Director, Premier Behavioral Health

Regal Medical Group•Orange, CA

46d

About The Position

Premier Behavioral Health is seeking an experienced Director, Behavioral Health who will be responsible for the clinical administration and management of Behavioral Health and Substance Use Disorder Services. Maintain a professional, positive and caring attitude at all times.

Requirements

Minimum Bachelors degree from accredited University, Masters preferred
Valid CA clinical license; RN, LCSW, PsyD, NP
Minimum 10 years management role Managed Care Environment, preferably in Behavioral health. Includes Utilization Management, Case management, Disease Management and Demand management experience
Excellent written and verbal communication skills.
Excellent data management skills
Proficiency in WORD, EXCEL, and PowerPoint
Proficiency in navigating multiple UM/CM platforms as well as EMR and PMS systems
Ability to handle and prioritize tasks in order to meet all given deadlines and productivity goals.
Ability to responsibly handle matters of a confidential nature.
Ability to work in a multi-task, high-productive environment.

Responsibilities

Manage large number of clinical and non clinical staff in a managed care environment
Develop, operationalize and manage inpatient and outpatient utilization management systems focused on behavioral health and Substance Use Disorders
Develop, operationalize and manage inpatient and outpatient case management systems focused on behavioral health and Substance Use Disorders
Develop, operationalize and manage condition management programs including the risk stratification of condition specific data focusing on behavioral health and substance use disorder programs
Manage 24 x 7 call center operations
Manage data analytics for all operating areas and maintain responsibility for all internal and external client reporting.
Ability to manage and negotiate w/ contracted providers and facilities; focusing on behavioral health and substance use disorders.
Be able and ready to be cross trained on other tasks as may be assigned, and willing to rotate jobs within the department or outside of department with the scope of the job description.
Follow and adhere to Company’s standards of attendance policy, as it is pertinent to be available to assist patients, providers, contacted facilities and associates.
Perform other duties as assigned.