Utilization Review Manager (Behavioral Health Supervisor)

Fairfax County•Fairfax (Ej27), VA

5d•Hybrid

About The Position

This position plays a critical role in serving children and families in our community who require intensive behavioral health interventions and support. Supervises a team of senior clinicians to review requests for services and authorize funding for a continuum of services and supports. Working closely with staff from child-serving agencies such as child welfare, juvenile justice, special education and community mental health, the UR team ensures that high quality, effective interventions that are trauma-informed and evidence-based are offered. This position works closely with quality assurance, procurement, fiscal teams and data analytics to balance service delivery with effective, outcome- focused interventions. This position requires a detail-oriented and analytical professional who can manage and interpret complex policy and unique child-specific needs in a dynamic human service environment, working collaboratively with various partners to implement a System of Care model. Under general guidance of the CSA Program Manager, performs the following duties and responsibilities: Supervises and manages a team of behavioral health senior clinicians to review and authorize requests for intensive behavioral health services and supports Provides oversight to ensure service authorizations comply with state and local policy meeting programmatic and fiscal audit standards Participates in management and leadership teams as well as interagency workgroups to support strategic initiatives aimed at improving equitable access, effective service delivery and improved outcomes for youth involved in child welfare, juvenile justice and special education Leads collaborative efforts and engages with private provider partners to ensure a full continuum of high quality, trauma-informed and evidence-based interventions are available Supports implementation of the System of Care model in Fairfax-Falls Church to accomplish strategic priorities for youth with complex, intensive needs Utilizes technology solutions, electronic documentation systems, and virtual platforms for efficient business processes in a dynamic human services environment. Collects and analyzes qualitative and quantitative data to provide management reports to leadership about service trends, gap analyses and other program metrics

Requirements

Graduation from an accredited college with at least a master's degree in social work, psychology, counseling, or nursing plus three years of clinical experience or a doctoral degree in psychology, social, counseling or nursing plus one year of clinical experience.
Must be eligible to be licensed to practice in the Commonwealth of Virginia in one of the following: Licensed Clinical Social Worker, Licensed Professional Counselor, Clinical Psychologist, Licensed Marriage and Family Therapist, Licensed Substance Abuse Treatment Practitioner or Licensed Nurse Practitioner (LNP).
Licensed to practice in the Commonwealth of Virginia in one of the following: Licensed Clinical Social Worker, Licensed Professional Counselor, Clinical Psychologist, Licensed Marriage and Family Therapist, Licensed Substance Abuse Treatment Practitioner or Licensed Nurse Practitioner (Required within 24 months)
Valid driver's license
Extensive knowledge of the principles, theories, and methods of the psychological and social development of humans
Thorough knowledge of and ability to implement recovery oriented practices and person-centered planning
Knowledge of psychiatric, psychological, sociological, and addiction terminology and concepts
Knowledge of clinical supervisory methods and techniques
Knowledge of existing referral agencies and community resources
Demonstrated case management skills
Ability to evaluate the severity of individuals' substance use, psychiatric symptoms, and impact on daily functioning; and implement commensurate level of treatment and support
Ability to prepare, produce, and conduct program presentations
Ability to develop, implement, manage, and evaluate programs
Ability to supervise and train service professionals
Ability to successfully perform as a team leader/member
Ability to evaluate performance, provide feedback, coach, correct, and implement personnel procedures
Ability to function independently in high stress situations
Ability to develop and maintain effective working relationships with subordinates, co-workers, supervisors, public and private sector organizations, community groups, and the general public
Ability to communicate effectively, both orally and in writing
Ability to maintain records and prepare reports

Nice To Haves

At least 3 years of experience with supervision of professional staff
At least 2 years of professional human services work experience in at least two areas.
At least 2 years of professional experience monitoring behavioral health care services.
Advanced knowledge of trauma-informed, evidence-based mental health/behavioral health care interventions for children, youth and families.
At least 2 years of experience in at least two of the following areas: utilization review, monitoring of purchased mental health/behavioral health care service, collection of standardized data elements via file audits and document reviews, preparing written social histories, assessments, and reports describing the needs of children and families, and use of assessment tools (examples: CANS, VEMAT, YASI, etc.) and decision support models
At least intermediate proficiency with Excel.
Bilingual in English and another language

Responsibilities

Supervises and manages a team of behavioral health senior clinicians to review and authorize requests for intensive behavioral health services and supports
Provides oversight to ensure service authorizations comply with state and local policy meeting programmatic and fiscal audit standards
Participates in management and leadership teams as well as interagency workgroups to support strategic initiatives aimed at improving equitable access, effective service delivery and improved outcomes for youth involved in child welfare, juvenile justice and special education
Leads collaborative efforts and engages with private provider partners to ensure a full continuum of high quality, trauma-informed and evidence-based interventions are available
Supports implementation of the System of Care model in Fairfax-Falls Church to accomplish strategic priorities for youth with complex, intensive needs
Utilizes technology solutions, electronic documentation systems, and virtual platforms for efficient business processes in a dynamic human services environment.
Collects and analyzes qualitative and quantitative data to provide management reports to leadership about service trends, gap analyses and other program metrics
Provides staff supervision for all clinical aspects of the program
Plans, assigns, and reviews work of team members
Consults with professionals on a variety of problems including delivery of needed services for clinically complex cases
Provides liaison to community agencies to facilitate communication and service provision for individuals requiring multiple services
Develops and implements program activities and services, including training and educational activities
Supervises day-to-day program operations
Promotes awareness of program services through presentations
Develops and monitors program's policies and procedures
Ensures that program is in compliance with applicable federal, state, and local policies, regulations, and statutes
Mediates and facilitates inter-and intra-program issues needing a systems perspective
Plans, recommends, and executes quality initiatives related to mental health standards