Washington residents.
What we have to offer:

• Meaningful work with friendly co-workers who care about those we serve Voices of HCA
• A clear agency mission that drives our work and is person-centered HCA's Mission, Vision & Values
• A healthy work/life balance, including alternative/flexible schedules and mobile work options.
• A great total compensation and benefit package WA State Government Benefits
• A safe, pleasant workplace in a convenient location with restaurants, and shopping nearby.
• Tuition reimbursement
• And free parking!

Notes:
Prior to a new hire, a background check including criminal record history will be conducted. Information from the background check will not necessarily preclude employment.
HCA is an equal opportunity employer. We value the importance of creating an environment in which all employees can feel respected, included, and empowered to bring unique ideas to the agency. HCA has five employee resource groups (ERGs). ERGs are voluntary, employee-led groups whose aim is to foster a diverse, inclusive workplace aligned with HCA's mission. Our diversity and inclusion efforts include embracing different cultures, backgrounds and viewpoints while fostering growth and advancement in the workplace. Women, racial and ethnic minorities, persons of disability, persons over 40 years of age, disabled and Vietnam era veterans, as well as people of all sexual orientations and gender identities are encouraged to apply. Persons with disabilities needing assistance in the application process, or those needing this job announcement in an alternative format may contact Angel Matthews at
The Washington State Health Care Authority (HCA) is an . All applicants with a in the United States are encouraged to apply.
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