Health Services Manager, Senior

County of Orange•Orange County, CA

6d•Onsite

About The Position

The County of Orange, Health Care Agency (HCA) is a dynamic organization dedicated to creating and supporting an environment that promotes the achievement of optimal individual, family and community health. Under the leadership of the Agency Director, a dynamic executive team with an organizational structure comprised of five (5) service areas - Administrative Services, Behavioral Health Services, Correctional Health Services, Specialized Medical Services and Public Health Services - is committed to meeting the health needs of the diverse Orange County community. The Behavioral Health Services (BHS) Division consists of the following areas: Adult and Older Adult Behavioral Health, Children and Youth Services, Quality Management Services, Mental Health Services Act Office, Data Analytics and Evaluation, Crisis and Acute Care Services, Substance Use Services, and Forensics and Justice Involved. These divisions provide a culturally competent and client-centered system of behavioral health services for all eligible county residents in need of treatment for alcohol and other drug abuse and mental health care. Quality Management Services (QMS) is the BHS function area that is responsible for the implementation of the BHS Quality Improvement System to ensure quality services across the system of care. QMS oversees the development and evaluation of the BHS Quality Assessment and Performance Improvement (QAPI) program, which includes establishing an annual work plan and monitoring numerous performance measures (PM) and performance improvement projects (PIP) for the Behavioral Health Plan (BHP). QMS consists of two divisions that provide distinct yet complementary services. The Behavioral Health Business Services division includes functional teams that support the information systems used to capture behavioral health services data through the BHS Electronic Health Record (EHR), which maintains clinical records and processes billing for all BHS services. This division is also responsible for contracted provider billing, EHR liaison functions, and administrative operations at BHS county clinics. The Quality Assurance/Quality Improvement (QA/QI) division includes four support teams that work with BHS programs to strengthen clinical operations and QA/QI activities. These teams conduct clinical records reviews, provide technical assistance, support managed care requirements, oversee SMHS and DMC-ODS utilization management, and ensure quality standards, clinical practice expectations, and regulatory compliance with behavioral health funding sources. Crisis and Acute Care Services (CAC) provides responsive services to adults and youth in a behavioral health crisis. Services include mobile mental health Crisis Assessment Team (CAT), Psych Emergency Response Team (PERT), OC Links (24/7 Resources line), Crisis Stabilization Units (CSU), Crisis Residential Programs and In-home Crisis Stabilization services, as well as inpatient psychiatric hospital services and the coordination of 9-8-8. The immediate vacancies are within QMS and CAC. However, future vacancies may be in other Divisions; thus, qualified applicants are encouraged to apply.

Requirements

Possession of a Health Care Compliance (CHC) Certification or Certification in Healthcare Privacy Compliance (CHPC) by the Compliance Certification Board is desirable for the HSM, Sr. position in QMS, but not required.
Valid registration as a Licensed Clinical Social Worker (LCSW), Licensed Marriage and Family Therapist (LMFT), Licensed Professional Clinical Counselor (LPCC), Registered Professional Nurse (RN) or Licensed Psychologist may be required for some positions.
Extensive knowledge and experience in the following core competencies:
Professional & Technical Expertise
Understanding and application of behavioral health clinical practice knowledge, including current issues, trends and challenges in behavioral health
Knowledge of the public behavioral health system of care in California
Interpreting and implementing laws, regulations, policies, and procedures concerning health care regulations
Understanding and application of healthcare quality management principles
Knowledge of healthcare compliance and health system administrative operations and billing.
Knowledge of health information management and exchange, including data exchange frameworks
Proficient use of Microsoft Office, such as Word, Excel, and Outlook
Thinking and Acting Systematically | Leading Cross-Divisional Collaboration | Managing Organizational Complexity
Using appropriate judgment, data, and risk management skills in making business decisions and formulating policy recommendations for achieving positive business outcomes
Analyzing problems and proposing new solutions while dealing with changing priorities
Identifying department needs, and the development, design and implementation of program objectives, policies and procedures, compliance, and audits
Actively seeking and encouraging identified stakeholders to contribute their points of view, ideas and suggestions
Understanding organizational culture and policies and navigating complex political situations with poise and professionalism
Leadership | Coaching and Developing Others | Valuing Diversity
Reviewing and analyzing staffs’ strengths and weaknesses to distinguish their talents and development needs
Sharing knowledge and expertise willingly and supporting others’ career and development plans
Valuing differing backgrounds and points of view in the workplace and leveraging those differences in group process and decision making
Removing barriers to equal opportunity and participation
Determining objectives, prioritizing tasks, and delegating work/allocating responsibilities to staff according to their abilities and opportunities for development
Setting and aligning performance goals for individuals and participating groups and ensuring goals are aligned with BHS
Clarifying group agenda and allocating time for topics; clarifying issues and identifying action items
Building and Maintaining Relationships | Handling and Resolving Conflict
Building effective working relationships inside and outside the organization and dealing effectively with various levels of the organization
Creating rapport and trust with parties having divergent interests or goals
Dealing with interpersonally or politically challenging situations calmly and diplomatically, while diffusing tension

