Welcome to Beth Israel Lahey Health Behavioral Services. Our team delivers quality care to clients and families in more than 30 communities throughout the North Shore, Merrimack Valley and Greater Boston. Our mission is to provide personal, compassionate, state-of-the-art, integrated behavioral healthcare that makes a difference in the lives of the people and communities we serve. Our services include mental health counseling, addiction treatment, and family and school-based services.
About the Job
Sign on bonus up to $3000 (pro-rated for part time) and New Increased Competitive Pay Rates
The Behavioral Health Community Partner (BHCP) Program is a new and innovative care management program designed for eligible MassHealth ACO members. The program aims to engage individuals with high behavioral health needs and provide them with a care plan that utilizes a person-centered approach to healthcare.
The Director is responsible for clinical, administrative and fiscal oversight of BH CP functions. Develops, manages and supervises a team of clinicians and paraprofessionals. Ensures quality of care and contract compliance across all BH CP service components. Establish positive working relationships and workflows with all ACOs. The Director will assume responsibility for Case Management programs within BILH BS.
- Ensure adherence to all policies and procedures relative to outreach and engagement, care coordination, care management, and care transition functions and activities for the BH CP.
- Management and oversight of BILH BS Care Management programs including but may not be limited to Community Support Program, Behavioral Health Community Partner, and health plan provider based care management programs.
- Provide clinical, administrative and fiscal oversight and quality of care across all BH CP components of service. Meets financial objectives by forecasting requirements; preparing an annual budget; scheduling expenditures; analyzing variances; initiating corrective actions.
- In collaboration with the VP of Population Health and Emergency Services, develops, implements, monitors and reviews operating budget. Ensures that internal reports are produced and reviewed in a timely fashion.
- In collaboration with the VP of Population Health and Emergency Services, establish positive working relationships and workflows with all ACOs.
- Responsible for all EOHHS reporting requirements relative to BH CP.
- Develop, manage and supervise a team of clinicians and paraprofessionals.
- Responsible for staff recruitment, orientation, training and administrative and clinical supervision to key program-level supervisory staff.
- Works closely with patients, collaborating with them and Care Team to develop and implement a Care Plan that will address their unique needs with the goal of improved self-care and decrease the need for urgent care for this behavioral health population.
- Facilitate communication among and coordinate with the Engaged Enrollee, the PCP, and other providers who serve the Engaged Enrollee.
- Execute the activities necessary to support the Engaged Enrollee’s Person-Centered Treatment Plan and to ensure the Engaged Enrollee has timely and coordinated access to primary, medical specialty, LTSS, and behavioral health care.
- Regularly perceives potential problem situations and intervenes to offset adverse impact, demonstrates proactive attitude. Utilizes established protocols and collaborates with health team utilizing a person-centered framework to facilitate therapeutic interventions and attainment of desired patient outcomes. Advocating for patient and caregiver needs in inpatient, outpatient, home, and community settings.
- Develop and maintain collaborative relationships with community based organizations in the Contractor’s Service Area.
- Continuously identify and help resolve barriers to meeting goals and complying with the CP.
- Facilitate enrollee referrals to resources including medical appointments as directed by the CP and conduct ongoing follow-up.
- Have in-depth knowledge of local resources. Experience with accessing resources and substance abuse treatment a priority.
- Responsible for monitoring and ensuring that supervisee’s paperwork is timely and written in an accurate, legible and concise manner (including proper completion of billing paperwork). Ensures supervisee’s records are in compliance with the organizations methods of Quality Assurance.
- Build and maintain effective working relationships with internal, external providers, community stakeholders such as ACOs and community partners as well as other regulatory bodies.
- Develop and maintain collaborative relationships community based organizations in the NE region and state agencies, including as applicable the Executive Office of Elder Affairs (EOEA), the Department of Children and Families (DCF), the Department of Mental Health (DMH), the Department of Developmental Services (DDS), the Department of Public Health (DPH), the Massachusetts Rehabilitation Commission (MRC), the Massachusetts Commission for the Deaf and Hard of Hearing, and the Massachusetts Commission for the Blind.
- Recommend strategies for improvement in performance, training materials, best and practices.
- Serve as a key liaison for the program and direct the resolution of inquiries, problems, complaints, or emergencies affecting availability or quality of services; respond to sensitive or complex inquiries, service complaints, or grievances filed.
- Master’s degree in Human Services field required. Independent licensure preferred (LICSW, LMHC, or Licensed Psychologist in the Commonwealth of MA).
- Minimum of 5 years of clinical experience and 4 years’ of management and supervisory experience.
- Knowledge of commercial behavioral healthcare practices, evidenced based treatments, managed care principles, provider development and quality improvement concepts is essential. Familiarity with state and local agencies serving the community helpful.
- Ability to exercise good judgment clinically, legally and ethically and to consult with supervisor as needed.
- Must possess outstanding planning and implementation skills, a strategic approach, and a good working knowledge of data reporting and analysis skills.
- Excellent communication, documentation, time management and organizational skills.
- Ability to work within a multi-disciplinary team.
Schedule: Full time, 40 hours.
Beth Israel Lahey Health is dedicated to improving health and wellness and making a difference in the lives of our patients, their families and all members of the communities we serve. Formed in March 2019, Beth Israel Lahey Health is a patient-centered, integrated care delivery system providing a continuum of services spanning academic, tertiary and community hospitals, dedicated orthopedic and psychiatric hospitals, primary and specialty care, community acute care, ambulatory care, behavioral services and home health. Beth Israel Lahey Health Performance Network is a unified joint contracting and population health management organization, jointly governed by participating physicians and hospitals.
Equal Opportunity Employer/Minorities/Females/Disabled/Veterans.