Behavioral Health Operations Manager
Company: Cencal Health
Location: Santa Barbara
Posted on: May 26, 2023
Job Description:
Company Description
Looking for a career that makes a difference in people's lives?
CenCal Health is a locally-run, not-for-profit health plan that
serves nearly 180,000 people, with offices in both Santa Barbara
and San Luis Obispo Counties. For 35 years we've been improving the
health and well-being of our neighbors through partnership and
collaboration, and we're looking for exceptional, mission-driven
professionals to help us grow. We are an employer of choice in
Santa Barbara, offering competitive salaries, generous vacation &
holidays, comprehensive health/dental/vision benefits including a
CalPERS pension plan and 457 deferred income plan, a wellness
program, a gym in our headquarters and even parking lot BBQs. Come
join our group of nice people doing good work at a great
company.
For more information on who we are and what we do, please visit our
website at www.cencalhealth.org
Job Description
Job Location: Santa Barbara Office 4050 Calle Real, Santa Barbara,
CA 93110
Salary Range: $103898.00 - $161043.00 /year
Position Type: Full-Time
- Monday to Friday
- Hybrid 2 days per week Benefits:
- Pension Plan
- Professional Development and Wellness Benefits
- Alternative Transportation Incentives
- Comprehensive medical, dental, vision & life insurance
- Paid Time Off
- Ten (10) paid holidays per year Apply Now:
https://www.paycomonline.net/v4/ats/web.php/jobs/ViewJobDetails?job=83337&clientkey=596BEB0B80DDF299C4E06A78967BCA73
Job Summary
The Behavioral Health Operations Manager is responsible for
planning, organizing, and managing the daily operations of the
Behavioral Health (BH) Utilization Management (UM) and Care
Coordination team. The Operations Manager is responsible for
inventory management, including meeting key performance indicators
and regulatory requirements. The position contributes to
maintaining up-to-date program descriptions, policies, and
procedures; participates in special assignments, audits, and focus
projects; and performs related work as assigned.
Duties and Responsibilities
- Plan, develop, and oversee Behavioral Health (BH) Utilization
Management (UM) and Care Coordination team functions and
activities.
- Creates controls to monitor and track key performance
indicators.
- Manages inventory, productivity, and staffing to ensure key
performance indicators and regulatory requirements are met.
- Creates staffing models, productivity, and quality standards
for team functions.
- In collaboration with Master Clinical Trainer, identify
training and efficiency opportunities.
- Create and update Policies and Procedures in support of UM and
Care Coordination functions.
- Review and optimize workflows to support efficient and
effective processes.
- In collaboration with the Director of Behavioral Health,
ensures the appropriate and timely use of Utilization Management
criteria and guidelines and medical policy in the administration of
treatment to CenCal Health members.
- Supports the Behavioral Health Department staff that report
directly to the Behavioral Health Operations Manager with
specialized knowledge of chronic co-morbid condition management,
care integration, transitions, referral management, and all other
aspects of care management and care coordination as it relates to
mental and behavioral health.
- Participate in internal and external audits.
- Participate in State Fair Hearings as requested
- Analyze and prepare regular reports of BH Utilization
Management and Care Coordination activities.
- Collaborate with Information Technology (IT) in the development
of electronic health records, functionality, and reports.
- Provide guidance to providers and members related to timely
requests, authorization requirements, etc.
- Internal meetings leading solutions-oriented approach to
improve transitions of care, coordination, and health care delivery
system.
- Act as a liaison to internal and external customers for prompt
resolution of issues.
- Provide input for projects and programs within the Health
Services Department.
- Ensure the unit meets all departmental, regulatory, and
contractual compliance goals.
- Attend County and other external meetings as assigned.
- Facilitate monthly/as-needed provider training on behalf of the
department-including creating content
- Monitor staff productivity and compliance.
- Serve on agency committees.
- Other duties as assigned. Qualifications
Education and Experience
Required:
- A current, active, and unrestricted California license as an
R.N., LCSW, LMFT, LPCC.
- Minimum of 2 years of experience in a supervisory position in a
managed care setting or county behavioral health Preferred:
- Experience in a managed care setting
Additional Information
All your information will be kept confidential according to EEO
guidelines.
Keywords: Cencal Health, Santa Barbara , Behavioral Health Operations Manager, Executive , Santa Barbara, California
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