DIR CLINICAL SERVICES (2) in Atlanta, GA at Beacon Health Options

Date Posted: 7/5/2018

Job Snapshot

Job Description

ABOUT THE POSITION

We are currently seeking a dynamic Director, Clinical Services to join our team at our office in Atlanta, GA.  The Director, Clinical Services will be responsible fo the overall management and supervision of clinical operations for the Georgia Collaborative ASO. This includes day-to-day clinical operations, policies and procedures related to behavioral health concerns. Oversees the development of policies and procedures and the training of staff in these departments. Interfaces with internal Georgia Collaborative ASO departments and external stakeholders regarding clinical operations.

Position Responsibilities:

  • Ensures that daily clinical operations run smoothly and meet contractual and

  • operational standards.

  • Ensures that the Customer Service Department and Eligibility Department meets

  • performance standards and that staff are appropriately trained and supported in their

  • job functions.

  • Oversees the development of clinical policy and procedures necessary to fulfill

  • contract obligations and ensure appropriate clinical care to consumers.

  • Monitors the operational and contractual performance regarding utilization

  • management for the Georgia Collaborative ASO operations.

  • Supervises the Clinical Services, Utilization Management, PASRR, and Peer Specialists

  • Sets utilization management goals and ensures these goals are met in conjunction

  • with the Chief Medical Officer and the Medical Management Committee.

  • Conducts liaison activities with contractor and stakeholder agencies and the

  • Oversees operations that ensure individuals receive the appropriate levels of care.

  • Responsible for ensuring that all departments under the auspices of Clinical

  • Operations, develop and produce reports which track and trend the areas for which

  • they are responsible

Position Requirements:

Education: Master’s degree in social work, counseling or clinical psychology

Licensures: License to independently practice as a Behavioral Health professional (e.g.,

LPC, LCSW, LMFT) in the state of Georgia

Relevant Work Experience: At least seven years of experience in a health care related

field(s) with increasing levels of responsibility, including behavioral health service delivery for adults with SPMI and SUD. Interpersonal, organizational, and communications qualities are necessary, as are skills in financial management, operations management, and marketing. Experience in behavioral health. Requires experience with treatment record documentation or some clinical or quality-related knowledge of treatment record documentation requirements, ability to understand contract and other regulatory requirements.  Knowledge of the Georgia DBHDD Provider Manual preferred. Experience conducting audits, training and basic knowledge of procedure codes, strongly preferred.

This position required highly developed organizational and verbal/written communication skills. In addition, this position must be able to demonstrate initiative; ability to interact with individuals at all levels of the organization and external sources (i.e., sub-contracted providers, stakeholders and state and/or federal agencies) and is pro-active in problem resolution. The individual for this position must be able to manage multiple priorities and work effectively in a fast-paced environment. 

Knowledge, Skills & Abilities:

Knowledge of behavioral health

Strong written and verbal communication skills

Competence in clinical care management and utilization

Thorough knowledge of managed care organizations

Strong organizational management skills

TO APPLY

Click below on “Apply for this Position” to create a profile and apply for the position

Beacon Health Strategies, LLC., a Beacon Health Options company, is proud to be an Equal Opportunity Employer as well as a Drug Free Work Environment. EOE/M/F/Veterans/Disabled

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