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Behavioral Health Manager, Social Services Management

Company: Blue Shield of California
Location: Monterey Park
Posted on: June 20, 2022

Job Description:

Description - ExternalBlue Shield of California's mission is to ensure all Californians have access to high-quality health care at a sustainably affordable price. We are transforming health care in a way that truly serves our nonprofit mission by lowering costs, improving quality, and enhancing the member and physician experience.To fulfill our mission, we must ensure a diverse, equitable, and inclusive environment where all employees can be their authentic selves and fully contribute to meet the needs of the multifaceted communities we serve. Our comprehensive approach to DE&I combines a focus on our people processes and systems with a deep commitment to promoting social justice and health equity through our products, business practices, and presence as a corporate citizen.Blue Shield has received awards and recognition for being a certified Great Place to Work, best place to work for LGBTQ equality, leading disability employer, one of the best companies for women to advance, Bay Area's top companies in volunteering & giving, and one of the world's most ethical companies. Here at Blue Shield of California, we are striving to make a positive change across our industry and the communities we live in - join us! Your Role The Blue Shield Promise Social Service team is looking for a leader with Medi-Cal experience who can help facilitate the integration of social and behavioral needs care into overall healthcare to support members holistically. The Behavioral Health Manager will report to the Senior Manager, Social Services. In this role you will provide leadership, direction and are responsible for daily operations of the behavioral health care management team. This team supports members with behavioral health needs navigate the health care system for linkages with behavioral health providers, treatment, and programs. The manager oversees behavioral health care managers serving members in both Los Angeles and San Diego County. The behavioral health manager ensures all elements of the operations are in compliance with health plan and regulatory requirements as applicable to membership product lines and program benefits with special attention to the health and welfare of the members served. This position requires experience leading teams that focus on behavioral health assessment, resource coordination, substance abuse, crisis intervention and navigation of behavioral health referrals.Our leadership model is about developing great leaders at all levels and creating opportunities for our people to grow - personally, professionally, and financially. We are looking for leaders that are energized by creative and critical thinking, building and sustaining high-performing teams, getting results the right way, and fostering continuous learning. Your Work In this role, you will:

  • Be responsible for the daily operations of the behavioral health care management team including staffing, work schedules, assignments, efficient workflow, and performance
  • Oversee the Critical Incident Reporting departmental functions to include filing and follow-up on mandated reporting, i.e. Adult Protective Services, etc.
  • Assure the provision of behavioral health care management in all settings: Hospital, SNF, Home, Assisted Living, Board and Care as applicable to the health plan's role
  • Interfaces and educates other internal and external organizations about the behavioral health care management operations and scope of practice
  • Provide leadership to ensure best utilization of resources in obtaining organization goals, regulatory compliance, with corporate policies and to ensure the needs of the individuals served are met
  • Routinely mentors and coaches' direct reports one-to-one on a regular basis to strengthen skills, ensure effective service delivery and the clinical integrity of each case
  • Tracks data and prepares reports to support department operational, regulatory requirements and audits
  • Coordinate with internal stakeholders in achieving program milestones and operational objectives
  • Ensure optimal operations and continuous improvement of the behavioral health care management team
  • Other tasks, as assignedQualifications - ExternalYour Knowledge and Experience
    • Master's Degree in social work (MSW) or related field from an accredited university required
    • Licensed Clinical Social Worker (LCSW) or equivalent licensure (e.g. LPCC, LMFT, etc.)
    • Requires at least 7 years' experience working with people who need assistance with complex health and social issues
    • At least 3 years of management experience gained as a team leader or supervisor
    • At least 3 years of managed care experience
    • Experience working with Medi-Cal populations
    • Thorough knowledge of case management and social work principles, techniques and practices and their application to complex casework and community problems
    • Experience working with individuals who have complex health, behavioral health/substance abuse and social issues
    • Experience partnering with provider groups and community resources and agencies
    • Experience working with state and local government stakeholders
    • Experience implementing operational aspects of programs and policies with ongoing process improvements
    • Valid CA Driver's License and proof of auto insurance coverage required
      Our Values
      • Honest. We hold ourselves to the highest ethical and integrity standards. We build trust by doing what we say we're going to do and by acknowledging and correcting where we fall short.
      • Human. We strive to be our authentic selves, listening and communicating effectively, and showing empathy towards others by walking in their shoes.
      • Courageous. We stand up for what we believe in and are committed to the hard work necessary to achieve our ambitious goals.

Keywords: Blue Shield of California, Monterey Park , Behavioral Health Manager, Social Services Management, Executive , Monterey Park, California

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