Nice To Haves

Possession of a Health Care Compliance (CHC) Certification or Certification in Healthcare Privacy Compliance (CHPC) by the Compliance Certification Board is desirable for the HSM, Sr. position in QMS, but not required.

Responsibilities

The Health Services Manager, Senior (HSM, Sr.) in QMS Quality Assurance/Quality Improvement will be responsible for the daily operations of the division and provide leadership and supervision to multiple management-level and licensed clinical supervisory staff, along within direct supervision of additional employees.
The HSM, Sr. will establish and oversee work unit goals, exercise discretion in addressing complex issues, and promote collaboration within the division and across BHS and other county agencies.
The HSM, Sr. oversees support teams responsible for clinical records quality and utilization management (UM) for Behavioral Health Plan (BHP) programs across the continuum of care, managed care, LPS designation, Medi-Cal certification, Behavioral Health Transformation (BHT), Behavioral Health Services Act (BHSA) integration, and BH CONNECT incentive program activities.
This position also collaborates with county managed care plans on shared member coordination, data exchange, and Behavioral Health Accountability Set (BHAS) performance improvement, and serves as the primary contact with the Department of Health Care Services (DHCS) for county BHP compliance.
The HSM, Sr. in the CAS will assist the Assistant Deputy Director in overseeing all aspects of CAT, PERT, OC Links (24/7 Resources line), CSU, Crisis Residential Programs, In-home Crisis Stabilization services, and inpatient psychiatric hospital services.
The position will be responsible for a variety of high-level administrative, fiscal and specialized functions, including leading a staff team and presenting and tailoring information and materials to various types of audiences.
The HSM, Sr. will lead the crisis operations meeting for the CAC function area and perform other duties as assigned.
As all CAC services are 24/7 programs, this position is required to be responsive after hours, weekends and holidays for consultations as needed.
Provides operational and technical management and direction to staff in the program.
Implements health services and programs, and manages work systems and processes to ensure procedures meet compliant standards.
Evaluates health services and programs and research trends and best practices to recommend and implement changes.
Oversees and conducts performance evaluations, employee development, hiring, discipline, and termination procedures as well as directly supervises management, professional, paraprofessional, and/or support staff.
Troubleshoots and resolves program or work unit issues and keeps senior management informed of issues/resolution.
Makes and implements resource allocation recommendations.
Oversees the research and analysis of policy and related information and makes recommendations to higher-level management.
Coordinates with the general public, service providers, vendors, internal staff, and/or external agencies; establishes and manages partnerships; convenes, facilitates, and attends meetings; and prepares and makes presentations to the public, elected officials, appointment boards, and other stakeholders.
Performs other duties of a similar nature and level as assigned.