Indiana University - School of Dentistry
Indianapolis, IN, USA
Indiana University School of DentistryNon-Tenure-track Assistant Professor/Director, Community - Based Dental EducationDepartment of Cariology, Operative Dentistry and Dental Public HealthA full-time non-tenure track faculty position at the Assistant Professor level with the administrative role of Director of Community-Based Dental Education is available in the Division of Public Health in the Department of Cariology, Operative Dentistry and Dental Public Health at the Indiana University School of Dentistry. Only candidates with specialty training in public health or a related field and minimum of four years of experience in public health settings are invited to apply.The Department of Cariology, Operative Dentistry and Dental Public Health has had a strong community-based education focus for decades. Our specific strengths are in the areas of civic- engagement, global health, and community-based dental caries prevention programs. We are aiming at enhancing and expanding the focus of these educational programs. Hence, the primary objective for this new faculty member will be to develop robust community-based rotations and programs for our dental students. The expectations of this position include development, implementation and continued oversight of the rotations and programs. An ability to effectively collaborate with oral health care providers working in community settings and local and state public health leaders is of great importance. This faculty will also be involved in didactic and clinical instruction in Dental Public Health at the Pre-Doctoral and Post-Doctoral level.Additional responsibilities will include scholarly activity as well as engagement in university service at the department, school and university levels. Regular travel within the state of Indiana is required.Basic Qualifications: The successful candidate must have a minimum of four years of experience working in public health and advanced graduate education. An MPH, MS, MSD or related degree as well as a certificate of specialty study in public health is strongly preferred. Minimum credentials include a DDS or DMD from a CODA-accredited program or equivalent. Current licensure or eligibility for licensure in the state of Indiana and current experience in the development and implementation of community-based dental education, community/academic partnership's creation, as well as teaching within all areas noted for this position are required.Department Contact for Questions: Dr. E. Angeles Martinez-Mier, esmartin@iu.edu.Review of applicants will begin immediately with an anticipated hire start date of July 1, 2019, or sooner. Interested candidates should review the application requirements and submit supporting documents at: http://indiana.peopleadmin.com/postings/7107. Those supporting documents are:
Signed letter of intent
Complete curriculum
Names of three professional references with contact information. (When requested, submitted reference letters must be provided on letterhead stationary with referee's signature.)
Questions regarding the position or application process can be directed to:Mr. Damon L. SpightSchool of DentistryFaculty Affairs/Office of the Executive Associate Dean1121 W. Michigan Street, DS 102Indianapolis, IN 46202dspight@iu.edu317-274-3070 (O)Indiana University is an equal employment opportunity/equal access/affirmative action employer and a provider of ADA services.Indiana University School of Dentistry is located on the IUPUI campus near the heart of downtown Indianapolis. IUPUI is one of the outstanding urban universities in the United States with a recognized commitment to community engagement. It capitalizes on the campus' central location in the state and its position in the research corridor that links IUPUI, Purdue University West Lafayette, and Indiana University Bloomington. IUPUI faculty conduct world-class research in the life sciences with opportunities for interdisciplinary collaborations with the other IU Health Science Schools and the Purdue Schools of Engineering & Technology and Science. The School of Dentistry is the only dental school in the Hoosier state and educates 80% of the dentists practicing in Indiana and offers an extraordinary learning environment in which teaching, research and community service are uniquely combined to prepare tomorrow's dental professionals.
Apply Here: http://www.Click2Apply.net/xwdbj5kj2yngtmt2
PI105730967
Nov 20, 2018
Full time
Indiana University School of DentistryNon-Tenure-track Assistant Professor/Director, Community - Based Dental EducationDepartment of Cariology, Operative Dentistry and Dental Public HealthA full-time non-tenure track faculty position at the Assistant Professor level with the administrative role of Director of Community-Based Dental Education is available in the Division of Public Health in the Department of Cariology, Operative Dentistry and Dental Public Health at the Indiana University School of Dentistry. Only candidates with specialty training in public health or a related field and minimum of four years of experience in public health settings are invited to apply.The Department of Cariology, Operative Dentistry and Dental Public Health has had a strong community-based education focus for decades. Our specific strengths are in the areas of civic- engagement, global health, and community-based dental caries prevention programs. We are aiming at enhancing and expanding the focus of these educational programs. Hence, the primary objective for this new faculty member will be to develop robust community-based rotations and programs for our dental students. The expectations of this position include development, implementation and continued oversight of the rotations and programs. An ability to effectively collaborate with oral health care providers working in community settings and local and state public health leaders is of great importance. This faculty will also be involved in didactic and clinical instruction in Dental Public Health at the Pre-Doctoral and Post-Doctoral level.Additional responsibilities will include scholarly activity as well as engagement in university service at the department, school and university levels. Regular travel within the state of Indiana is required.Basic Qualifications: The successful candidate must have a minimum of four years of experience working in public health and advanced graduate education. An MPH, MS, MSD or related degree as well as a certificate of specialty study in public health is strongly preferred. Minimum credentials include a DDS or DMD from a CODA-accredited program or equivalent. Current licensure or eligibility for licensure in the state of Indiana and current experience in the development and implementation of community-based dental education, community/academic partnership's creation, as well as teaching within all areas noted for this position are required.Department Contact for Questions: Dr. E. Angeles Martinez-Mier, esmartin@iu.edu.Review of applicants will begin immediately with an anticipated hire start date of July 1, 2019, or sooner. Interested candidates should review the application requirements and submit supporting documents at: http://indiana.peopleadmin.com/postings/7107. Those supporting documents are:
Signed letter of intent
Complete curriculum
Names of three professional references with contact information. (When requested, submitted reference letters must be provided on letterhead stationary with referee's signature.)
Questions regarding the position or application process can be directed to:Mr. Damon L. SpightSchool of DentistryFaculty Affairs/Office of the Executive Associate Dean1121 W. Michigan Street, DS 102Indianapolis, IN 46202dspight@iu.edu317-274-3070 (O)Indiana University is an equal employment opportunity/equal access/affirmative action employer and a provider of ADA services.Indiana University School of Dentistry is located on the IUPUI campus near the heart of downtown Indianapolis. IUPUI is one of the outstanding urban universities in the United States with a recognized commitment to community engagement. It capitalizes on the campus' central location in the state and its position in the research corridor that links IUPUI, Purdue University West Lafayette, and Indiana University Bloomington. IUPUI faculty conduct world-class research in the life sciences with opportunities for interdisciplinary collaborations with the other IU Health Science Schools and the Purdue Schools of Engineering & Technology and Science. The School of Dentistry is the only dental school in the Hoosier state and educates 80% of the dentists practicing in Indiana and offers an extraordinary learning environment in which teaching, research and community service are uniquely combined to prepare tomorrow's dental professionals.
