Virginia Premier Health Plan, Inc.

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Director, Behavioral Health Services

Director, Behavioral Health Services

Job Locations 
US-VA-Glen Allen
Job ID 
2017-4275

Job Description

Overview

The Director of Behavioral Health Services is responsible for day-to-day operational oversight for behavioral health utilization, case management, and ARTS program and services. These functions support the overall corporate goals of providing integrated health plan clinical operations and ensuring effective delivery of high quality behavioral health care.

Responsibilities

Day-to-day operational oversight and responsibility for: 

  • Administration and delivery of behavioral health managed care clinical services for all lines of business including
    Behavioral Health Utilization Management, Behavioral Health Case Management and Care Coordination and ARTS program and services
  • Monitoring of staff productivity and development of “best practices” to meet stakeholder expectations
  • Promoting an integration of physical and behavioral health services to optimize member health and well being
  • Recommending departmental improvements
  • A working knowledge of all governing regulations and standards for all responsible programs
  • Monitoring compliance of delegated services
  • Imbedding innovative and evidence-based practices into all programs
  • Collaboration and organizational representation with behavioral health stakeholders, internal and externally
  • Ensuring successful compliance with policies, programs, contractual agreements, and regulatory requirements
  • Collaborate with colleagues on behavioral health quality assessments and quality improvement activities
  • Collaborate with colleagues in Disease Management and Medical Outreach on clinical initiatives.

 

Qualifications

MINIMUM EDUCATION REQUIREMENTS:

 

Current Unrestricted Virginia License in one of the following:

  • Bachelor’s degree in Nursing with active Virginia License as a Registered Nurse OR
  • Licensed Clinical Social Worker OR
  • Licensed Marriage and Family Therapist OR
  • Licensed Clinical Psychologist

 SPECIAL KNOWLEDGE AND/OR SKILLS 

  • Commitment to Virginia Premier’s clinical programs and mission to serve our population
  • Ability to work with colleagues and other health care professionals to effectively solve clinical and operational challenges
  • Demonstrating collaboration with Virginia Premier staff and management to achieve goals and objectives of the department and organization
  • Management of competent teams
  • Ability to communicate effectively with health professionals, administrators and staff, both orally and in writing
  • Ability to review the medical literature and other clinical resources to solve a clinical issues
  • Competency in Microsoft Products

WORK BACKGROUND/EXPERIENCE

  • Five (5) years or more of experience in behavioral health administration and operations is required.
  • Deep understanding of behavioral health service delivery is required.
  • Experience in managed care is preferred.

 

PHYSICAL REQUIREMENTS

  • Physical health sufficient to meet the ergonomic standards and demands of the position.

 

We offer competitive salaries and a comprehensive benefits package to include excellent Medical, Dental and Vision Plans, Tuition Assistance, Infant-At-Work Program, Remote Work options and generous vacation and sick leave policies. Our culture supports an environment where employees can continuously learn and gain professional growth through various development programs, education, exciting projects and career mobility.  

 

Our mission is to inspire healthy living within the communities we serve!

 

About Us

Virginia Premier is a managed care organization which began as a full-service Medicaid MCO in 1995. Partnered with VCU Medical Systems we strive to meet the needs of the underserved and vulnerable populations in Virginia by delivering quality driven, culturally sensitive and financially viable Medicare and Medicaid healthcare programs.  Headquartered in Richmond, VA we also have offices in Roanoke, Tidewater and Bristol with additional satellite locations allowing us to serve over 200,000 members across eighty counties throughout Virginia. 

 

Equal Opportunity Employer All qualified applicants will receive consideration for employment without regard to age, race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or protected veteran status.

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