Behavioral Health Care Manager, BCBA (4/10 weekends) - Remote

IEHP•Rancho Cucamonga, CA

42d•Remote

About The Position

The Behavioral Health Care Manager, SKI (Specialty Kids Intervention) BCBA is responsible for all aspects of services to IEHP members with autism, developmental disabilities, and/or intellectual disabilities and children with severe behavioral needs. The Behavioral Health Care Manager, SKI BCBA will also be responsible for reviewing requests for services, applying clinical criteria, applying clinical expertise to review treatment plans and authorizing services to ensure quality care coordination. This position ensures effective call support, case management as needed, care coordination as needed, and referral support. Under the direction of department leadership, the Behavioral Health Care Manager, SKI BCBA position works collaboratively with members of their own team, IEHP members and families, community agencies, and with the designated health care organization (HCO) medical team. This position is expected to model IEHP principles of relationship-based care, as well engage in promoting education and understanding of behavioral health and its importance in whole health, to those within IEHP and in the community. 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.

Requirements

Three (3) years of experience working in a setting offering services to individuals with autism, developmental or intellectual disabilities required
Significant experience reviewing Behavioral Health Treatment Plans and Behavior Intervention Plans (BIPs)
Master's degree in Social Work/Psychology or related field from an accredited institution with ABA specialization required
Possession of an active, unrestricted, and unencumbered Board-Certified Behavior Analyst (BCBA) certification issued by the Behavior Analyst Certification Board required
Deep knowledge and skills in Autism; Applied Behavioral Analysis, Special Education skills in engaging and serving families
Knowledgeable and skilled in evidenced-based communication such as Motivational Interviewing, or similar empathy-based communication strategies
Understanding of and sensitivity to multi-cultural communities
Deep understanding and knowledge of mental health
Awareness of the impact of unmitigated bias and judgement on health; commitment to addressing both
Must have knowledge of whole health and integrated principles, theories, and practices
Knowledge of community resources and health plan benefits
Skillful at telephonic information delivery and counseling support to Members, their caregivers, and their families
Effective reasoning and problem-solving skills
Excellent relationship, communication (written and verbal), and interpersonal skills, including conflict resolution
Must have resiliency to tolerate, adapt, and manage effective use of a high level of ambiguity around new team models, new models of care, and new care management practices
Proficient in the use of computer software to include but not limited to: (e.g. Microsoft Word and Excel, Power Point) for use in all aspects of an office environment
Excellent organizational skills while effectively multi-tasking on various projects
Ability to undertake and write telephonic clinical mental health assessments which meet specified regulatory standards. Ability to interview, assess, and coordinate care
Skilled in researching applicable resources for members
Demonstrated proficiency with all electronic medical management systems (e.g., Cisco, MHK/Care Prominence, MediTrac, SuperSearch and Web Portal) is preferred
Work as a member of a highly autonomous team, executing job duties and making skillful decisions as an independent team member within one's scope
Show desire and develop genuine, effective relationships with members, co-workers, supervisors, and community/HCO partners at all levels
Support others to utilize telephonic means to engage, assess and assist members is required
Provide vision, leadership, and support to a team
Communicate and work effectively with a variety of providers and maintain positive working relationships with internal and external contacts at all levels
Show a high degree of patience
Learn new computer systems
Prioritize multiple tasks as well as identify and resolve problems
Have effective time management and the ability to work in a fast-paced environment
Have timely turnaround of assignments expected
To form cross-functional and interdepartmental relationships
Work Location is dependent on department leadership and business need.

Nice To Haves

Experience in leading a team is preferred
Experience in an HMO or experience working in psychiatric facility or county hospital facility preferred
Familiarity with Managed Care and discharge planning is preferred
Bilingual written and verbal is highly preferred