Behavioral Health Program Manager - Central California Alliance for Health

We have an opportunity to join the Alliance as the Behavioral Health Program Manager in the Behavioral Health Department. 

WHAT YOU'LL BE RESPONSIBLE FOR

Reporting to the Behavioral Health Manager, this position: 

• Manages day-to-day operational issues related to Behavioral Health (BH) activities and provides related clinical and operational guidance in alignment with Medi-Cal, Knox-Keene, and other regulatory and accreditation standards.
• Provides consultation as needed for health services departments regarding members with BH needs with the goal of promoting optimal, achievable outcomes in the most cost effective and appropriate manner
• Oversees coordination of behavioral health services between the Alliance, the delegated Managed Behavioral Health Organization (MBHO), and County BH departments.
• Provides programmatic support to Behavioral Health Manager and Behavioral Health Director

WHAT YOU'LL NEED TO BE SUCCESSFUL

To read the full position description, and list of requirements click here. 

• Knowledge of:
  • The principles and practices of clinical research and assessment
  • The array of mental health and substance use disorder services
  • The principles and practices of managed care, utilization management and/or case management
  • Relevant healthcare regulatory and accreditation requirements, such as Medi-Cal, Knox-Keene and NCQA
• Ability to:
  • Audit, analyze and assess medical records and other health care data
  • Utilize evidence-based practice guidelines in the evaluation and management of vendor performance for utilization management, care management and transitional care activities
  • Develop and implement projects, systems, programs, policies and procedures
  • Act as a technical resource and explain regulations, processes, and programs related to area of assignment
  • Provide leadership and facilitate meetings
  • Foster effective and collaborative working relationships, influence others, and build consensus with individuals at all levels in the organization
• Education and Experience:
  • Current and unrestricted license as a Registered Nurse, Licensed Clinical Social Worker, Marriage and Family Therapist, Licensed Professional Clinical Counselor, or Psychologist issued by the State of California
  • Eight years of behavioral health clinical experience; or an equivalent combination of education and experience may be qualifying

OTHER INFORMATION

• We are in a hybrid work environment and we anticipate that the interview process will take place remotely via Microsoft Teams.
• While some staff may work full telecommuting schedules, attendance at quarterly company-wide events or department meetings will be expected.
• In-office or in-community presence may be required for some positions and is dependent on business need. Details about this can be reviewed during the interview process.

The full compensation range for this position is listed by location below. 

The actual compensation for this role will be determined by our compensation philosophy, analysis of the selected candidate's qualifications (direct or transferrable experience related to the position, education or training), as well as other factors (internal equity, market factors, and geographic location).