Job description

Manager, Behavioral Health

• Only open to candidates residing in California
• Opportunity to make a difference in your community
• Position not eligible for sponsorship

The Health Plan of San Mateo (HPSM), a managed care health plan, seeks a full time Manager of Behavioral Health. Under the direction of the Director of Behavioral Health, the Manager, Behavioral Health is responsible for leading member, team, and cohort level behavioral health needs of our members. This role will help create and implement initiatives targeting continuity of care between physical and behavioral health to promote wellness of HSPM members. With a focus on supporting the Connection of HPSM member to Mental health care with in HPSM’s network and with San Mateo County Behavioral Health and Recovery Services the County Mental Health plan.

Position overview

· Serve as a clinical expert for complex psychosocial challenges amongst HPSM members.

· In conjunction with Training and Health Education Specialists, devise and implement trainings on a variety of behavioral health symptoms, treatments, and resources to increase staff comfort and competency in working with complex members.

· Directly assist with care and transitions coordination of behavioral health related services in conjunction with medical care and transitions coordination teams.

· Serve as a clinical liaison and help drive service coordination with community partners such as GGRC, BHRS, and Magellan.

· Facilitate monthly case conferences with BHRS.

· Drive program implementation of HHP with a specific focus on quality of care, consistency of care models, and clinical excellence.

· NCQA and other compliance activities, especially related to delegation oversight needs

· Exemplify and promote continuous performance improvement within Integrated Behavioral Health team and Health Services Department.

· Work collaboratively with and assist peers and leaders across HPSM departments as needed to support HPSM program development and program effectiveness.

· Accomplish staff results by communicating job expectations; planning, monitoring, and appraising job results; coaching, counseling, and implementing corrective action steps when necessary; developing, coordinating, and enforcing systems, policies, procedures, and productivity standards. Complete performance evaluations in a timely manner.

· Policy and procedure reviews and updates.

· Assist Director of Behavioral Health in special initiatives, new programming, team development, and staff supervision.

· Collaborate with other HPSM staff and departments for program development, implementation, and execution.

· Review data for trends and program initiatives

Requirements

These are the qualifications typically needed to succeed in this position. However, you don’t need to meet every requirement to apply.

Education and experience

· Masters of Social Work, Masters of Family Therapy or Doctorate in Psychology with current unrestricted CA licensure required.

· Minimum of 5 years related experience with at least 2 years in a supervisory or management capacity.

· At least 1 year of program development/implementation experience preferred.

· At least 1 year of clinical care delivery experience preferred

· Experience with San Mateo County social and behavioral health resources preferred.

· Experience working in a managed care environment preferred.

· Bilingual skills preferred.

Knowledge of:

· Personal computers and proficiency in Microsoft Office Suite applications, including Outlook, Word, Excel, Access, Electronic Medical Records systems (EPIC), and PowerPoint.

· San Mateo County provider and community resources.

· Medicare and Medi-Cal coverage requirements and regulatory guidelines.

· Utilize Access, Microsoft Office programs; perform internet research.

· Managed Care processes, including use of Milliman Care guidelines or InterQual.

· Working knowledge of all relevant federal, state, local and regulatory requirements.

Ability to:

· Work cooperatively with others.

· Work as part of a team and support team decisions.

· Communicate effectively, both verbally and in writing.

· Be flexible and adapt to changing needs of Emergency Department environment.

· Adapt to changes in requirements/priorities for daily and specialized tasks.

· Establish and maintain effective interpersonal relationships with all levels of staff, other programs, agencies and the general public.

· Communicate effectively, both verbally and in writing, with individuals from varying cultural and ethnic backgrounds.

Salary and benefits

The starting salary range depends on the candidate’s work experience.

Excellent benefits package includes:

· HPSM-paid premiums for employee’s medical, dental and vision coverage (employee pays 10% of each dependent’s premiums)

· Fully paid life, AD&D and LTD insurance

· Retirement plan (HPSM contributes equivalent of 10% of annual compensation)

· 12 paid holidays a year, 12 paid sick days a year and paid vacation starting at 16 days a year

· Tuition reimbursement plan

· Employee wellness program

To apply, submit a resume and cover letter with salary expectations directly to careers@hpsm . org

File by: Continuous until filled. EOE

Health Plan of San Mateo (HPSM) is a local County-funded nonprofit manages the health care for over 140,000 low-income people San Mateo County, including all its Medi-Cal eligible residents. HPSM is proud to be an Equal Opportunity Employer and an affirmative action employer. We are committed to equal employment opportunity regardless of race, color, ancestry, religion, sex, national origin, sexual orientation, age, citizenship, marital status, disability, gender identity or Veteran status.

Job Type: Full-time

Pay: $110,000.00 - $130,000.00 per year

Benefits:

• Dental insurance
• Employee assistance program
• Employee discount
• Flexible schedule
• Flexible spending account
• Health insurance
• Life insurance
• Paid time off
• Parental leave
• Tuition reimbursement
• Vision insurance

Schedule:

• Monday to Friday

Application Question(s):

• Please do not apply unless you reside in California.

Work Location: Hybrid remote in South San Francisco, CA 94080

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