Director, Outpatient Behavioral Health Clinic
3 days ago
Bronx
Overview Oversees administrative and clinical operations for Behavioral Health BH (BH) grant funded, and/or revenue generating programs. Develops strategies and implementation plans for operational, systems, financial, and quality improvement projects, as well as provides direct oversight of the clinical services. Ensures program compliance with applicable governmental, regulatory, and contractual requirements. Collaborates with other BH/VNS Health leaders, Managed Care organizations, government funders and external stakeholders. Ensures appropriate utilization and management of staff to promote quality client care consistent with the goals and mission of the programs; promotes internal and/or external positive relationships; and interprets, communicates, and implements VNS Health philosophy and policies to staff. Works under general direction. What We Provide * Referral bonus opportunities * Generous paid time off (PTO), starting at 30 days of paid time off and 9 company holidays * Health insurance plan for you and your loved ones, Medical, Dental, Vision, Life and Disability * Employer-matched retirement saving funds * Personal and financial wellness programs * Pre-tax flexible spending accounts (FSAs) for healthcare and dependent care * Generous tuition reimbursement for qualifying degrees * Opportunities for professional growth and career advancement * Internal mobility, generous tuition reimbursement, CEU credits, and advancement opportunities What You Will Do * Oversees the operations of the VNS Health Behavioral Health (BH) programs, including clinical and administrative functions, utilization and management of staff, and quality of client care. Collaborates with Program and VNS Health management to ensure successful operations * Collaborates with BH/VNS Health leadership to identify and develop new innovative clinical programs and services that align with the changing healthcare environment (Managed Care initiatives, expansion of billable services, value-based payment models, etc.), including oversight and development of division responses to RFP’s and funding opportunities. Contributes to design of staffing model for new programming. * Formulates, develops, interprets, monitors, and updates policies and procedures to ensure high quality clinical care that supports the achievement of program goals and targets. Ensures that clinical care to clients is provided in compliance with regulatory and contractual requirements and VNS Health standards and procedures. * Directs and/or participates in ad hoc management work groups which address operational or clinical issues that affect individual programs or cross programs. * Oversees and ensures adherence to key program metrics including volume, productivity, and financials. Identifies trends and projects future needs for management and staffing. * Collaborates with program management, VNS Health Education Department, and BH Clinical Directors to ensure clinical trainings and resources are developed, implemented, and delivered to all staff. Develops and facilitates BH clinical and administrative trainings as needed. * Ensures that managers and staff maintain patient/client record keeping that is in compliance with all relevant policies and procedures. Collaborates with VNS Health IT Department, program partners, and other key BH management to develop, implement, and update EMR systems for BH programs. Assists with staff training for use of EMR and other client data systems. Performs ad hoc audits of records, as needed. * Collaborates with quality department to implement mechanisms for utilization review, quality assurance, and program evaluation for regulatory, VNS Health, and clinical compliance. Oversees development of quality improvement plans based on BH leadership recommendations. Provides oversight for regulatory and VNS Health audits. Enhances and implements Quality Assurance (Utilization Review, Incident Review) and Quality Improvement initiatives with an emphasis on contract compliance, risk management, and outcome-oriented data which illustrates the efficacy of BH programs. * Collaborates with leadership to oversee network development and relations. Promotes positive relationships between BH programs, VNS Health departments, Managed Care, Government Affairs, and funders, networks, and non-network community provider organizations. Assists BH leadership in preparing and negotiating new contracts and contract renewals, including changes to funding, additions to staff, and/or referral increases, with government agencies. Assists in providing written and oral reports; prepares presentations as needed. * Collaborates with Compliance department in the investigation of complaints registered by clients, internal staff and outside agencies through telephone and in-person interviews with involved parties and determines appropriate resolutions. * Performs all duties inherent in a senior managerial role. Approves staff training, hiring, promotions, terminations, and salary actions. Prepares and ensures adherence to department budget. * Participates in special projects and performs other duties as assigned. Qualifications Licenses and Certifications: * License and current registration to practice as a MSW, MHC, LCSW, MFT or Ph.D. required * Valid New York State driver’s license based on operational needs preferred * New York State Credentialed Alcohol and Substance Abuse Counselor (CASAC) preferred Education: * Master's degree in social work, Nursing, Psychology, Health Administration, Health Policy, or a related field required Work Experience: * Minimum seven years of progressively responsible managerial and administrative experience in a Community Health Organization, health care setting, or social services setting with demonstrated competency in program administration, budget management and community relations required * Minimum three years working with clients in a mental health or substance abuse environment required * Prior experience managing mental health programs required. Knowledge of city and state agency functioning required * Strong writing skills and experience with grant proposals required * Excellent oral, written and interpersonal communication skills required * Personal computer skills such as Microsoft Word and Excel, Teams and Zoom required * For Crisis Services Only: Prior experience managing and leading multidisciplinary crisis teams required. Expertise with Managed Care billing required * For Treatment Programs Only: Prior experience managing and/or directing an Article 31 outpatient clinic and understanding of and experience with OMH and DOHMH licensed treatment programs as well as Medicaid/Medicare billing expertise required * For Care Management Only: Prior experience managing and leading multidisciplinary care management teams. Knowledge of effective care management modalities. Proficiency with Medicaid/Medicare billing in a Managed Care environment required * For Certified Community Behavioral Health Clinic (CCBHC)/Integrated Article 31/32 Clinic Only: Minimum 3 years’ experience managing and/or directing both Article 31 mental health and Article 32 substance use treatment outpatient programs. Experience with managed care billing practices required Pay Range USD $109,900.00 - USD $146,500.00 /Yr. About Us VNS Health is one of the nation’s largest nonprofit home and community-based health care organizations. Innovating in health care for more than 130 years, our commitment to health and well-being is what drives us — we help people live, age and heal where they feel most comfortable, in their own homes, connected to their family and community. On any given day, more than 10,000 VNS Health team members deliver compassionate care, unparalleled expertise and 24/7 solutions and resources to the more than 43,000 “neighbors” who look to us for care. Powered and informed by data analytics that are unmatched in the home and community-health industry, VNS Health offers a full range of health care services, solutions and health plans designed to simplify the health care experience and meet the diverse and complex needs of the communities and people we serve in New York and beyond.
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