Integrated Behavioral Healthcare Quality Supervisor

at  Spokane County Washington

JOB SUMMARY

This position works 37.5 hours per week.
The position allocated to this class is responsible for the effective collaboration and coordination of strategies, execution of initiatives, assigned projects and processes to transition to a successful Integrated Care Services system (ICS) for public mental health and substance abuse treatment. This position maintains and continuously improves the quality of operations; clinical services delivery, program administration and oversight, adherence to compliance regulations; on-going and up-to-date monitoring and training of behavioral health providers within the designated region of care; and provides behavioral healthcare services and healthcare coordination of behavioral health services for eligible individuals. As directed by the Integrated Behavioral Healthcare Manager, the incumbent supervises Integrated Care Coordinators, Integrated Behavioral Healthcare Project Coordinators, and Planners/Evaluators, Case Managers, Peer Support Specialists, and the coordination of clinical quality and compliance to meet the goals of the Department. Work is performed with considerable independence, under the direction of the Integrated Behavioral Healthcare Manager and other department leadership, and in alignment with the overall mission and vision of the CSD. Results are reviewed by achievement of goals and effectiveness in meeting objectives. This is an at-will position.
NOTE: Three (3) professional references required.
TOTAL COMPENSATION: $96,525 - $135,052 annually. Total compensation is an estimate based upon base compensation, median retirement fund contributions, and current employer-paid health and related benefit contribution rates (including medical, dental, life insurance, long term disability, and leave). The actual total will vary depending upon each employee’s enrollment choices.

MINIMUM REQUIREMENTS

• Master’s degree in social work, psychology, mental health counseling, psychiatric nursing or a related clinical field, and
• Certification as a Mental Health Professional.
• Must not be an excluded provider in State or Federal Office of Inspector General (OIG) and/or System for Award Management (SAM) systems, in any capacity for the Medicare, Medicaid, and all Federal healthcare programs.
• Preferred qualifications include:
• Experience managing a behavioral health agency that provides multiple mental health and substance use disorder programs.
• Mental Health Counselor or Independent Clinical Social Worker Licensure.
• Certification as a Chemical Dependency Counselor.
• Supervisory or management experience within a large complex behavioral health or health care organization.
• This position is expected to attend special events, some of which may occur in the evenings. Some travel will be required, including overnight travel.
  ADDITIONAL MINIMUM REQUIREMENTS (Depending Upon Area of Assignment)

EMPLOYEE BENEFITS SUMMARY

The following is a brief list of benefits available to Spokane County regular employees. Complete information is available from Human Resources Department. This information is subject to change.

