State Director, Social Work & Behavioral Health

InnovAge•San Bernardino, CA

32d•$146,000 - $189,800

About The Position

Assumes responsibility for Behavioral Health (BH) and Social Work (SW) operations across the Centers, state and region as assigned. Collaborates with the Vice President (VP) of BH to ensure the implementation of behavioral and social integrated care program, applicable clinical supervision within scope, and assessing the effectiveness of the behavioral and social health program across applicable Centers. Ensures the efficiency and effectiveness of the SW model to promote service delivery and compliance with Program of All-inclusive Care for the Elderly (PACE) regulations and organizational performance measures. Establishes, develops and ensures adoption of best practices, innovations, performance/production metrics expectations, and documentation standards for the SW and BH staff to promote high functioning teams. This position in collaboration with the VP of BH and Center Triads [Center Medical Director, Center Director, and Director of Nursing], is responsible for ensuring the achievement of performance goals by Center and across the assigned state or market to include: clinical, quality, compliance, and customer service within the PACE product. Must reside in state assigned and travel to all centers locations as required.

Requirements

Master’s degree (or higher) in Social Work, Behavioral Health or Nursing.
Unrestricted license in state where position is located as Licensed Clinical Social Worker (LCSW), Licensed Psychologist (PsyD or PhD), Licensed Registered Nurse or Licensed Nurse Practitioner.
A minimum of ten (10) years’ total related experience.
A minimum of seven (7) years’ in a managed healthcare setting with at least five (5) years clinical management experience of large, integrated social work and behavioral health team.
A minimum of five (5) years’ supervisory or management experience
A minimum of three (3) years’ experience working with the frail or elderly is required.
Strong understanding of Medicare, Medicaid, managed long-term service and supports programs and principles, health care quality outcomes and associated metrics.
At least two (2) years’ experience working in a highly matrixed organization.
Demonstrated experience in the utilization of data analytics to inform decision making, improve quality, increase customer satisfaction.

Responsibilities

Develops, adopts and ensures adherence to performance outcomes and measurements that focus on commitment, achievement, performance improvement, and the use of best practices to ensure Center, state, and regional quality and compliance goals are met or exceeded.
Ensures collaboration with the Interdisciplinary Team (IDT) to support delivery of care and services to participants through interventions to achieve outcomes as identified in the care plan.
Standardizes and integrates processes among and across teams and Centers in the applicable state or market; in accordance with company standards where available.
In collaboration with Compliance, VP of BH, and Center Triads and in response to process variation and internal/external audit results, develops and implements templated approaches to guide social work and behavioral health staff in addressing and documenting IDT needs including but not limited to complex participant rounds; high-risk participant rounds; family/participant meetings and unique participant needs resulting from family violence; transitions of care; housing instability and homelessness; unmanaged behavioral health concerns; catastrophic conditions, and others.
Oversees operational aspects of direct behavioral health services made available to participants.
Evaluates and manages the overall effectiveness of the social work and behavioral health program by implementing change and quality improvements as needed, based on observation, reports, performance outcomes and statistical analysis.
Ensure cross-training of LCSW staff to fulfill the regulatory requirements related to social work including but not limited to initial and ongoing assessments and care plans and related documentation, Service Delivery Requests, and Grievances to improve the participant experience for participants whose behavioral health condition(s) create barriers to communication and engagement.
Assesses the effectiveness of existing SW and BH policies, standard operating procedures, workflows and revises, develops, and implements refined or new policies procedures, or workflows as needed.
Monitors compliance with all applicable licensing, certification and accreditation requirements.
Works collaboratively with the VP of BH, clinical teams, and Center Triads to address aberrant utilization patterns through interventions, innovations, and solutions focused lens.
Serves as a member on various committees both within and outside of the organization as requested.
Manages and facilitates auditing activity of participant records to ensure timeliness and completeness of documentation, assessments, care plan activities, and contacts to ensure a comprehensive and compliant medical record is in place for all participants.
Provides expertise to support the training of social work and the behavioral health providers in collaboration with the VP of BH.
Encourages team building through mentorship and coaching, while holding staff accountable to defined metrics.
Leads by example and provide motivation and direction on a consistent basis.
Carries out management responsibilities in accordance with the organization's policies, and applicable state and federal employment laws.
Responsibilities include (but not limited to) interviewing, hiring, and training employees; planning, assigning, and directing work; appraising performance; recognizing and rewarding employees; corrective disciplinary procedures and practices (under direction of supervisor and in partnership with Human Resources), addressing complaints and resolving problems.
Ensures annual employee performance reviews are conducted in a timely and effective manner. Evaluates performance of employees for compliance with established policies and objectives of the organization and contributions in attaining objectives.
Sets the tone to ensure morale, teamwork, and a positive employment culture are maintained.
Holds cadenced management, department, and staff meetings to provide leadership, development, and a forum for communication to ensure coordination and collaboration in meeting organization and individual goals.
Assists in the development of annual budgets for the departments in collaboration and at the direction of leadership and assists with overall budget process and financial objectives.
Monitors expenditures with commitment to good stewardship of the organization’s resources.
Develops relationships to support participant care and services with external stakeholders and community agencies.
Additional work functions and duties may be assigned.