Director, Health Plan - Behavioral Health Division

Location
Virginia Beach, VA
Salary
Competitive
Posted
Oct 20, 2020
Closes
Dec 10, 2020
Ref
139972BR
Function
Management
Industry
Healthcare
Hours
Full Time
The Director of Behavioral Health is responsible for the strategic leadership of behavioral health and addiction recovery treatment services for the health plan. This includes program development, design, outcomes measurement, and evaluation of behavioral health programs for all lines of business. Leads the identification and initiation of process improvements and implementation of projects for new services, contract requirements, and regulatory requirements. Stays abreast of NCQA, DMAS, and CMS policies and standarss and oversees compliance with policies, programs, and service delivery. Partners with the Health Plan Quality team to maximize HEDIS, CAHPS, and STARS ratings which integrate behavioral health services. Develops and monitors training for operational expansion and product development as it relates to behavioral health. Oversees root cause analysis and associated actions to improve clinical outcomes. Serves as the Behavioral Health represesntive to DMAS and other external stakeholders Beahviroal Health-related initiatives.

Qualifications

Education Level
Bachelor's Level Degree OR
Bachelor's Level Degree - CLINICAL PSYCHOLOGY OR
Bachelor's Level Degree - NURSING OR
Bachelor's Level Degree - SOCIAL WORK OR
Master's Level Degree - CLINICAL PSYCHOLOGY - Experience in lieu of education: Yes OR
Master's Level Degree - NURSING - Experience in lieu of education: Yes OR
Master's Level Degree - SOCIAL WORK - Experience in lieu of education: Yes

Experience
Required: Behavioral Health - 5 years, Home Care Management - 3 years, Regulatory Agency Requirements - Previous experience

Preferred: None, unless noted in the "Other" section below

License
Required: License Clinical Social Worker, License Professional Counselor, Registered Nurse

Preferred: None, unless noted in the "Other" section below

Skills
Required:

Preferred: None, unless noted in the "Other" section below

Other
Related licensing required pending education credentials (LCSW, LCAS, LPC, RN or similar)

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