Apply Here: http://www.Click2Apply.net/xwdbj5kj2yngtmt2
PI105730967
Location: Greensburg, PAJob Id: 147# of Openings: 1*New starting rates based on experienceOpenings: Part Time 1st shift (6:30 am - 3:00 pm)Full and Part Time 2nd shift (2:30 pm - 11 pm)Full and Part Time 3rd shift (10:45 pm - 7:15 am)MISSION STATEMENTSt. Anne Home is a ministry of the Felician Sisters of North America dedicated to the continued healing mission of Jesus Christ by providing a continuum of care and supportive services to adults, their families, and their caregivers.At St. Anne Home, we cherish our residents and value our team, so we staff to acuity and maintain nursing hours per resident per day that are more than 40 percent higher than industry requirements.Responsibilities:* Participates in collection of assessment data to develop a plan of care* Follows the established plan of care and associated procedures and policies* Provide grooming/hygiene for residents as required* Demonstrates skills and knowledge to provide safe, competent nurse aide care* Serve residents' trays according to prescribed diets and collect when finished* Feed residents/assist with meal consumption* Assist residents in walking and/or wheelchair mobility* Perform temperature, respiration and blood pressure, record results and report results to nurse* Report any unusual conditions or reaction to the unit supervisor* Documentation of care given for each resident* Assist residents with dressing as required* Participates in performance improvement activities* Responds appropriately to emergency situationsRequirements:Must have an active PA nurse aide certification in good standing. Must posses the skills and positive attitude necessary for a service oriented industry. Must have the ability to understand and react effectively to the unique needs of the residents that we serve. Engages in physical activities that involve lifting, carrying, pushing, pulling, climbing, stooping, balancing, bending and kneeling to provide patient care in a changing environment. Requires manual and finger dexterity and hand-eye coordination. Requires corrected vision and hearing to normal range. Requires emotional stability to deal with the oriented and disoriented residents and an understanding attitude to accept the extraordinary behaviors of the residents.Benefits: Full and Part time employees include: * Medical (Three Highmark plan options, including a plan that cost $0 for Full Time individual) * Flexible Spending Account * Dental * Vision * Pension, between 6 and 12 % contributed based on age and service, 5 year vesting * Tuition Reimbursement, 90% for Full Time and 50% for Part Time of 6 credits per semester * 7 paid holidays * Short-term disability * Allstate- accident and sickness plans * Credit Union * Incentive Day (earned every 6 months without a call off) * Employee Assistance Program * Employee Picnic, Appreciation Day, Love is Ageless Week, Christmas Party, etc. Full time benefits also include * Vacation * 4 paid sick days per year * Life insuranceEqual Opportunity EmployerPM18PI105716630
Nov 19, 2018
Location: Greensburg, PAJob Id: 147# of Openings: 1*New starting rates based on experienceOpenings: Part Time 1st shift (6:30 am - 3:00 pm)Full and Part Time 2nd shift (2:30 pm - 11 pm)Full and Part Time 3rd shift (10:45 pm - 7:15 am)MISSION STATEMENTSt. Anne Home is a ministry of the Felician Sisters of North America dedicated to the continued healing mission of Jesus Christ by providing a continuum of care and supportive services to adults, their families, and their caregivers.At St. Anne Home, we cherish our residents and value our team, so we staff to acuity and maintain nursing hours per resident per day that are more than 40 percent higher than industry requirements.Responsibilities:* Participates in collection of assessment data to develop a plan of care* Follows the established plan of care and associated procedures and policies* Provide grooming/hygiene for residents as required* Demonstrates skills and knowledge to provide safe, competent nurse aide care* Serve residents' trays according to prescribed diets and collect when finished* Feed residents/assist with meal consumption* Assist residents in walking and/or wheelchair mobility* Perform temperature, respiration and blood pressure, record results and report results to nurse* Report any unusual conditions or reaction to the unit supervisor* Documentation of care given for each resident* Assist residents with dressing as required* Participates in performance improvement activities* Responds appropriately to emergency situationsRequirements:Must have an active PA nurse aide certification in good standing. Must posses the skills and positive attitude necessary for a service oriented industry. Must have the ability to understand and react effectively to the unique needs of the residents that we serve. Engages in physical activities that involve lifting, carrying, pushing, pulling, climbing, stooping, balancing, bending and kneeling to provide patient care in a changing environment. Requires manual and finger dexterity and hand-eye coordination. Requires corrected vision and hearing to normal range. Requires emotional stability to deal with the oriented and disoriented residents and an understanding attitude to accept the extraordinary behaviors of the residents.Benefits: Full and Part time employees include: * Medical (Three Highmark plan options, including a plan that cost $0 for Full Time individual) * Flexible Spending Account * Dental * Vision * Pension, between 6 and 12 % contributed based on age and service, 5 year vesting * Tuition Reimbursement, 90% for Full Time and 50% for Part Time of 6 credits per semester * 7 paid holidays * Short-term disability * Allstate- accident and sickness plans * Credit Union * Incentive Day (earned every 6 months without a call off) * Employee Assistance Program * Employee Picnic, Appreciation Day, Love is Ageless Week, Christmas Party, etc. Full time benefits also include * Vacation * 4 paid sick days per year * Life insuranceEqual Opportunity EmployerPM18PI105716630
Category: AdministrationLocation: Wichita, KansasPosition at Reeds Cove Health & Rehab Job DescriptionAs an Administrative Assistant, you will provide administrative and secretarial support for the company. This position deals with a diverse group of important external callers and visitors as well as internal contacts at all levels of the organization.Day to Day Responsibilities:Meet and greet all visitors, guests, and residents as they enter the community or as they call.Schedules, tracks, and communicates appointments for the office. General Responsibilities:Assists with accounts payable and accounts receivableProcesses payroll and provides hours of labor reportsUpdates employee files as neededFiles and maintains organization of resident filesPosts employment opportunities at the facility to Jobvite, the applicant tracking systemPerforms other duties as required Qualifications:High school diploma or G.E.D.Associates degree or addition college classes are preferredAt least 1 year of work experience as a Receptionists, Secretary or Administrative AssistantMust possess a valid drivers' license and have reliable transportation to run company errands Working Conditions:General office environment within a long-term care, skilled nursing, or assisted living facilityMay require standing and walking for up to 25% of the time.Required to use assistance when attempting to assist, lift, or carry objects over 25 lbs.PI105696245
Nov 18, 2018
Category: AdministrationLocation: Wichita, KansasPosition at Reeds Cove Health & Rehab Job DescriptionAs an Administrative Assistant, you will provide administrative and secretarial support for the company. This position deals with a diverse group of important external callers and visitors as well as internal contacts at all levels of the organization.Day to Day Responsibilities:Meet and greet all visitors, guests, and residents as they enter the community or as they call.Schedules, tracks, and communicates appointments for the office. General Responsibilities:Assists with accounts payable and accounts receivableProcesses payroll and provides hours of labor reportsUpdates employee files as neededFiles and maintains organization of resident filesPosts employment opportunities at the facility to Jobvite, the applicant tracking systemPerforms other duties as required Qualifications:High school diploma or G.E.D.Associates degree or addition college classes are preferredAt least 1 year of work experience as a Receptionists, Secretary or Administrative AssistantMust possess a valid drivers' license and have reliable transportation to run company errands Working Conditions:General office environment within a long-term care, skilled nursing, or assisted living facilityMay require standing and walking for up to 25% of the time.Required to use assistance when attempting to assist, lift, or carry objects over 25 lbs.PI105696245
