Utilization Management Supervisor (PPM III)
Seattle, OR - USA
Job Summary
Summary
The Department of Community and Human Services values diverse perspectives and life experiences. The Department encourages people of all backgrounds to apply including Black Indigenous and People of Color immigrants refugees women LGBTQ people with disabilities veterans and those with lived experiences.
At King County Department of Community and Human Services (DCHS) we believe in working as one team that solves problemsstriving to be customer-focused and drive for the best results. We envision a welcoming community that is racially just. We believe the field of human services exists to undo and mitigate unfair structures. We seek to lead the way by working as respectful and responsible stewards for our community.
The Behavioral Health and Recovery Division (BHRD) of DCHS is looking for a Hospital and Mental Health Residential Treatment Utilization Management Supervisor (Project/Program III). This position will hold direct responsibility for the overall Utilization Management of the Hospital & Mental Health Residential Treatment Section.
WHO MAY APPLY:This position is open to all qualified candidates who meet the minimum for this selection process will take place on or around 6/9/26.
APPLICATION PROCESS
If you are interested in pursuing this position please follow the application instructions carefully. If you need this announcement in an alternate language or format would like to request accommodation or assistance in the application or assessment process or if you have questions please contact the recruiter listed on this job announcement.
The following items are required to be considered for this vacancy:- NeoGov Job Application(The responses on your job application should be thorough and complete and will be used in the screening process)
- Supplemental Questions(The responses to the supplemental questions should be thorough and complete and will be used in the screening process)
Your application may be rejected as incomplete if you do not include the relevant information in the application. Cover letters and/or resumes are not accepted in lieu of a completed application. Applications and/or Supplemental Questionnaires that state see my resume or see my personnel file are considered incomplete and will not be accepted.
This selection process may also be used to create a pool of candidates for current and future career service term-limited temporary and special duty opportunities. The pool will be active for 6 months.
WORK SCHEDULE/CONDITIONS:This position is scheduled to work 40 hours per week Monday - Friday 8 am - 5 pm. This position meets the provisions of the Fair Labor Standards Act and is overtime eligible with supervisory pre-approval.
MISSION CRITICAL POSITION STATUS:This position has been designated Mission Critical. Unless otherwise directed by the County Executive department director or agency head all employees regardless of designation are expected to report to work or request leave during an emergency or inclement weather. For more detailed information please visit HR Policy County Operations During Emergency Situations and theKing County Guidelines for Workforce Management in an Emergency.
TELEWORKING REQUIREMENT:DCHS works in a hybrid model with days in the office as well as telecommuting. The ratio of remote to onsite work will be dependent on business needs and is subject to change. The primary onsite location is the Chinook Building at 401 Fifth Avenue Seattle WA 98104.
Employees must reside in Washington state and within a reasonable distance to their King County worksite to respond to workplace reporting requirements.
Job Duties
- Contribute to quality assurance and reporting activities including site visits of mental health residential treatment providers contract compliance reviews invoice reconciliation and other monitoring activities as assigned.
- Demonstrated contract management experience including but not limited to invoice reconciliation data entry data validation and independent quality assurance reviews.
- Complete and direct continuing stay reviews to determine that an individual continues to meet medical necessity standards commensurate with the current level of functioning as determined by the Level of Care Utilization System (LOCUS) Assessment.
- Supervise and monitor the team of Mental Health Utilization Project-Program Manager II staff as part of a collaborative Utilization Management Team.
- Lead the collection analysis and reporting of utilization and care-transition data to ensure timely progression of care appropriate resource use and optimal patient throughput across the continuum.
- Develop close coordination partnership and communication within the Behavioral Health and Recovery Division (BHRD) and other departments within the Department of Community & Human Services.
- Ensure continuing stay reviews meet Utilization Management Timelines established by BHRDs Quality team and Managed Care Organizations (MCOs).
- Communicate outcomes of continuing stay reviews with supervisors of mental health residential facilities contracted through the King County Integrated Care Network (KCICN).
- Develop and maintain excellent working relationships with behavioral health providers working in the mental health residential treatment continuum.
- Align the workflow of the Utilization Management Team to promote equity and social justice a recovery-oriented system of care with the goal of providing a transition from psychiatric hospitalization.
- Attend and participate in assigned meetings treatment conferences and committees relevant to the performance of job functions.
- Troubleshoot advocate and resolve issues that may arise between community members behavioral health housing providers or governmental organizations.
- Participate as part of the Hospital and Mental Health Residential Treatment (HMHR) Section Leadership Team.
- Perform other related duties as assigned.
Experience Qualifications Knowledge Skills
- Masters Degree in Social Work Psychology Behavioral Science or related field with an independent license.
- Mental Health Professional as defined in WAC and RCW 71.05.020.
- Demonstrated leadership skills to include leading daily operations supporting care-transition decision-making and promoting collaboration across departments to optimize resource utilization and patient movement.
- A minimum of 2 or more years of recent supervisory experience in a mental health setting preferably mental health residential treatment Utilization Management or Quality Assurance.
- Experience working with publicly funded behavioral health service systems.
- Knowledge of utilization management strategies and quality management practices.
- Knowledge of issues related to mental health residential treatment facilities.
- Knowledge of and experience with psychiatric hospital discharge planning services and the scope of services provided within the facilities.
- Demonstrated ability to work effectively with a broad range of constituents including consumers social services and housing providers volunteers government officials community members boards high-level management elected officials advocates government and agency staff and others.
- Excellent verbal and written communication skills.
- Experience gathering and utilizing data and generating reports for system improvements and for presentations to management staff and others.
- Demonstrated ability to simultaneously manage multiple tasks/projects in detail and meet deadlines.
- Computer skills; knowledge of MS Outlook Word PowerPoint and Excel.
- Must be able to pass a criminal background check on a pre-hire/post-offer basis.
Desired Experience Qualifications Knowledge Skills
- Recent demonstrated contract management experience including but not limited to invoice reconciliation data entry data validation and independent quality assurance reviews.
- Knowledge or experience with ECLS PDAMS and HMIS.
- Knowledge or experience with LOCUS (Level of Care Utilization System) Assessment
Supplemental Information
Forbes named King County as one of Washington States best employers.
Together with leadership and our employees were changing the way government delivers service and winning national recognition as a model of excellence. Are you ready to make a difference Come join the team dedicated to serving one of the nations best places to live work and play.Guided by our True North we are making King County a welcoming community where every person can thrive. We value diversity inclusion and belonging in our workplace and workforce. To reach this goal we are committed to workforce equity. Equitable recruiting support and retention is how we will obtain the highest quality workforce in our region; a workforce that shares and will help advance our guiding principles - we are one team; we solve problems; we focus on the customer; we drive for results; we are racially just; we respect all people; we lead the way; and we are responsible stewards. We encourage people of all backgrounds and identities to apply including Native American and people of color immigrants refugees women LGBTQ people living with disabilities and veterans.King County is an Equal Employment Opportunity (EEO) Employer
No person is unlawfully excluded from employment opportunities based on race color religion national origin sex (including gender identity sexual orientation and pregnancy) age genetic information disability veteran status or other protected class. Our EEO policy applies to all employment actions including but not limited to recruitment hiring selection for training promotion transfer demotion layoff termination rates of pay or other forms of compensation.
To Apply
If you are interested in pursuing this position please follow the application instructions carefully. If you need this announcement in an alternate language or format would like to request accommodation or assistance in the application or assessment process or if you have questions please contact the recruiter listed on this job announcement.
Required Experience:
Manager