Behavioral Health Division Manager – Quality Care

Under general direction of the Deputy Director or Director Behavioral Health, plans, coordinates, and directs County-wide management operations in Quality Care/Managed Care Operations. In this role, the Division Manager oversees quality improvement, quality assurance, and utilization management activities of the Division, including service authorization functions, provider credentialing, management of behavioral health managed care contracts, and assessment of organizational performance related to access, timeliness, quality, and outcomes. The Division Manager also oversees staff, which is responsible for managing the Behavioral Health electronic health record team and may provide leadership in planning, procuring, and implementing a new electronic health record system. This position also assists in Department and Division efforts to develop and ensure that policies and procedures comply with applicable Federal and State regulations and standards. The Division Manager evaluates and ensures proper trainings and working structures to ensure compliance with practice guidelines, as well as State and Federal regulations and policies. In addition, this position closely coordinates with all VCBH Division Managers, Health Care Agency (HCA) Fiscal and Compliance teams, and contracted providers, as well as serves as a member of the VCBH senior management team. Incumbent plans, formulates policy, and makes administrative decisions in collaboration with the management team and County interagency representatives, and community  groups. Incumbents may also represent the Behavioral Health Director and/or Assistant Director in County and State committees and meetings and perform special projects and studies as assigned. WHAT WE OFFER

• Educational/Bilingual Incentive: Incumbents may be eligible for an educational incentive of 2.5%, 3.5%, or 5% based on completion of an Associate’s, Bachelor’s, or Master’s degree that is not required for the classification[GL1] .  Incumbents may also be eligible for bilingual incentive depending upon operational need and certification of skill.
• Pension Plan: Both you and the County contribute to the County’s Retirement Plan and to Social Security. If you are eligible, you may establish reciprocity with other public retirement systems, such as CalPERS.
• Holidays: 11 paid days per year which includes a scheduled floating holiday.
• Annual Leave: Accrues at a rate of 208 hours per year, increasing to 288 hours after 5 years of service.
• Annual Leave Redemption: The ability to “cash in” or redeem up to 100 hours of Annual Leave per year after using 80 hours of annual leave within the previous 12 months (Management Resolution, § 1205).
• Health Plans: Medical, dental, and vision plans for you and your dependents. A flexible credit allowance of up to $21,450 annually.
• Flexible Spending Accounts: Increase your spending power by reimbursement with pre-taxed dollars for IRS-approved dependent care and health care expenses.
• Deferred Compensation: Eligible to participate in the County’s 401(k) Shared Savings Plan and/or the Section 457 Plan. This position is eligible for up to a 3% match on 401(k) contributions.
• Other Benefits: Professional Memberships, Disability Plans, Employee Assistance Program, Life Insurance, Tuition Reimbursement, Benefit Reimbursement Program, and a Wellness Program.

AGENCY/DEPARTMENT:  Health Care Agency – Behavioral Health PAYROLL TITLE:  Behavioral Health Division Manager Behavioral Health Division Manager is a Management position and is exempt from overtime. This classification is eligible for benefits at the MB3 level. The eligible list established from this recruitment will be used to fill current and future Regular (including Temporary and Fixed-term), Intermittent, and Extra Help vacancies in HCA Behavioral Health.  There is currently one (1) Regular vacancy in Quality Care. TENTATIVE SCHEDULEOPENING DATE:  2/7/23 CLOSING DATE:  Continuous and may close at any time; therefore, the schedule for the remainder of the process will depend upon when we receive a sufficient number of qualified applications to meet business needs. It is to your advantage to apply as soon as possible.   Examples Of Duties Duties may include, but are not limited to the following:

• Analyzes population data and utilization trends, adjusting utilization management strategies based on these analyses;
• Responsible for managing, directing, supervising, and evaluating division services and functions;
• Provides direction in resolving unusual or complex interdepartmental problems as they relate to the delivery of quality patient care;
• Assures quality management activities regarding patient care delivery systems, policy and procedures, as well as performance and outcomes; Chairs or participates in divisional/departmental or agency-wide committees related to quality improvement, care standards, and/or safety/risk management;
• Assures ongoing appropriate utilization of services through continuous measurement and evaluation;
• Collaborates with internal and external stakeholders including collaboration with consumers and community-based organizations in quality management, data collection, and data governance;
• Collaborates with the community, County agencies, and department staff, facilitates and manages the planning, implementation, and evaluation of administrative issues and/or behavioral health service programs, client care needs, policies, and practices;
• Oversees quality and utilization monitoring activities and care coordination;
• Oversees collaboration with inpatient rehabilitation & behavioral health quality assurance/utilization management;
• Directs a systematic process for monitoring, evaluating, and improving administrative operational processes and performance outcomes;
• Evaluates the effectiveness of the quality and utilization management programs consistent with standards;
• Develops, organizes, and prepares special studies and reports;
• Oversees referral management, resource management and medical necessity review of services;
• Develops and evaluates criteria for case management which defines criteria and monitors effectiveness for cost avoidance and utilization activities;
• Fosters positive collaborative relationships with public and private hospitals, County departments, community groups and organizations, physicians, and other providers;
• Assess responses to interventions and revise plans as needed;
• Recommends policies to the Director Behavioral Health or designee;
• Responsible for planning, developing, implementing, and monitoring an annual operational budget for appropriate staffing to ensure division service objectives are met;
• Responsible for staff recruitment, development, performance, retention, and evaluation consistent with County policies and labor relations agreements;
• Represents the Department at community, County, and State committee meetings and functions;
• Provides input on labor relations issues as requested; and
• Performs other related duties as required.

Typical Qualifications These are entrance requirements to the exam process and assure neither continuance in the process nor placement on an eligible list. EDUCATION, TRAINING, and EXPERIENCE Any combination of education, training, and experience equivalent to a Bachelor’s degree in a health, business, or related field AND a minimum of four (4) years of highly-responsible and comprehensive experience leading, managing, developing, providing, and evaluating behavioral health services for persons with serious mental illness and/or substance use disorders in a highly-complex Civil Service environment OR four (4) years of comparable experience in a large, community-based organization working collaboratively through formal interagency relationships with public sector behavioral health programs. NECESSARY SPECIAL REQUIREMENTS

•  Must possess and maintain a valid California driver license at the time of hire.

DESIRED

• Strong background in data governance and eagerness to promote a data driven culture. Strong organizational and analytical skills, including demonstrated experience in continuous quality improvement and embedding an equity lens and metrics into their work.
• Licensed Psychiatric Technician, Licensed Social Worker, Licensed Psychologist, Registered Nurse, or Licensed Marriage and Family Therapist.
• Comprehensive understanding of behavioral health legislation and funding issues.
• Demonstrated experience in consistently interpreting, communicating, and implementing applicable laws, codes, regulations, policies, and procedures. The ideal candidate will have experience in information and healthcare technology, including electronic medical records.

Knowledge, Skills, and Abilities: Considerable knowledge of: California State and County Mental Health or Alcohol and Drug Treatment funding, service systems and practices; knowledge of evidence-based clinical practices; Mental Health financial management, budget analysis and preparation; program design, operations and evaluation; financial management in a mental health service organization, and knowledge in data governance and data driven culture. Strong organizational and analytical skills, including demonstrated experience in continuous quality improvement and embedding an equity lens and metrics into their work. Comprehensive ability to: interpret and communicate policies, resources and services to the staff and public; conduct legislative/regulatory analysis; comprehend Mental Health/ Substance Use Services (SUS) legislation and address implementation issues; ability to apply advanced strategic planning and management concepts; principles of organizational leadership and change; program design, operations, and evaluation; and financial management in a behavioral health service organization; ability to recruit, hire, train, supervise, develop, and evaluate staff consistent with established County Personnel Rules and Regulations and labor relations agreements; ability to establish and maintain effective collaborative working relationships with County interagency partners, behavioral health stakeholders, and underserved communities; ability to organize and direct divisional activities at multiple sites; ability to effectively exercise full range of supervisory responsibilities consistent with established County Personnel Rules and Regulations and Labor Relations agreements; communicates effectively both verbally and in writing.   Recruitment Process FINAL FILING DATE:  This is a continuous recruitment and may close at any time; therefore, apply as soon as possible if you are interested in it.  Your application must be received by County of Ventura Human Resources in Ventura, California, no later than 5:00 p.m. on the closing date. To apply online, please refer to our web site at www.ventura.org/jobs.  If you prefer to fill out a paper application form, please call (805) 654-5129 for application materials and submit them to County of Ventura Human Resources, 800 South Victoria Avenue, L-1970, Ventura, CA 93009. For further information about this recruitment, please contact Nathan Wood by e-mail at nathan.wood@ventura.org or by telephone at (805) 677-5232.