LocationCA: CypressJob FamilyCustomer ServiceJob BriefWe are currently seeking a dynamic Workforce Management Real Time Analyst to join our team at our office in Woburn, MA.ABOUT THE POSITIONWe are currently seeking a dynamic Workforce Management Real Time Analyst to join our team at our office in Woburn, MA. The Real Time Analyst is responsible for monitoring the effectiveness of the forecast and the execution of the scheduling plan. This is performed real-time, as well as, analyzing and communicating historical trends. The Real Time Analyst must be aware of region goals, trends and past performance in order to determine when to engage backup plans to address anomalies. Deploying backup plans must be done at the appropriate time, not too early and not too late, in order to support both the associate and client experiences.Position Responsibilities: Continuously monitors CMS, IEX, Virtual Hold and related call center tools for incoming channel volume (Inbound, Email and Chat), Clarify Queue Volume and associate real time adherence. Analyze variances in the projected call volume and staffing real time to determine when or if corrective action must be taken. This requires taking action appropriately and timely, not too early and not too late. Identifies, investigates daily outside acceptable thresholds and communicates discrepancies to either the appropriate manager/supervisor or directly with the associate. Maintains and modifies associate schedules once released based on unplanned events or activities. Manage proactive approval and denial of discretionary activities; such as vacations, training, meetings, 1:1 sessions, etc Collects daily unplanned exceptions (call outs, tardy) and administers those updates into the workforce management system. Maintain skill sets within CMS, databases, data sources, etc. to support core activities, and allow accurate and effective schedule production in line with forecasted demand per skill set. Perform agent skill set administration to ensure appropriate staffing levels and workload balance. Monitors productivity metrics and schedules to ensure adequate staffing in coordination with training, meetings, 1:1 sessions, breaks/lunches, etc. Analyze call volume patterns to manage work shifts, lunches and breaks. Maintain communication channels regarding events that impact call volumes. Maintain daily event log of any systemic or operation issues impacting regional performance. Analyze historical performance data to identify trends (associate behavior, call volume, activities, etc.) and provide insightful expertise to regional leadership and centralized Workforce Management team. Develop and distribute relevant reporting to Regional Leadership. Position Requirements: Education: Bachelor's Degree Preferred Relevant Work Experience: 2-4 years of related experience in a call center environment TO APPLYClick below on "Apply for this Position" to create a profile and apply for the positionBeacon Health Options is proud to be an Equal Opportunity and Affirmative Action Employer as well as a Drug Free and Tobacco Free Work Environment. EOE/AA/M/F/Veterans/Disabled #CB #GD PM16AAP Reporting Location:CA - CypressID (Req #):56078FTE Status:Full TimeSchedule:M-FExemptPI105693182
Nov 18, 2018
LocationCA: CypressJob FamilyCustomer ServiceJob BriefWe are currently seeking a dynamic Workforce Management Real Time Analyst to join our team at our office in Woburn, MA.ABOUT THE POSITIONWe are currently seeking a dynamic Workforce Management Real Time Analyst to join our team at our office in Woburn, MA. The Real Time Analyst is responsible for monitoring the effectiveness of the forecast and the execution of the scheduling plan. This is performed real-time, as well as, analyzing and communicating historical trends. The Real Time Analyst must be aware of region goals, trends and past performance in order to determine when to engage backup plans to address anomalies. Deploying backup plans must be done at the appropriate time, not too early and not too late, in order to support both the associate and client experiences.Position Responsibilities: Continuously monitors CMS, IEX, Virtual Hold and related call center tools for incoming channel volume (Inbound, Email and Chat), Clarify Queue Volume and associate real time adherence. Analyze variances in the projected call volume and staffing real time to determine when or if corrective action must be taken. This requires taking action appropriately and timely, not too early and not too late. Identifies, investigates daily outside acceptable thresholds and communicates discrepancies to either the appropriate manager/supervisor or directly with the associate. Maintains and modifies associate schedules once released based on unplanned events or activities. Manage proactive approval and denial of discretionary activities; such as vacations, training, meetings, 1:1 sessions, etc Collects daily unplanned exceptions (call outs, tardy) and administers those updates into the workforce management system. Maintain skill sets within CMS, databases, data sources, etc. to support core activities, and allow accurate and effective schedule production in line with forecasted demand per skill set. Perform agent skill set administration to ensure appropriate staffing levels and workload balance. Monitors productivity metrics and schedules to ensure adequate staffing in coordination with training, meetings, 1:1 sessions, breaks/lunches, etc. Analyze call volume patterns to manage work shifts, lunches and breaks. Maintain communication channels regarding events that impact call volumes. Maintain daily event log of any systemic or operation issues impacting regional performance. Analyze historical performance data to identify trends (associate behavior, call volume, activities, etc.) and provide insightful expertise to regional leadership and centralized Workforce Management team. Develop and distribute relevant reporting to Regional Leadership. Position Requirements: Education: Bachelor's Degree Preferred Relevant Work Experience: 2-4 years of related experience in a call center environment TO APPLYClick below on "Apply for this Position" to create a profile and apply for the positionBeacon Health Options is proud to be an Equal Opportunity and Affirmative Action Employer as well as a Drug Free and Tobacco Free Work Environment. EOE/AA/M/F/Veterans/Disabled #CB #GD PM16AAP Reporting Location:CA - CypressID (Req #):56078FTE Status:Full TimeSchedule:M-FExemptPI105693182
LocationMA: WoburnJob FamilyExecutive / Administrative LevelJob BriefWe are currently seeking a VP Clinical CNS & CRL to join our team! This role will have responsibility for the executive oversight and strategic direction of the 24/7 Central Night service and clinical referral line call center operations.ABOUT THE POSITIONWe are currently seeking a Vice President Clinical CNS & CRL to join our growing team. The VP Clinical CNS & CRL will have responsibility for the executive oversight and strategic direction of the 24/7 Central Night service and clinical referral line call center operations. Through effective leadership, planning, process management, and information analysis, this individual will be responsible to build a customer-focused environment. Expert level Operational and Clinical Management skills coupled with innovation, gaining and retention of knowledge and capabilities deliver ever-improving value to our customers, both internal and external. Position Responsibilities: Ensures that all referral line and central night service calls are serviced within the performance thresholds to meet all contractual requirements. Provides oversight of call center to ensure quality, productivity and telephone standardsare met. Collaborates with Clinical Directors on all clinical related matters. Through effective communication, planning and partnership develop cohesive working relationship with Clinical Directors and Service Center Vice Presidents to maintain the highest clinical standards while meeting client telephone performance and clinical review turnaround time expectations. Ensure through process management, key processes are examined for quality, timeliness, efficient and are cost effective. Leverage telephony, call flows and technology for first call resolution. Ensures operational performance and budgetary targets are effectively monitored and achieved Ensures member inquiries are handled in accordance with performance standards. Manages the daily operations including EAP, MHSA, and overflow, as well as system tracking and performance. Builds and maintains excellent client relationships and partnerships with account services and Service Center VP's supported by CRL and CNS. In joint collaboration with quality management, call center and clinical directors, identifies training needs and co-ordinates training programs Review for