Director, Value-Based Care

Mental Health Cooperative•Nashville, TN

1d•Onsite

About The Position

Ranked one of Tennessee’s top places to work, MHC is a rare and special place where outstanding company culture is intentional. Where clients and associates are treated the same, as equals. Mental Health Cooperative, Inc. (MHC) was formed in 1993 to serve individuals with severe and persistent mental illness. Since then, we have expanded our services to children and adolescents with severe emotional disorders across Middle and East Tennessee. Our sole purpose is to support and treat those challenged with serious mental illness and poverty. Although based out of Nashville, we serve several communities across middle and East Tennessee with satellite offices in Antioch, Gallatin, Dickson, Columbia, Cleveland, Murfreesboro, Clarksville, Cookeville, Chattanooga, and Memphis. If you are interested in joining a team that is caring, collaborative, innovative and energizing this might be a great place for you! JOB SUMMARY: The Director of Value-Based Care at Mental Health Cooperative (MHC) will lead the organization’s efforts to improve patient outcomes through high-quality, cost-effective, and patient-centered care. This role is responsible for developing and implementing strategies to enhance care coordination, delivery of appropriate care , and maximize performance. The Director will work closely with clinical and operational teams to align initiatives with MHC’s mission and strategic objectives . Additionally, this role will provide leadership in learning and development for care management roles at MHC, ensuring staff are equipped with the necessary knowledge and skills to support value-based care initiatives.

Requirements

Master’s degree in Clinical Psychology, Social Work (MSW), Healthcare Administration, or related field.
LCSW (Licensed Clinical Social Worker) or LPC (Licensed Professional Counselor) preferred.
Minimum of 5 years of clinical experience with at least 3 years in a leadership role within integrated care, behavioral health, or substance use services.
Strong understanding of value-based payment models, risk-based contracting, and healthcare quality metrics.
Proven ability to analyze healthcare data, identify trends, and implement performance improvement initiatives.
Excellent leadership, communication, and stakeholder engagement skills.
Experience working within behavioral health or mental health settings is a plus.
Valid Tennessee Driver’s License
Acceptable Motor Vehicle Report (MVR)
Acceptable Criminal Background Investigation
Cell Phone
Leadership Skills
Ability to lead by example
Ability to make sound decisions quickly and decisively
Ability to motivate staff
Ability to identify strengths and weaknesses of team and develop solutions to combat weaknesses and utilize strengths
Is cool under pressure; does not become defensive or irritated when times are tough; can be counted on to hold things together during stressful times
Clearly and comfortable delegates tasks; broadly shares both responsibility and accountability
Team Oriented
Assist teammates as needed
Creates and maintains a climate in which teammates want to do their best
Can quickly find common ground and solve problems for the good of the team
Interpersonal Skills
Can negotiate skillfully in difficult situations with both internal and external groups; can win concessions without damaging relationships; can be both direct and forceful as well as diplomatic
Customer Service
Internal & external customer service indicative of mutual respect & trust
Consumer Engagement – establishes and maintains a therapeutic relationship via effective, appropriate communication and behaviors with consumers.
Suicide Specific Triage Assessments – use of C-SSRS and suicide specific assessment.
Appropriate use of Therapeutic Options De-escalation and Restraint.
Appropriate Triage Disposition for supported by clinically based rationale.
Professional and complete communication and coordination of care.
Appropriate use of Therapeutic Options De-escalation.
Actively participates in consultation process.
Maintain timely availability for calls through appropriate logging in and logging out.
Establish further care by scheduling and completing follow up calls.
Complete all clinical documentation in specified time periods.
Complete all Crisis Management System documentation in a timely manner.
Demonstrates ability to work independently, to make critical decisions and to work collaboratively as an integral part of a team.
Demonstrates appropriate infection prevention and control through proper hand hygiene.
Demonstrates evidenced informed practice related to substance use disorders.
Demonstrates evidenced informed practice related to clinical care of children and youth.

Nice To Haves

LCSW (Licensed Clinical Social Worker) or LPC (Licensed Professional Counselor) preferred.
Experience working within behavioral health or mental health settings is a plus.

Responsibilities

Develop and execute MHC’s value-based care strategy, ensuring alignment with industry best practices and regulatory requirements.
Implement initiatives (including audit, compliance, and quality functions) to enhance patient outcomes, reduce costs, and improve key performance indicators related to value-based care models.
Utilize data-driven insights to monitor performance, identify trends, and drive decision-making to optimize care delivery.
Partner with internal departments, healthcare providers, payers, and community organizations to enhance care coordination and operational efficiency.
Educate staff on value-based care principles, performance metrics, and best practices to drive a culture of accountability and continuous improvement.
Provide leadership in the training and professional development of care management roles at MHC, ensuring team members are well-prepared to deliver effective and coordinated care.
Ensure adherence to all federal, state, and payer-specific regulations related to value-based care models.
Work with finance teams to develop budgets, track financial performance, and maximize reimbursement opportunities under value-based contracts.
Responsible for attending all mandatory in-services, continuing education and annual health requirements.
Comply with all Corporate Compliance policies, practices and procedures.
Report all unethical activities to supervisor, Corporate Compliance Office, Values Hotline number or Human Resource Director.
Comply with all OSHA and safety policies, practices, and procedures.
Report all unsafe practices or accidents to supervisor, Safety Supervisor and/or OSHA Coordinator.
Will be compliant with the relevant regulations concerning the privacy and security of consumer’s protected health information (PHI) as established by the Health Insurance Portability and Accountability Act of 1996 (HIPAA).
Participate in proactive team efforts to achieve departmental and company goals.
Perform other duties as assigned.
Provide leadership to others through example and sharing of knowledge/skill.
Follow all policies and procedures set by the Agency.