Behavioral Health Operations Manager, Adult

Your Impact:

• Assist in the development of Behavioral Health programs to meet the strategic initiatives of UHA for adult services
• In collaboration with the Director of Integrated Services, ensure that programs satisfy contractual and regulatory requirements.
• Report on all aspects related to program/project activities to ensure strategic initiatives are met.
• Operationalize workflows, policies, and standard operating procedures for all population specific programs including transformation and integration initiatives.
• Establish positive and proactive relationships with state, county, community providers, and internal stakeholders
• Maintain updated knowledge of the Oregon Administrative Rules (OAR) governing OHP and HIPAA
• Support the identification and development of culturally and linguistically appropriate resources to support the needs of adults located in Douglas County
• Collaborate on the development of metrics to monitor incentive metrics, health outcome metrics, access, and overall compliance.
• Monitor fidelity programs and services for adults including but not limited to: ACT, CHOICE, and Supported Employment). Evaluate program performance and consistency. Initiate corrective action process to remediate organizational compliance risk.
• Develop and oversee the production of standard reports to monitor and evaluate program outcomes. Monitor performance to metrics quarterly, and ad hoc as needed
• Collect and monitor regular reporting from community partners, organizational databases, event notification systems, and internal staff to assess and analyze gaps in services.
• Identify, track, and resolve risks. Develop contingency plans to support successful completion of initiatives.
• Collaborate, gather data, and complete Behavioral Health reporting requirements for adult services and pursue grant opportunities with community partners, industry leaders, community stakeholders and subject matter experts.
• Responsible for project specific requirements, coordination, and deliverables as outlined in project plans and/or grant agreements including grant oversight and administration as specified in the grant agreement(s).
• Work in concert with Care Coordination leadership and Director of Integrated Clinical Services to complete Exhibit M reporting deliverables.
• Serve as the key technical contact and subject matter expert for external and internal stakeholders regarding subject matter consultations for adult serving Behavioral Health programs
• Identify opportunities to improve existing operational policies and procedures
• Develop new policies and standard operating procedures as necessary
• Ensure continuous quality improvement by collaborating with key stakeholders to ensure necessary training and updates are implemented
• Accountable for tracking metrics, goals, and outcome targets where applicable and
• Implement operational changes in partnership with Care Coordination leadership, Director of Utilization Management, and Director of Integrated Clinical Services as they relate to department metrics and clinical program performance.
• Provide technical assistance and/ or in-service training programs for staff and community groups, as needed.
• Monitor internal audits of the health plan to support effective performance of processes and procedures
• Proactively identify, escalate, and resolve operational and/or practice-based issues of moderate complexity to maintain overall quality and effectiveness.
• Establish, implement, and annually review Behavioral Health policies, Standard Operating Procedures, Provider Contract(s), and other pertinent administrative documents as required.
• Comply with organization’s internal policies and procedures, Code of Conduct, Compliance Plan, along with applicable Federal, State, and local regulations.
• Make decisions through sound and accurate judgement in a timely fashion.
• Utilize consultation and team approaches on program assessment, development and management.
• Convey information, ideas, and facts both orally and in writing to supervisors, colleagues, and individuals, inside and outside the County, using language and a format the audience will best understand.
• Effectively relate well with others, including supervisors, colleagues, and individuals inside and outside the County. Exhibit a professional manner in dealing with others and working to maintain constructive working relationships.
• Take personal responsibility for the quality and timeliness of work. Show up to work on time, and follows instructions, policies, and procedures. Meet productivity standards, deadlines, and work schedules.
• Identify and resolve problems in a timely manner.

Your Credentials:

• Master’s degree in psychology, social work, or counseling plus two (2) years’ experience in Behavioral Health care.
• Experience in Adult Behavioral Health, as well as any of the following: utilization management, care coordination, managed care, or health plan administration.
• No suspension/exclusion/debarment from participation in federal health care programs (eg. Medicare/Medicaid)