medical appropriateness psychiatric/substance abuse cases utilizing professional knowledge to applyBeacon criteria and render certification decisions that are within the scope of practice that is relevant to the clinical areas under review Develop processes that support staff working ondifferent/ multiple systems supporting the business needs of Beacon Involved in and understanding of regulatory and accreditation requirements to support NCQA/URAC accreditation Involved in all implementations as required assuring staffing, training are in place to meet all performance standards Work with finance to develop a thorough underwriting model to support current and new clients Develop allocation metrics to quantify resources needed for each account and service. Develop and implement monthly/quarterly and annual reports for each account and region to demonstrate performance. Performs other activities/tasks as deemed appropriate and dictated by business needs. Position Requirements:Education: A minimum of a Bachelor Level Nursing or Licensed PhD, LCSW, LCSW/LMSW with experience in behavioral health/substance abuse.Licenses: Current, valid and unrestricted license in a State or territory of the United States in a mental health field (RN, Ph.D., LCSW/LMSW, MHC, LPC, etc.).Relevant Work Experience: 5-7 years management experience in a healthcare managed care setting, Min of 3-5 years, call center environment (24/7 environment highly preferred). Additionally, at least five (5) years of experience in psychiatric or substance abuse treatment setting that included inpatient, partial, and /or outpatient care is required. Management experience in an organization serving publicly funded clients preferred.Knowledge, Skills & Abilities: Strong leadership/team building ability required. Computer literate, experience with management information systems Strong customer service orientation, organizational skills, and time management skills needed. Strong management skills covering a 24/7 Call Center Environment Experience with managing and leveraging telephony systems and call flows to achieve optimal performance Experience and knowledge of EAP service delivery TO APPLYClick below on "Apply for this Position" to create a profile and apply for the positionBeacon Health Options is proud to be an Equal Opportunity and Affirmative Action Employer as well as a Drug Free and Tobacco Free Work Environment. EOE/AA/M/F/Veterans/Disabled$REM#CB#GDPM16#LI-BH1AAP Reporting Location:MA - WoburnID (Req #):56118FTE Status:Full TimeSchedule:8:30 am - 5 pmExemptPI105693180
Nov 18, 2018
LocationMA: WoburnJob FamilyExecutive / Administrative LevelJob BriefWe are currently seeking a VP Clinical CNS & CRL to join our team! This role will have responsibility for the executive oversight and strategic direction of the 24/7 Central Night service and clinical referral line call center operations.ABOUT THE POSITIONWe are currently seeking a Vice President Clinical CNS & CRL to join our growing team. The VP Clinical CNS & CRL will have responsibility for the executive oversight and strategic direction of the 24/7 Central Night service and clinical referral line call center operations. Through effective leadership, planning, process management, and information analysis, this individual will be responsible to build a customer-focused environment. Expert level Operational and Clinical Management skills coupled with innovation, gaining and retention of knowledge and capabilities deliver ever-improving value to our customers, both internal and external. Position Responsibilities: Ensures that all referral line and central night service calls are serviced within the performance thresholds to meet all contractual requirements. Provides oversight of call center to ensure quality, productivity and telephone standardsare met. Collaborates with Clinical Directors on all clinical related matters. Through effective communication, planning and partnership develop cohesive working relationship with Clinical Directors and Service Center Vice Presidents to maintain the highest clinical standards while meeting client telephone performance and clinical review turnaround time expectations. Ensure through process management, key processes are examined for quality, timeliness, efficient and are cost effective. Leverage telephony, call flows and technology for first call resolution. Ensures operational performance and budgetary targets are effectively monitored and achieved Ensures member inquiries are handled in accordance with performance standards. Manages the daily operations including EAP, MHSA, and overflow, as well as system tracking and performance. Builds and maintains excellent client relationships and partnerships with account services and Service Center VP's supported by CRL and CNS. In joint collaboration with quality management, call center and clinical directors, identifies training needs and co-ordinates training programs Review for medical appropriateness psychiatric/substance abuse cases utilizing professional knowledge to applyBeacon criteria and render certification decisions that are within the scope of practice that is relevant to the clinical areas under review Develop processes that support staff working ondifferent/ multiple systems supporting the business needs of Beacon Involved in and understanding of regulatory and accreditation requirements to support NCQA/URAC accreditation Involved in all implementations as required assuring staffing, training are in place to meet all performance standards Work with finance to develop a thorough underwriting model to support current and new clients Develop allocation metrics to quantify resources needed for each account and service. Develop and implement monthly/quarterly and annual reports for each account and region to demonstrate performance. Performs other activities/tasks as deemed appropriate and dictated by business needs. Position Requirements:Education: A minimum of a Bachelor Level Nursing or Licensed PhD, LCSW, LCSW/LMSW with experience in behavioral health/substance abuse.Licenses: Current, valid and unrestricted license in a State or territory of the United States in a mental health field (RN, Ph.D., LCSW/LMSW, MHC, LPC, etc.).Relevant Work Experience: 5-7 years management experience in a healthcare managed care setting, Min of 3-5 years, call center environment (24/7 environment highly preferred). Additionally, at least five (5) years of experience in psychiatric or substance abuse treatment setting that included inpatient, partial, and /or outpatient care is required. Management experience in an organization serving publicly funded clients preferred.Knowledge, Skills & Abilities: Strong leadership/team building ability required. Computer literate, experience with management information systems Strong customer service orientation, organizational skills, and time management skills needed. Strong management skills covering a 24/7 Call Center Environment Experience with managing and leveraging telephony systems and call flows to achieve optimal performance Experience and knowledge of EAP service delivery TO APPLYClick below on "Apply for this Position" to create a profile and apply for the positionBeacon Health Options is proud to be an Equal Opportunity and Affirmative Action Employer as well as a Drug Free and Tobacco Free Work Environment. EOE/AA/M/F/Veterans/Disabled$REM#CB#GDPM16#LI-BH1AAP Reporting Location:MA - WoburnID (Req #):56118FTE Status:Full TimeSchedule:8:30 am - 5 pmExemptPI105693180
LocationCA: CypressJob FamilyClinical, UnlicensedJob BriefWe are currently seeking a dynamic UM Clinical Services Care Coordinator to join our team in Cypress, CA! The Clinical Services Care Coordinator will be responsible for being the front line interface to Members and Providers.About The PositionWe are currently seeking a dynamic UM Clinical Services Care Coordinator to join our team in Cypress, CA! The Clinical Services Care Coordinator will be responsible for being the front line interface to Members and Providers who seek information about behavioral health benefits.Position Responsibilities: Responds to questions about eligibility, benefits and procedures for accessing behavioral health services. Verifies member benefits and eligibility through health plan computer access, phone, and e-mail. Educates callers about Beacon services and their mental health benefits. Obtains urgent, routine with assistance appointments within established time frame guidelines. Verifies that member attends urgent scheduled appointment and reports outcome back to Case Manager. Position Requirements: Education: High school diploma or GED required, Bachelor's Degree preferred Relevant Work Experience: 2-3 years' experience in an administrative support, customer service or similar position and /or skill set required Knowledge, Skills & Abilities: Ability to maintain privacy and confidentiality in compliance with HIPAA regulations and policies Knowledge of appropriate and professional email correspondence etiquette Skill in establishing and maintaining positive work relationships with staff at all levels To ApplyClick below on "Apply for this Position" to create a profile and apply for the positionBeacon Health Options is proud to be an Equal Opportunity and Affirmative Action Employer as well as a Drug Free and Tobacco Free Work Environment. EOE/AA/M/F/Veterans/DisabledPM16#CB#GDAAP Reporting Location:CA - CypressID (Req #):56132FTE Status:Full TimeSchedule:M - F 8:30am - 5:00pm (with some flexibility)Non-ExemptPI105693177
