Vice President of Outpatient and Ancillary Services | Voyages Behavioral Health
About The Position
The Vice President of Outpatient and Ancillary Services is responsible for developing processes, monitoring performance and improving the overall operation of the outpatient service lines, Intake, UR and SMART Team functions of the Voyage Behavioral Health network of hospitals to facilitate optimal financial and clinical outcomes. In collaboration with executive leadership and key stake holders, this position will foster cross- functional and system-wide collaboration to ensure metrics are achieved and maintained. This is an exempt position and will require frequent travel (up to or greater than 50%).
Requirements
- Masters in nursing, social work, hospital administration, mental health/behavioral sciences or related field required.
- Minimum of 5 years of progressive healthcare management experience required.
- Knowledge of CMS Conditions of Participation Guidelines for Discharge Planning, Utilization Review, Documentation, Medicare Important Message, Face to Face Requirements, and Patient Choice
- Knowledge of Medicare, Medicaid, and Managed Care Products and the requirements of each payer to meet the various levels of care for post-hospital services
- Knowledge of CMS guidelines and use of level of care determination for inpatient and observation, CMS inpatient only list and other payer guidelines as required
- Advanced knowledge of utilization management principles, concepts, and strategies including admissions criteria, levels of care, and denials
- Advanced knowledge of commercial insurances, Medicare, Medicaid, and State/Federal regulations which impact utilization management
- Understanding of and willingness to participate in budget preparation and fiscal management.
- Knowledge of in-patient admission criteria as they apply to appropriateness of admission.
- Ability to build volume in the outpatient service line.
- Demonstrable math skills to analyze and interpret financial/admission data and financial reports.
- Ability to understand and demonstrate computer operations and ability to reason through problems and errors.
Responsibilities
- Oversee and assists with individual hospital and system wide performance improvement in the areas of outpatient to include PHP/IOP/Spravato, intake, utilization review and the SMART Team.
- Ensures standardization throughout all Voyages Behavioral Health Hospitals.
- Reviews monthly performance indicators and reviews the improvement/action plans or processes to correct and improve performance and financial indicators.
- Oversees intake, utilization review and outpatient infrastructure for new builds and acquisitions to assure compliance with CMS, TJC and State standards and successful opening.
- Recommends long-range plans for intake, UR, outpatient and the SMART Team to support Voyages Behavioral Health objectives.
- Participates in educational activities and mentors hospital leaders to ensure consistent levels of customer service and job proficiencies are attained.
- Plans and conducts departmental meetings at least monthly to keep employees informed about department changes.
- Other duties as assigned.
Benefits
- Aside from our competitive pay, generous paid benefit time, and excellent insurance options, you will also have opportunities for professional growth through our Education Advancement Program.
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What This Job Offers
Job Type
Full-time
Career Level
Executive
Number of Employees
51-100 employees
