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Virginia Beach VAWork Shift
First (Days)Overview:
Sentara Health is seeking to hire a qualified individual to join our team as a Manager Behavioral Health Care Management.
Position Status: Fulltime Day Shift
Position Location: Onsite in Virginia Beach
Standard Working Hours: 8:00AM to 5:00PM
The Manager of Behavioral Health Care Management provides strategic and operational leadership for the Behavioral Health Navigator team supporting patients experiencing psychological distress across hospital settingsincluding the Emergency Department Medical Floors and Behavioral Health Unitsat both Sentara and nonSentara hospitals. This role is dedicated to ensuring that patients receive timely appropriate behavioral health services by guiding them through a complex healthcare landscape and improving access to care across multiple hospital systems.
Key Responsibilities:
Lead mentor and manage the Behavioral Health Navigator team ensuring effective coordination of care across licensed and nonlicensed staff.
Oversee daily operations workflow efficiency quality assurance and service excellence across multiple hospital sites.
Ensure patient progression through the continuum of care in alignment with clinical and financial outcomes.
Supervise the quality and compliance of assessments treatment planning and postdischarge coordination.
Monitor staff competencies manage onboarding develop resource planning and implement engagement strategies.
Maintain knowledge of and ensure compliance with NCQA DMAS CMS and other relevant regulatory standards.
Serve as a liaison to internal and external stakeholders building collaborative partnerships across healthcare teams social services and community providers.
Partner with the Health Plan Quality team to enhance behavioral health integration into HEDIS CAHPS and STARS quality ratings.
Lead root cause analyses to identify performance trends and implement improvement strategies to support clinical outcomes.
Behavioral Health Navigator Oversight:
As part of this role the Manager supports and enhances the work of Behavioral Health Navigators who serve as vital resources for patients in crisis. Their responsibilities include:
Conducting initial assessments to determine behavioral health needs and identifying appropriate treatment options.
Connecting patients with mental health providers community resources and support services.
Coordinating and scheduling followup appointments to ensure continuity of care.
Identifying and resolving barriers to care such as financial constraints transportation issues and insurance challenges.
Providing education and emotional support to patients and families helping them understand treatment plans and available resources.
Collaborating with medical staff social workers case managers and other healthcare professionals to ensure comprehensive care.
Advocating for patients mental health needs within the healthcare system and in the broader community.
Masters degree in one of the following: Social Work Counseling Clinical Mental Health Counseling Marriage and Family Therapy Psychology Nursing or a closely related field
Licensed in one of the following: Licensed Clinical Social Worker Licensed Clinical Mental Health Counselor Licensed Marriage and Family Therapist Licensed Professional Counselor Licensed Psychological Associate PsychiatricMental Health Nurse Practitioner in the state of Virginia
3 years of experience in Behavorial health Healthcare Management Medicaid and Medicare
Demonstrated leadership experience in behavioral health or care management with a strong focus on patient advocacy and systems navigation
Deep understanding of behavioral health systems care coordination and regulatory compliance
Experience with multidisciplinary collaboration and performance improvement initiatives
Familiarity with quality measurement systems including HEDIS CAHPS and STARS is strongly preferred
Excellent communication problemsolving and organizational skills
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Sentara Health is an equal opportunity employer and prides itself on the diversity and inclusiveness of its close to an almost 30000member workforce. Diversity inclusion and belonging is a guiding principle of the organization to ensure its workforce reflects the communities it serves.
In support of our mission to improve health every day this is a tobaccofree environment.
For positions that are available as remote work Sentara Health employs associates in the following states:
Alabama Delaware Florida Georgia Idaho Indiana Kansas Louisiana Maine Maryland Minnesota Nebraska Nevada New Hampshire North Carolina North Dakota Ohio Oklahoma Pennsylvania South Carolina South Dakota Tennessee Texas Utah Virginia Washington West Virginia Wisconsin and Wyoming.
Required Experience:
Manager
Full-Time