Nov 18, 2018
LocationCA: CypressJob FamilyClinical, UnlicensedJob BriefWe are currently seeking a dynamic UM Clinical Services Care Coordinator to join our team in Cypress, CA! The Clinical Services Care Coordinator will be responsible for being the front line interface to Members and Providers.About The PositionWe are currently seeking a dynamic UM Clinical Services Care Coordinator to join our team in Cypress, CA! The Clinical Services Care Coordinator will be responsible for being the front line interface to Members and Providers who seek information about behavioral health benefits.Position Responsibilities: Responds to questions about eligibility, benefits and procedures for accessing behavioral health services. Verifies member benefits and eligibility through health plan computer access, phone, and e-mail. Educates callers about Beacon services and their mental health benefits. Obtains urgent, routine with assistance appointments within established time frame guidelines. Verifies that member attends urgent scheduled appointment and reports outcome back to Case Manager. Position Requirements: Education: High school diploma or GED required, Bachelor's Degree preferred Relevant Work Experience: 2-3 years' experience in an administrative support, customer service or similar position and /or skill set required Knowledge, Skills & Abilities: Ability to maintain privacy and confidentiality in compliance with HIPAA regulations and policies Knowledge of appropriate and professional email correspondence etiquette Skill in establishing and maintaining positive work relationships with staff at all levels To ApplyClick below on "Apply for this Position" to create a profile and apply for the positionBeacon Health Options is proud to be an Equal Opportunity and Affirmative Action Employer as well as a Drug Free and Tobacco Free Work Environment. EOE/AA/M/F/Veterans/DisabledPM16#CB#GDAAP Reporting Location:CA - CypressID (Req #):56132FTE Status:Full TimeSchedule:M - F 8:30am - 5:00pm (with some flexibility)Non-ExemptPI105693177
LocationNY: LathamJob FamilyClinical, UnlicensedJob BriefWe are currently seeking a dynamic Clinical Forecast & Planning Analyst to join our team in Latham, NY! The Workforce Analyst is responsible for analysis related to the planning and management of contingent labor resources.About the Position:We are currently seeking a dynamic Clinical Forecast & Planning Analyst to join our team in Latham, NY! The Workforce Analyst is responsible for analysis related to the planning and management of contingent labor resources such as planning, forecasting, modeled staffing, un-modeled staffing, volume projections and financial planning for the enterprise. This position works closely with the business Leadership and the Site Resource Management team to develop qualitative and quantitative analysis of various strategic business initiatives.Position Responsibilities: Analyzes contact center trends and data from various sources to help answer questions related to workforce staffing needs and efficiencies for phone and/or non-phone channels (offline, chat, email, etc.) Communicates data insights and makes recommendations through presentations and spreadsheets in a clear and concise manner Prepares reports for business leaders based on analysis such as yearly, monthly, daily and intraday call volume, average handle time, staffing forecasts Recommends or instructs teams on changes that need to occur based on analysis Partners with internal and/or vendor teams to align skilling and staffing support contact volume needs as needed Gathers and tracks historical data at the business, site and/or network level such as absenteeism, attrition, management investment, call volume, productivity, service level performance and staffing adherence Communicates with business leaders and site management on workforce data findings in order to derive solutions that meet the needs of the business Provides proactive, solutions-oriented support for the Call Center management and Workforce Management teams and continuous improvement of workforce processes, policies and procedures Ensures sufficient time is planned to support the business needs through training, individual representative development, and team meetings Advises and leads the business in determining workforce needs and business decisions such as hours of operation, volume reallocation, vendor shortfalls at the remote sites based on forecasts and analysis Provides workforce management details surrounding roll-out of projects, plans and initiatives that affect the business and may audit certain workforce processes Benchmarks other call centers to ensure we are utilizing current technology and the best methodology for forecasting staffing needs Performs special projects and other duties as assigned and required. Position Requirements: Education: Bachelor's Degree required Relevant Work Experience: 1-2 years of related experience required To Apply:Click below on "Apply for this Position" to create a profile and apply for the positionBeacon Health Options is proud to be an Equal Opportunity and Affirmative Action Employer as well as a Drug Free and Tobacco Free Work Environment. EOE/AA/M/F/Veterans/Disabled#CB#GDPM16AAP Reporting Location:NY - LathamID (Req #):56126FTE Status:Full TimeSchedule:40 hours per weekExemptPI105693179
Nov 18, 2018
LocationNY: LathamJob FamilyClinical, UnlicensedJob BriefWe are currently seeking a dynamic Clinical Forecast & Planning Analyst to join our team in Latham, NY! The Workforce Analyst is responsible for analysis related to the planning and management of contingent labor resources.About the Position:We are currently seeking a dynamic Clinical Forecast & Planning Analyst to join our team in Latham, NY! The Workforce Analyst is responsible for analysis related to the planning and management of contingent labor resources such as planning, forecasting, modeled staffing, un-modeled staffing, volume projections and financial planning for the enterprise. This position works closely with the business Leadership and the Site Resource Management team to develop qualitative and quantitative analysis of various strategic business initiatives.Position Responsibilities: Analyzes contact center trends and data from various sources to help answer questions related to workforce staffing needs and efficiencies for phone and/or non-phone channels (offline, chat, email, etc.) Communicates data insights and makes recommendations through presentations and spreadsheets in a clear and concise manner Prepares reports for business leaders based on analysis such as yearly, monthly, daily and intraday call volume, average handle time, staffing forecasts Recommends or instructs teams on changes that need to occur based on analysis Partners with internal and/or vendor teams to align skilling and staffing support contact volume needs as needed Gathers and tracks historical data at the business, site and/or network level such as absenteeism, attrition, management investment, call volume, productivity, service level performance and staffing adherence Communicates with business leaders and site management on workforce data findings in order to derive solutions that meet the needs of the business Provides proactive, solutions-oriented support for the Call Center management and Workforce Management teams and continuous improvement of workforce processes, policies and procedures Ensures sufficient time is planned to support the business needs through training, individual representative development, and team meetings Advises and leads the business in determining workforce needs and business decisions such as hours of operation, volume reallocation, vendor shortfalls at the remote sites based on forecasts and analysis Provides workforce management details surrounding roll-out of projects, plans and initiatives that affect the business and may audit certain workforce processes Benchmarks other call centers to ensure we are utilizing current technology and the best methodology for forecasting staffing needs Performs special projects and other duties as assigned and required. Position Requirements: Education: Bachelor's Degree required Relevant Work Experience: 1-2 years of related experience required To Apply:Click below on "Apply for this Position" to create a profile and apply for the positionBeacon Health Options is proud to be an Equal Opportunity and Affirmative Action Employer as well as a Drug Free and Tobacco Free Work Environment. EOE/AA/M/F/Veterans/Disabled#CB#GDPM16AAP Reporting Location:NY - LathamID (Req #):56126FTE Status:Full TimeSchedule:40 hours per weekExemptPI105693179
