Director Clinical Program Behavioral Health health plan experience required

Location: This position is located at our Dublin OH campus.

Who weare

Founded in 1999 and headquartered in Central Ohio were a privatelyowned independent healthcare navigation organization. We believe that no one should have to navigate the cost and complexity of healthcare alone and were on a mission to make healthcare simpler and more effective for our millions of members. Our bighearted techsavvy team fights to ensure that our members get the care they need when they need it at the most affordable cost thats why we call ourselves Healthcare Warriors.

Were committed to building diverse and inclusive teams more than 2000 of us and counting so if youre excited about this position we encourage you to apply even if your experience doesnt match every requirement.

About the role

The Director of Clinical Program Behavioral Health oversees the strategic direction of Quantums behavioral health program developing and implementing programs ensuring compliance with regulations program evaluation and providing clinical leadership to deliver highquality mental health services to members and clients. Working closely with other healthcare professionals to integrate behavioral health care into the broader clinical management of our members. The Director ensures that the organization not only meets its goals for highquality care but also drives meaningful improvements in the health and wellbeing of the populations served.

What youll do

• Develop and execute a comprehensive behavioral health strategy that aligns with the organizations mission and goals ensuring measurable improvements in patient care outcomes and operational efficiency.
• Lead and manage the behavioral health team to ensure highquality evidencebased practices and services meeting or exceeding departmental performance benchmarks.
• Drive initiatives that promote a culture of continuous improvement fostering collaboration and engagement among clinical and administrative staff.
• Design implement and evaluate behavioral health programs that demonstrate a positive impact on patient recovery satisfaction and retention.
• Ensure that behavioral health services meet the specific needs of the population served addressing both immediate and longterm mental health and substance use challenges.
• Monitor and evaluate program effectiveness using datadriven metrics and make adjustments to enhance patient outcomes.
• Optimize operational processes to ensure timely and effective delivery of behavioral health services meeting or exceeding established service delivery benchmarks.
• Oversee budgeting and resource allocation ensuring financial sustainability while maintaining the quality of care.
• Ensure compliance with all relevant regulations licensing and accreditation standards including maintaining a high level of satisfaction during audits. Ensure provisions of Mental Health Parity and Addictions Act (MHPAEA) are considered in program development and delivery.
• Establish and monitor key performance indicators (KPIs) related to clinical outcomes such as patient recovery rates readmission rates and patient satisfaction scores.
• Lead efforts to improve clinical quality ensuring the implementation of best practices and evidencebased therapeutic interventions that lead to measurable improvements in patient health.
• Oversee the development and of training programs to ensure staff competency and adherence to clinical standards.
• Establish and maintain relationships with key stakeholders including community partners health systems TPAs and insurance carriers and government agencies to ensure access to resources funding and collaborative opportunities.
• Lead initiatives aimed at reducing the stigma surrounding mental health and promoting awareness and access to behavioral health services within the community.
• Act as a liaison to ensure effective communication with internal and external stakeholders ensuring that the organizations behavioral health initiatives are widely supported and integrated into the broader healthcare ecosystem.
• Regularly review and analyze behavioral health data to identify trends inform decisionmaking and drive improvements in care delivery.
• Ensure accurate and timely reporting of clinical outcomes patient satisfaction and service delivery metrics to leadership funders and regulatory bodies.
• Implement strategies based on data to continuously refine and enhance behavioral health programs and services.
• Develop and implement crisis intervention protocols that enhance patient safety and minimize risk.
• Lead efforts to mitigate risks associated with behavioral health care delivery ensuring that procedures are in place to address highrisk situations while ensuring patientcentered care.
• Foster a supportive and growthoriented work environment by providing regular coaching feedback and development opportunities for behavioral health staff.
• Drive employee engagement initiatives to improve retention satisfaction and morale within the behavioral health team.
• Ensure that all team members are properly trained supported and equipped to perform their roles to the highest standards leading to a highperforming cohesive team.
• All other duties as assigned.

What youll bring

In Ohio the licensure requirements for a bachelors degree in behavioral health can vary within the behavioral health field. Several types of professional licenses and certifications exist in Ohio related to behavioral health each with its own set of criteria. To qualify for this position individuals must hold one of the following educational and licensure requirements:

• Bachelor of Science in Nursing (BSN)

Education: A bachelors degree in nursing from an accredited nursing program.

Licensure: Candidates must pass the National Council Licensure Examination for Registered Nurses (NCLEXRN) and be licensed in the State of Ohio hold a multistate compact licensure or be willing to become licensed in the State of Ohio.

• Licensed Professional Counselor (LPC)

Education: A masters degree in counseling or a related field is required to be a Licensed Professional Counselor (LPC).

Licensure: Candidates must pass the National Counselor Examination (NCE) or an equivalent exam and be licensed in the State of Ohio hold a social work compact licensure or be willing to become licensed in the State of Ohio

• Licensed Social Worker (LSW)

Education: A bachelors degree in social work (BSW) or a related field (i.e. psychology sociology or human services).

Licensure: Candidates must pass the Social Work Licensing Exam administered by the Association of Social Work Boards (ASWB) and be licensed in the State of Ohio hold a social work compact licensure or be willing to become licensed in the State of Ohio.

• Licensed Independent Social Worker (LISW)

Education: A masters degree in social work (MSW)

Licensure: Candidates must pass the Association of Social Work Boards (ASWB) exam and be licensed in the State of Ohio or be willing to become licensed in the State of Ohio. Currently there is no nationwide interstate compact for LISWs

Other Qualifications:

• Minimum of 5 years professional health services experience in mental health and/or substance abuse including 2 years of experience at the managerial and/or supervisory level.
• Knowledge of federal and state healthcare regulations
• Experience in quality measurement and performance improvement

Skills:

• Strong leadership and organizational skills
• Proven track record in program development and implementation
• Knowledge of current behavioral health trends and best practices
• Ability to work effectively in a multidisciplinary team
• Commitment to ongoing professional development
• Ability to develop and implement effective policies and procedures
• Strong problemsolving and analytical skills
• Excellent written and verbal communication skills
• Ability to manage multiple priorities and meet deadlines
• Commitment to patientcentered care and service excellence
• Familiarity with budgeting and financial management in healthcare
• Strong administrative/technical skills; Comfort working on a PC using Microsoft Office (Outlook Word Excel PowerPoint) IM/video conferencing (Teams & Zoom) and telephones efficiently.
• A high degree of personal accountability and trustworthiness a commitment to working within Quantum Healths policies values and ethics and to protecting the sensitive data entrusted to us.

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