SMI Program Operations Specialist

JOB SUMMARY & ESSENTIAL FUNCTIONS

The SMI Program Operations Specialist supports the daily operations service coordination and performance monitoring of Valle del Sols Serious Mental Illness (SMI) program. Working collaboratively with patients providers interdisciplinary teams and community partners the Specialist coordinates court-ordered treatment (COT) tracking provider schedules referrals care transitions member follow-up and program documentation to promote continuity of care and effective service delivery.

Using a strengths-based trauma-informed culturally responsive recovery-oriented and patient-centered approach the SMI Program Operations Specialist helps identify service gaps reduce barriers to care support patient engagement and facilitate timely coordination of services.

SMI Program Coordination

• Coordinate provider schedules team calendars appointments referrals eligibility follow-up and other daily SMI program workflows.
• Track hospital admissions discharges transfers and transitions of care; communicate updates and outstanding follow-up needs to the appropriate team members.
• Participate in interdisciplinary meetings document operational action items and follow up with responsible staff to support continuity of services.
• Serve as an operational point of contact for members families providers hospitals courts and community partners referring clinical questions and decisions to authorized staff.

Court-Ordered Treatment and Member Tracking

• Maintain COT tracking lists deadlines appointments required contacts and supporting records in accordance with established procedures.
• Coordinate the collection and routing of court-related documents and status updates to designated clinical or legal personnel; promptly escalate missing overdue or inconsistent information.
• Track appointment attendance reported medication follow-up needs service engagement and other required activities without independently determining treatment compliance or directing clinical care.

Quality Reporting and Documentation

• Monitor assigned operational and quality indicators including behavioral health care gaps service intensity member engagement hospitalizations and outcome measures.
• Prepare and maintain accurate census reports tracking lists dashboards and routine performance reports; flag exceptions and trends for review.
• Enter scan upload reconcile and maintain timely member and program documentation in the electronic health record (EHR) and approved systems.
• Support data validation audit preparation workflow improvement and follow-up on assigned quality or documentation gaps.

Professional Responsibilities

• Protect confidential member information and follow privacy safety documentation and compliance requirements.
• Collaborate respectfully across disciplines participate in required training and contribute to process improvement.
• Perform other related duties as assigned.

QUALIFICATIONS

Education

Required:

• High School Diploma or GED

Preferred:

• Associates or bachelors degree in behavioral health public health social services healthcare administration or a related field.

Experience

Required:

• At least two (2) years of experience in administrative operations program coordination care coordination support or customer service in healthcare behavioral health social services managed care or a related setting.
• Experience maintaining accurate records tracking deadlines or service activity and preparing reports or status updates.
• Experience communicating with diverse individuals and coordinating information across teams while protecting confidential information.

Preferred:

• Experience supporting SMI or community behavioral health programs including COT tracking or related court documentation workflows.
• Experience with EHR systems healthcare quality measures care-gap monitoring referral workflows or care transitions.
• Familiarity with AHCCCS and Arizona behavioral health service systems.

Licensure/Certification

Required:

• Must meet Valle del Sols applicable Behavioral Health Technician (BHT) qualification credentialing and competency requirements.
• Assigned behavioral health services including case management and care coordination must be performed within demonstrated competencies under applicable clinical supervision and in accordance with organizational policies and payer requirements.
• Must practice within the scope of applicable credential(s) consistent with organizational policies and populations served.
• BLS certification or ability to obtain within 5 days of start date.
• Arizona Level I Fingerprint Clearance Card or ability to obtain within 5 days of start date.

Preferred:

• Specialized training related to SMI

Other Requirements

• Must be at least 18 years of age.
• Must be authorized to work in the United States.
• Must be able to pass pre- and continued employment screenings successfully.

KNOWLEDGE SKILLS AND ABILITIES

• Knowledge of administrative workflows supporting SMI services member engagement and interdisciplinary care coordination.
• Ability to maintain COT trackers service deadlines referral and transition records and follow-up lists accurately.
• Ability to compile validate and interpret routine operational reports performance measures and care-gap data; identify discrepancies for escalation.
• Proficiency with EHR systems Microsoft Outlook Excel Word Teams and related documentation and reporting tools.
• Strong organizational skills attention to detail and ability to manage competing priorities and deadlines.
• Ability to distinguish administrative tracking and coordination from clinical judgment treatment decisions and legal determinations.
• Ability to communicate effectively with patients staff and community partners.
• Ability to maintain accurate documentation and comply with regulatory requirements.
• Ability to work effectively in a multidisciplinary team environment.
• Ability to provide culturally responsive and trauma-informed services.
• Ability to handle sensitive information discreetly and respond professionally to complex or emotionally charged situations.

WORKING CONDITIONS & PHYSICAL REQUIREMENTS

Work Environment

This position may operate in clinical office or community settings including clinics administrative offices outreach locations client homes partner agencies and community sites. Employees may interact with individuals experiencing behavioral health challenges emotional distress or complex social needs. Standard safety precautions and personal protective equipment (PPE) may be required as applicable.

Physical Requirements

Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Typical requirements may include:

• Sitting standing walking bending and reaching for extended periods
• Operating computers mobile devices and standard office or clinical equipment
• Travel to various Valle del Sol locations or community sites when required
• Lifting or moving materials or equipment up to 25 pounds

Schedule & Travel

Work schedules may vary based on program needs and may include evening or weekend hours. Some positions may require local travel between Valle del Sol sites or community locations.

Equipment

Employees may operate standard office clinical and communication equipment including computers phones printers electronic health record systems laptops and mobile devices.

COMPLIANCE REQUIREMENTS

Employees must maintain compliance with all Valle del Sol policies and applicable regulatory requirements which may include:

• Licensure certification credentialing and/or privileging requirements applicable to the position.
• Required immunizations and occupational health clearances.
• Tuberculosis (TB) testing and Hepatitis B screening or declination when applicable.
• Arizona Level I Fingerprint Clearance Card when required by law or program.
• Valid drivers license and acceptable driving record when operating a vehicle for company business.
• Completion and maintenance of required training certifications and continuing education.

Failure to obtain or maintain required credentials clearances or compliance requirements may impact eligibility for employment or continued assignment in the role.

Equal Opportunity Employer

Valle del Sol is an Equal Opportunity Employer and considers all qualified applicants without regard to race color religion sex sexual orientation gender identity national origin age disability or veteran status. Valle del Sol is committed to providing a work environment free from discrimination and harassment.

Reasonable Accommodations Statement

To perform this job successfully an individual must be able to perform the essential functions of the position. Reasonable accommodation may be made to enable qualified individuals with disabilities to perform these functions.

If you require a reasonable accommodation to apply for a position or to participate in the interview process please contact us at

Additional Information

This job description has been reviewed to ensure that essential functions and basic duties have been included. It is intended to provide guidelines for job expectations and the employees ability to perform the position described. It is not intended to be construed as an exhaustive list of all functions responsibilities skills and abilities or a contract of employment. Management reserves the right to modify add or remove duties as necessary.

Applicants must be authorized to work for ANY employer in the U.S. We are unable to sponsor or take over sponsorship of an employment Visa at this time.

Benefits

• 401(k)
• 401(k) matching
• Medical Insurance
• Dental Insurance
• Vision Insurance
• Paid Life Insurance
• Paid Disability Insurance
• Paid time off
• Employee assistance program
• Employee discount
• Professional development assistance
• Referral program
• Particpation in the NHSC Loan Repayment Program for qualifying positions!