LocationMA: BostonJob FamilyClinical, LicensedJob BriefWe are currently seeking a dynamic per-diem UM Care Manager to work on our Access Line on our Utilization Management team on the evening and weekend shift!About the Position:We are currently seeking a dynamic per-diem UM Care Manager to work on our Access Line on our Utilization Management team on the evening and weekend shift! The UM Access Line Care Manager works with providers and treatment teams to review and assess appropriate levels of care, and ensure members are receiving care that appropriately meets their clinical criteria and the members' needs.*This is a per-diem remote / work at home position for applicants licensed in the state of Massachusetts on the evening & weekend shift*Position Responsibilities: Make clinical decisions related to assessment, referral, coordination of care, and appropriateness of care for members seeking access to their benefits for Mental Health or Substance Abuse services for all levels of care covered by contracts Meet departmental standards related to clinical documentation, clinical policies and procedures, accreditation and regulatory standards and contract compliance Actively participate in clinical rounds/case review process, and seeks consultation with the Clinical Director and Medical Director As necessary, provide clinical oversight and consultation for non-clinical, unlicensed staff members Actively participate in designated processes for managing the care of high-risk members Position Requirements: Education: Master's degree in social work, psychology, mental health, nursing, or other related field required Licensure: Current, valid, unrestricted clinical license in Massachusetts (incl. LMHC, LICSW, LMFT, RN, PhD.) required in the state of Massachusetts Relevant Work Experience: 1 year post-licensure clinical experience providing direct care required Knowledge, Skills & Abilities: Critical thinking skills and ability to work independently Computer and typing skills necessary Must be able to work one weekend shift per month Potential work from home opportunity after in office training To Apply:Click below on "Apply for this Position" to create a profile and apply for the positionBeacon Health Options is proud to be an Equal Opportunity and Affirmative Action Employer as well as a Drug Free and Tobacco Free Work Environment. EOE/AA/M/F/Veterans/DisabledPM16#CB#GDAAP Reporting Location:MA - Boston (Corporate)ID (Req #):56162FTE Status:FlexSchedule:per diemExemptPI105693175
Nov 18, 2018
LocationMA: BostonJob FamilyClinical, LicensedJob BriefWe are currently seeking a dynamic per-diem UM Care Manager to work on our Access Line on our Utilization Management team on the evening and weekend shift!About the Position:We are currently seeking a dynamic per-diem UM Care Manager to work on our Access Line on our Utilization Management team on the evening and weekend shift! The UM Access Line Care Manager works with providers and treatment teams to review and assess appropriate levels of care, and ensure members are receiving care that appropriately meets their clinical criteria and the members' needs.*This is a per-diem remote / work at home position for applicants licensed in the state of Massachusetts on the evening & weekend shift*Position Responsibilities: Make clinical decisions related to assessment, referral, coordination of care, and appropriateness of care for members seeking access to their benefits for Mental Health or Substance Abuse services for all levels of care covered by contracts Meet departmental standards related to clinical documentation, clinical policies and procedures, accreditation and regulatory standards and contract compliance Actively participate in clinical rounds/case review process, and seeks consultation with the Clinical Director and Medical Director As necessary, provide clinical oversight and consultation for non-clinical, unlicensed staff members Actively participate in designated processes for managing the care of high-risk members Position Requirements: Education: Master's degree in social work, psychology, mental health, nursing, or other related field required Licensure: Current, valid, unrestricted clinical license in Massachusetts (incl. LMHC, LICSW, LMFT, RN, PhD.) required in the state of Massachusetts Relevant Work Experience: 1 year post-licensure clinical experience providing direct care required Knowledge, Skills & Abilities: Critical thinking skills and ability to work independently Computer and typing skills necessary Must be able to work one weekend shift per month Potential work from home opportunity after in office training To Apply:Click below on "Apply for this Position" to create a profile and apply for the positionBeacon Health Options is proud to be an Equal Opportunity and Affirmative Action Employer as well as a Drug Free and Tobacco Free Work Environment. EOE/AA/M/F/Veterans/DisabledPM16#CB#GDAAP Reporting Location:MA - Boston (Corporate)ID (Req #):56162FTE Status:FlexSchedule:per diemExemptPI105693175
LocationMA: WoburnJob FamilyCustomer ServiceJob BriefWe are currently seeking a dynamic Customer Service Supervisor to join our team at our office in Woburn, MA!About the Position:We are currently seeking a dynamic Customer Service Supervisor to join our team at our office in Woburn, MA! The Supervisor is responsible for the daily activities and supervision of a team of customer service employees. The Supervisor is responsible for the quality, efficiency, and effectiveness of own team, identifying and resolving issues, and partnering with call center leadership team to ensure overall objectives are being met. The Supervisor will be responsible for staffing, training, managing resource allocations, resolving escalated issues, counseling/disciplining, providing coaching and feedback, managing daily workload, gathering data and reporting results to management.Position Responsibilities: Oversee a team and daily operations in the Call Center, managing real time work volumes and providing assistance to customers/members, clients and staff. Meet with direct reports for performance review, professional development and initiate corrective action as needed Perform annual staff reviews and establish individual/team goals for development Motivate employees to reach department goals and objectives Train and assist staff to handle work volume and issues in accordance with company policies Assist with daily scheduling for call volumes and adherence to overall service level agreements Monitor and evaluate staff call performance to assure quality service and customer satisfaction Identify trends and escalate issues in a timely manner Maintain attendance records, prepare payroll input and monitor staff's adherence to schedule Oversee and respond to customer issues/incidents that impact company initiatives Participate in handling incoming and outbound call needs to meet department/client goals Act as a liaison between staff, management and other functional departments for consistent improvement of functions Position Requirements: Education: Bachelor's degree 2 years call center or customer service experience required Supervisory, coaching, mentoring experience preferred Proficient in Microsoft office products such as Word, Excel, PowerPoint, Outlook Strong written and verbal communication skills Strong analytical and organizational skills Ability to work in a team environment, presenting a professional image Ability to multi-task and be flexible Excellent Interpersonal skills To Apply:Click below on "Apply for this Position" to create a profile and apply for the position. Beacon Health Options is proud to be an Equal Opportunity and Affirmative Action Employer as well as a Drug Free and Tobacco Free Work Environment. EOE/AA/M/F/Veterans/Disabled #CB #GD PM16AAP Reporting Location:MA - WoburnID (Req #):56038FTE Status:Full TimeSchedule:M-FExemptPI105693173
Nov 18, 2018
