Director, Integrated Mental Health Substance Use Disorder Clinic

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.

• 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

• 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…