Supervisor, Behavioral Health & Care Management (Hybrid Work Schedule)

Overview:

What you can expect!

Find joy in serving others with IEHP! We welcome you to join us in “healing and inspiring the human spirit” and to pivot from a “job” opportunity to an authentic experience!

Under the direction of the Behavioral Health & Care Management (BH CM) leadership, the Supervisor, Behavioral Health & Care Management, oversees the operational responsibilities of the Behavioral Health & Care Management department staff. Staff composition may include clinical and non-clinical positions. The role is responsible for monitoring performance of the team and individual Team Members, identification of process improvement areas, developing a team approach to problem solving and developing a cohesive team. Overall, responsibilities include ensuring timely completion and response for Behavioral Health & Care Management department functions including:

• Ensuring accurate completion of the authorization data entry tasks, continuity of care, and Behavioral Health authorization processes
• Referrals and calls
• Ensuring compliance with all regulatory and quality requirements, including but not limed to, screening, assessment, care planning, and follow-up.

Commitment to Quality: The IEHP Team is committed to incorporate IEHP’s Quality Program goals including, but not limited to, HEDIS, CAHPS, and NCQA Accreditation.

Additional Benefits:

Perks

• CalPERS retirement
• 457(b) option with a contribution match
• Generous paid time off- vacation, holidays, sick
• State of the art fitness center on-site
• Medical Insurance with Dental and Vision
• Paid life insurance for employees with additional options
• Short-term, and long-term disability options
• Pet care insurance
• Flexible Spending Account – Health Care/Childcare
• Wellness programs that promote a healthy work-life balance
• Career advancement opportunities and professional development
• Competitive salary with annual merit increase
• Team bonus opportunities

Key Responsibilities:

1. Develop effective relationships with co-workers, direct reports, and community partners, modeling excellent interpersonal skills and collaboration in working toward job duties and goals.
2. Model the importance of Member experience and engagement and engage with other leaders in BH and CM and at IEHP in developing and implementing Member and Team Member experience improvement activities.
3. Work closely with the BH and CM leadership to develop effective behavioral health care management principles, processes, and workflows as well as monitor care management services to ensure compliance with all IEHP, state and federal regulatory requirements.
4. Monitor and provide direction to the BH and CM team to ensure implementation of timely processes and follow through of calls, task completion, care coordination and care management, including Complex Care Management responsibilities.
5. Proactively recognize problematic or risk areas and help develop effective and efficient solutions in conjunction with BH &CM Team Members.
6. Professionally represent the department at selected IEHP meetings including external events, as necessary.
7. Provide exemplary leadership and support for all assigned BH and CM Team Members ensuring Team Members are given every opportunity to succeed in their positions and are supervised in accordance with Department and Human Resources (HR) policies.
8. Discuss difficult or complex cases with Team Members, provide recommendations for further action, coach Team Members in addressing Member’s holistic needs.
9. Review and update departmental policies and procedures, as necessary.
10. Evaluate current programs for efficiency and program outcomes by analyzing specific data and providing improvement suggestions.
11. Assist in auditing services authorized by BH & CM leadership and submit statistical reports to managerial and director leadership as requested.
12. Work closely with management to coordinate daily staffing and coverage of the BH & CM Units.
13. Supervise and train BH & CM assigned Tam members including monitoring of performance standards.
14. Monitor and provide timely direction to BH & CM assigned team to ensure adherence to NCQA, CMS, DMHC and DHCS regulator standards ensuring delivery of high-quality, cost-effective services to Members.
15. Engage in direct care management activities when needed. Provide mentoring and clinical supervision of licensed and unlicensed Team Members when needed.
16. Assist in training of new staff members utilizing proficiency in all electronic medical management systems (e.g., MedHok, MediTrac, Super Search and Web Portal).

Qualifications:

• Three (3) years of relevant progressive work experience in a healthcare setting is required. Working experience and knowledge in teams consisting of Behavioral Health, Care Management, and Team Members dedicated to addressing social determinants of health.
• Supervisory/lead capacity experience required
• Must have a valid California Driver's license and valid automobile insurance
• Possession of one (1) of the following active, unrestricted, and unencumbered clinical licenses issued by appropriate California state board required:
• Vocational Nurse (LVN) license issued by the California Board of Vocational Nursing and Psychiatric Technicians
• Registered Nurse (RN) license issued by the California BRN
• Clinical Social Worker (LCSW) license or Marriage and Family Therapist (LMFT) license issued by the California Board of Behavioral Sciences
• Bachelor’s degree in a related field from an accredited institution required
• In lieu of a bachelor’s degree, one of the following applicable scenarios may be considered:
• Candidate with an active, unrestricted, and unencumbered Registered Nurse (RN) issued by the California BRN without a bachelor’s degree will require four (4) years of additional relevant work experience. This experience is in addition to the minimum years listed in the Experience Requirements above
• Candidate with an active, unrestricted, and unencumbered Vocational Nurse (LVN) license issued by the California Board of Vocational Nursing and Psychiatric Technicians without a bachelor’s degree will require six (6) years of additional relevant work experience. This experience is in addition to the minimum years listed in the Experience Requirements above.
• Internal Candidates Only: In lieu of the required degree, a minimum of five (5) years of IEHP work experience in Health Services division is required for this position. This experience is in addition to the minimum years listed in the Experience Requirements above.

• Deep understanding and knowledge of:
• Behavioral health and substance use conditions, including acute and chronic management
• Awareness of the impact of unmitigated bias and judgement on health with the; commitment to addressing both
• Evidenced based communication such as Motivational Interviewing, or similar empathy-based communication strategies
• Understanding and sensitivity to multi-cultural community
• Whole health and integrated principles and practices is preferred
• While performing the duties of this job, the employee is occasionally required to stand; walk; sit; use hands to finger, handle, or feel objects, tools or controls; reach with hands and arms; climb stairs; balance; stoop, kneel, crouch or crawl; talk or hear; and taste or smell. The employee must occasionally lift or move up to 25 pounds. Specific vision abilities required by the job include close vision, distance vision, color vision, peripheral vision, depth perception and the ability to adjust focus.

Start your journey towards a thriving future with IEHP and apply TODAY!

Work Model Location:

This position is on a hybrid work schedule. (Mon & Fri - remote, Tues - Thurs onsite in Rancho Cucamonga, CA)

Pay Range: USD $50.02 - USD $66.27 /Hr.