• SCRBH (ASO) Integrated Behavioral Healthcare Quality Supervisor:
• Selects, supervises, trains, mentors, motivates and evaluates the performance of assigned staff.
• Assists in the development and implementation of training and professional development plans to include timely performance reviews.
• Participates in interviewing and orientations of new staff.
• Makes recommendations to CSD leadership regarding hiring selections and disciplining staff.
• Provides leadership, oversight and direction to other employees within the team and the agency through the SCRBH (ASO) Plan implementation.
• Manages and maintains SCRBH (ASO) Division’s agency-wide work plans, coordinating efforts to ensure quality services and completion of agency goals and objectives. Work plan coordination includes overseeing performance measurements, facilitating task timeliness, coordinating projects/teams, project site administration and supports the Leadership Team Advisors to the SCRBH Plan.
• Engages and works with employees to provide consistent, quality work in a timely manner.
• Provides regular update reports to management and identifies any potential issues and barriers to the integration process.
• Coordinates and manages projects on an ongoing basis; researches and resolves onsite problems.
• Provides support and assistance to various team members related to operational aspects of the integration and business planning process.
• Assists in the development, maintenance, and update of the continuing quality improvement process for the SCRBH Division.
• Evaluates performance reports and other data to determine trends, productivity and quality measures to identify areas of strength and areas for improvement.
• Provides technical assistance to providers to improve performance as needed.
• Oversees administrative management of the Grievance System, to include grievances, appeals and fair hearings. Identifies trends in Grievance System and provides training and/or technical assistance to improve satisfaction of Individuals in services.
• Develops support mechanisms for and ensures productivity and continued quality improvement of program and staff.
• Maintains collaborative and collegial working relations with all provider employees, allied system staff, inpatient staff, diversion resource staff, individuals, and their families.
• Builds and maintains strong system working relations within the behavioral health delivery system and with allied service systems.
• Assists in providing technical assistance to behavioral health providers within our region of care.
• Organizes, coordinates, and participates as the Lead in monitoring with contracted providers to ensure clinical quality, Encounter Data Validation (EDV), including documentation, utilization review, internal and external clinical record reviews and outcomes.
• Ensures the SCRBH operations and practices are compliant with corresponding laws and contract deliverables from the local, state, national levels.
• Provides direction and guidance to individuals, contracted providers, and allied systems to assure alignment with the SCRBH mission and desired outcomes.
• Makes public presentations before professional organizations, media, or public groups to provide information on mental health and substance use disorder matters.
• Promotes interrelationship of services among local public, private and voluntary agencies and organizations.
• Promotes evidence-based practices (EBPs) among the provider agencies and develops evaluative tools to determine if the EBPs are successful for Individuals in services.
• Encourages the implementation of person-centered services and shares information about newly emerging person-centered models and programs.
• Develops comprehensive policies and procedures for compliance with state and federal regulations and to facilitate SCRBH operations as requested by CSD leadership.
• Participates in the SCRBH licensure certification reviews, state audits, program monitoring, and/or audits, as required by leadership.
• Understands the role and functions for the SCRBH Integrated Care Coordinators, Integrated Behavioral Healthcare Project Coordinators, Case managers and Peer Support Specialists.
• Ensures contractual, legal and HIPAA compliance.
• Manages and oversees the 5177 Prosecutorial Diversion Program in accordance with the DSHS Office of Forensic Mental Health contract, ensuring program compliance in accordance with statutory and contract guidelines.
• Manages and oversees program statistics, data management, record retention and maintenance.
• Develops and manages the production of program deliverables and statewide reports to ensure contract compliance and meet the needs of WA Research and Data Analysis Division.
• Coordinates and collaborates with 5177 Prosecutorial Diversion Program stake holders and partners in the criminal justice system including the Spokane County Prosecutors Office, the Spokane County Public Defender’s Office, Spokane County Detention Services, Spokane City Prosecutors Office, Spokane City Public Defenders Office, WA State Health Care Authority, and various other partners.
• Initiates, implements, and directs necessary program activities to assure program support, development, and coordination of a continuum of comprehensive services to meet the needs of program participants experiencing severe behavioral health issues.
• Makes public presentations before professional organizations, media, or public groups to provide information on 5177 Prosecutorial Diversion program matters. Establishes and maintains effective working relationships with all levels of stakeholders (including executives and leaders) in achieving effective collaboration and negotiation: health plans, managed care organizations, mental health and substance abuse provider network, medical community, hospitals, private physician practices, Health Care Authority (HCA), designated counties, vendors, affiliated organizations, under the Integrated Behavioral Healthcare Manager’s direction.
• Actively supports and incorporates the mission and core values of SCRBH into daily activities.
• Attends and hosts meetings to ensure effective collaboration and negotiation with health plans, managed care organizations, mental health and substance abuse provider network, medical community, hospitals, private physician practices, Health Care Authority (HCA), designated counties, vendors, and affiliated organizations.
• Attends staff meetings, trainings and seminars as requested.
• Performs other related duties as required/assigned.
• Counseling and Recovery Services (CAReS) Integrated Behavioral Healthcare Quality Supervisor:
• Follows the laws of the State of Washington and the federal government as they pertain to mental health practice.
• Completes all training required by the WAC and RCW’s within the required time frames.
• Attends necessary clinical and supervisory training to improve/enhance/expand clinical and management skills.
• Adheres to state and federal reporting requirements, including Service Encounter Reporting Instructions (SERI).
• Maintains records in accordance with requirements of law, contractual requirements and agency policy.
• Provides direct treatment services in conjunction with supervisor responsibilities, including individual, family, and group therapeutic services.
• Ensure evidence based and best practice standards for managed care as it applies to clinical treatment practice.
• Provides person-centered care services in a culturally sensitive and response manner.
• Provides mental health assessments, develops and implements treatment plans, provides case management referral and care coordination with other mental health professionals, allied treatment providers, and other community partners.
• Provides crisis intervention services when needed and stays familiar with crisis policies and procedures.
• Participates as a team member of this Agency by attending staff meetings and actively participating in agency meetings.
• Attends regular supervision with the Integrated Behavioral Healthcare Manager to maintain quality of care, responds to requests from supervisors in a timely manner, uses time effectively, keeps appointments and is at work and meetings on time.
• Encourages and participates in community networking, supports treatment team meetings developed by other agencies, and attends community meetings as requested and approved by supervisor.
• Provides clinical supervision and direction to Housing and Community Support Specialists, Peer Support Specialists, and Integrated Care Coordinators according to WAC, RCW, and agency policies under the direction of the Integrated Behavioral Healthcare Manager.
• Assigns cases, monitors caseload sizes and productivity, and supports agency performance metrics.
• Addresses client concerns and complaints, makes decisions regarding client care and resource allocation in conjunction with the Integrated Behavioral Healthcare Manager.
• Provides clinical and administrative oversight in the absence of the Integrated Behavioral Healthcare Manager under the direction of the CSRBH Director.
• Provides and implements medical necessity training upon hire and as needed to CAReS staff.
• Ensures medical record integrity and participates in informal internal audits and external formal audits as directed by the Integrated Behavioral Healthcare Manager.
• Coordinates client care with community partners and referral sources.
• Attends community partnership meetings as assigned by the Integrated Behavioral Healthcare Manager.
• Attends staff meetings, trainings and seminars as requested.
• Performs other related duties as required/assigned.