LocationMA: WoburnJob FamilyCustomer ServiceJob BriefWe are currently seeking a dynamic Customer Service Supervisor to join our team at our office in Woburn, MA!About the Position:We are currently seeking a dynamic Customer Service Supervisor to join our team at our office in Woburn, MA! The Supervisor is responsible for the daily activities and supervision of a team of customer service employees. The Supervisor is responsible for the quality, efficiency, and effectiveness of own team, identifying and resolving issues, and partnering with call center leadership team to ensure overall objectives are being met. The Supervisor will be responsible for staffing, training, managing resource allocations, resolving escalated issues, counseling/disciplining, providing coaching and feedback, managing daily workload, gathering data and reporting results to management.Position Responsibilities: Oversee a team and daily operations in the Call Center, managing real time work volumes and providing assistance to customers/members, clients and staff. Meet with direct reports for performance review, professional development and initiate corrective action as needed Perform annual staff reviews and establish individual/team goals for development Motivate employees to reach department goals and objectives Train and assist staff to handle work volume and issues in accordance with company policies Assist with daily scheduling for call volumes and adherence to overall service level agreements Monitor and evaluate staff call performance to assure quality service and customer satisfaction Identify trends and escalate issues in a timely manner Maintain attendance records, prepare payroll input and monitor staff's adherence to schedule Oversee and respond to customer issues/incidents that impact company initiatives Participate in handling incoming and outbound call needs to meet department/client goals Act as a liaison between staff, management and other functional departments for consistent improvement of functions Position Requirements: Education: Bachelor's degree 2 years call center or customer service experience required Supervisory, coaching, mentoring experience preferred Proficient in Microsoft office products such as Word, Excel, PowerPoint, Outlook Strong written and verbal communication skills Strong analytical and organizational skills Ability to work in a team environment, presenting a professional image Ability to multi-task and be flexible Excellent Interpersonal skills To Apply:Click below on "Apply for this Position" to create a profile and apply for the position. Beacon Health Options is proud to be an Equal Opportunity and Affirmative Action Employer as well as a Drug Free and Tobacco Free Work Environment. EOE/AA/M/F/Veterans/Disabled #CB #GD PM16AAP Reporting Location:MA - WoburnID (Req #):56038FTE Status:Full TimeSchedule:M-FExemptPI105693173
LocationCO: Colorado SpringsJob FamilyNetwork Contracting/Provider RelationsJob Briefresponsible for recruitment, contracting and credentialing, provider education and outreach as well as on-going quality monitoring.ABOUT THE POSITIONWe are currently seeking a dynamic Provider Relations Manager II to join our team at our office in Colorado Springs, Colorado. The Provider Relations Manager II will be primarily responsible for recruitment, contracting and credentialing, provider education and outreach as well as on-going quality monitoring. Position Responsibilities: Recruits new practitioners (i.e., individual, group) and hospital based practitioners to join the provider network. Identifies potential practitioners through independent research, network inclusion requests or attendance at professional gatherings. Performs preliminary screening and office visits as required by required by contract or other performance standard. Assists to nominate providers interested in joining the network. Facilitates provider understanding of contract terms and provider requirements. Performs provider and facility outreach to manage the ongoing relationship and is the critical interface link with regional and corporate provider relations and network operations staff in the seamless delivery of services to providers. Assists in the development and implementation of policies and procedures, internal workflows and other tools for staff training and compliance. Coordinates all aspects of provider trainings to meet network needs and/or state requirements. Trainings may be conducted in various in-person, web-based and pre-recorded training platforms to small and large audiences. Collaborates with other internal departments (e.g. clinical, claims, quality) to identify, develop and deliver the accurate training content Position Requirements:Education: Bachelor Degree in relevant discipline (e.g., business, marketing, communications, health sciences, behavioral health, social work, public health, etc.) or equivalent experience commensurate with job responsibilities+Licensure: N/ATravel: Ability to travel local and distant provider offices in assigned region by various means.Relevant Work Experience: At least five years of experience in provider relations, preferably with a managed health care organization or government/regulatory entity. A Managed care background (e.g. HMO, Insurance Company, Medicaid MCO or Medicare Advantage Plan) in provider relations, contracting and/or provider network development is highly desirable. Knowledge of primary care and medical home standards will take precedence. Must possess three-years supervisory experience for those positions requiring management of subordinate staff. Knowledge, Skills & Abilities: Individual must be a self-starter, with strong organizational skills Must be able to communicate effectively with peers as well as members of the national executive and senior leadership team. Individual must possess poise to manage multiple competing priorities across the Corporate matrix leadership team in accordance with set deliverable timeframes. TO APPLYClick below on "Apply for this Position" to create a profile and apply for the positionBeacon Health Options is proud to be an Equal Opportunity and Affirmative Action Employer as well as a Drug Free and Tobacco Free Work Environment.EOE/AA/M/F/Veterans/Disabled$NFD#CBPM16#GDAAP Reporting Location:CO - Colorado SpringsID (Req #):56221FTE Status:Full TimeSchedule:Monday-Friday 8:30 am - 5:00pmExemptPI105693170
Nov 18, 2018
LocationCO: Colorado SpringsJob FamilyNetwork Contracting/Provider RelationsJob Briefresponsible for recruitment, contracting and credentialing, provider education and outreach as well as on-going quality monitoring.ABOUT THE POSITIONWe are currently seeking a dynamic Provider Relations Manager II to join our team at our office in Colorado Springs, Colorado. The Provider Relations Manager II will be primarily responsible for recruitment, contracting and credentialing, provider education and outreach as well as on-going quality monitoring. Position Responsibilities: Recruits new practitioners (i.e., individual, group) and hospital based practitioners to join the provider network. Identifies potential practitioners through independent research, network inclusion requests or attendance at professional gatherings. Performs preliminary screening and office visits as required by required by contract or other performance standard. Assists to nominate providers interested in joining the network. Facilitates provider understanding of contract terms and provider requirements. Performs provider and facility outreach to manage the ongoing relationship and is the critical interface link with regional and corporate provider relations and network operations staff in the seamless delivery of services to providers. Assists in the development and implementation of policies and procedures, internal workflows and other tools for staff training and compliance. Coordinates all aspects of provider trainings to meet network needs and/or state requirements. Trainings may be conducted in various in-person, web-based and pre-recorded training platforms to small and large audiences. Collaborates with other internal departments (e.g. clinical, claims, quality) to identify, develop and deliver the accurate training content Position Requirements:Education: Bachelor Degree in relevant discipline (e.g., business, marketing, communications, health sciences, behavioral health, social work, public health, etc.) or equivalent experience commensurate with job responsibilities+Licensure: N/ATravel: Ability to travel local and distant provider offices in assigned region by various means.Relevant Work Experience: At least five years of experience in provider relations, preferably with a managed health care organization or government/regulatory entity. A Managed care background (e.g. HMO, Insurance Company, Medicaid MCO or Medicare Advantage Plan) in provider relations, contracting and/or provider network development is highly desirable. Knowledge of primary care and medical home standards will take precedence. Must possess three-years supervisory experience for those positions requiring management of subordinate staff. Knowledge, Skills & Abilities: Individual must be a self-starter, with strong organizational skills Must be able to communicate effectively with peers as well as members of the national executive and senior leadership team. Individual must possess poise to manage multiple competing priorities across the Corporate matrix leadership team in accordance with set deliverable timeframes. TO APPLYClick below on "Apply for this Position" to create a profile and apply for the positionBeacon Health Options is proud to be an Equal Opportunity and Affirmative Action Employer as well as a Drug Free and Tobacco Free Work Environment.EOE/AA/M/F/Veterans/Disabled$NFD#CBPM16#GDAAP Reporting Location:CO - Colorado SpringsID (Req #):56221FTE Status:Full TimeSchedule:Monday-Friday 8:30 am - 5:00pmExemptPI105693170
LocationAR: Little RockJob FamilyNetwork Contracting/Provider RelationsJob Briefresponsible for are strategically orienting professionals who help lead the next generation of provider engagement, with a focus on leveraging the data available to providers, helping to improve the value delivered to Beacon membersABOUT THE POSITIONWe are currently seeking a dynamic Provider Quality Manager to join our team at our office in Little Rock, AR. The Provider Quality Manager will be responsible strategically orienting professionals who help lead the next generation of provider engagement, with a focus on leveraging the data available to providers, helping to improve the value delivered to Beacon members. PQMs achieve this by building highly collaborative strategic partnerships and bringing an analytic mindset to discussions with providers. PQMs drive provider performance improvement year-over-year through education and data. PQM performance is assessed not only on the ability to establish relationships and engage providers, but by evidence of measurable improvements in clinical and quality outcomes for Beacon Members. Data trends to be measured for improvement include (but are not limited to): FUH, IET and other HEDIS outcomes Cost metrics Trends in length of stay Readmission Rates Community Tenure Access to medically necessary care Successful transitions of care Quality outcomes Other utilization patterns and trends Building relationships with internal Beacon teams will be necessary to be successful in this role, in particular coordinating closely with clinical and quality departments, to ensure high quality care to members, and achievement of company HEDIS performance, as applicable to the regionalPosition Responsibilities: Implement regionally based strategies that meet clinical, quality, and network improvement goals through positive working relationships with providers, state agencies, advocacy groups and other market stakeholders. Interface with a strategic subset of Beacon's network of behavioral health providers.Meetings with providers are face to face, telephonic and via Web-Ex.General parameters for type and frequency of meetings are determined by the Regional Provider Quality Lead in collaboration with other Regional and National leaders.Type and frequency of meetings for specific providers are determined on a case by case basis. Liaison for Beacon clinical, quality, Provider Strategy, and network departments to ensure interdepartmental collaboration and coordination of goals and priorities. Support regional and corporate initiatives regarding Alternative Payment Models (APM), including Value Based Payment (VBP), clinical innovation, and thought leadership transforming provider relationships from transactional interactions to collaborative aggregate data assessment. Liaison between strategic providers and Beacon Operations, Claims and Provider Relations departments to support linkages for issue resolution, helping to improve provider experience and overall satisfaction with Beacon. Ensure, and create as necessary and as applicable depending on the regional market, linkages between providers of all levels of care, as well as other community based services and resources to improve transitions of care and continuity of services. Partner with network providers and Beacon stakeholders to operationalize innovative programs and strategies to improve clinical and quality outcomes. Analyze strategic provider reports pertaining to cost, utilization, and outcomes, and prepare this data to share with providers.Lead analysis of data sets that identify data outliers and opportunities for improvement for individual providers. Present data strategically, detailing patterns and trends in provider performance over time.Highlight key areas of focus, including interpretation of provider utilization data that show patterns.Ensure that data is kept meaningful to providers. Share data to help educate strategic providers about Beacon's mission and vision, with a focus on driving high levels of value for Beacon members and delivering on performance on behalf of Beacon's clients. Identify high-performing and innovative providers who may be interested in new programmatic or payment models.Gather information on program structure, function efficacy and outcomes to share with Beacon colleagues.Work with those providers to implement the new concepts.Communicate and collaborate with regional leadership to support provider activities consistent with Beacon's provider strategy and deliver progress to internal and external stakeholders.Collaborate with regional leadership and network teams to identify providers who are best suited for APMs, preferred provider networks, and/or other aggregate data management programs.Help identify opportunities with regional and corporate leadership for expansion and development of innovative pilot programs, to include program development, implementation, launch, and efficacy and outcomes measurements.Provider innovations should reflect Beacon's thought leadership. Contribute to the identification of best practices across the entire group of PQMs nationally and integrate high-quality program ideas/designs into the local market to drive high levels of value. Provide consultation for clinically complex members. Surface clinical and quality issues to Beacon's regional clinical and quality teams and participate in helping to address concerns. Work with Beacon clinical teams to be knowledgeable regarding Beacon UM and care management programs and services, to be able to answer or appropriately triage provider questions. Conduct medical record reviews annually or as needed with network providers across all service levels. Assist with provider orientations and provider training events in the region; trainings and orientations will be led by Beacon's network operations team. Closely collaborate with Beacon's network operations team to ensure a fluid bi-directional sharing of information. Reliable transportation and ability to travel within local market on a regular basis is required. Other duties and projects as assigned and specified by supervisor in line with Department and company needs. 60% travelBeacon anticipates the Provider Quality Manager will spend time each week in four main ways: Strategic Provider outreach and meetings (2 - 3 days/week) Analyze provider data to determine utilization and outcomes outliers, including root cause analysis for outliers and utilization patterns (1 day/week) Developing strategy for specific provider engagement activities to be executed (1 day/week) PowerPoint report generation to prepare for on-site provider outreach meetings (1/2 - 1 day/week) Support linkage for Provider-specific problem resolution and navigation of Beacon by connecting providers to the appropriate Beacon staff (1/2- 1 day/week) Position Requirements:Education: Master's Degree or above in Behavioral Health.Licenses: Current, valid, independent and unrestricted license (RN, LCSW, LMFT, LPC, or Licensed Psychologist). Valid driver's license, safe driving record, reliable transportation/accessibility to a vehicle.Years and Type of Relevant Work Experience:Requires at least 10 years of progressively responsible professional experience in healthcare, with at least five (5) of those years in behavioral health. Knowledge of managed care, analytics, performance improvement and clinical skill preferred. Strong execution and follow-up skills, analytic skills, organization, and ability to multi-task are key. 5-7 years of experience in behavioral health setting, either provider or payer, required.TO APPLYClick below on "Apply for this Position" to create a profile and apply for the positionBeacon Health Strategies, LLC., a Beacon Health Options company, is proud to be an Equal Opportunity Employer as well as a Drug Free Work Environment.$NFD#CBPM16#GDAAP Reporting Location:AR - Little RockID (Req #):56276FTE Status:Full TimeSchedule:Monday-Friday 8:30 am - 5:00pmExemptPI105693169
Nov 18, 2018
LocationAR: Little RockJob FamilyNetwork Contracting/Provider RelationsJob Briefresponsible for are strategically orienting professionals who help lead the next generation of provider engagement, with a focus on leveraging the data available to providers, helping to improve the value delivered to Beacon membersABOUT THE POSITIONWe are currently seeking a dynamic Provider Quality Manager to join our team at our office in Little Rock, AR. The Provider Quality Manager will be responsible strategically orienting professionals who help lead the next generation of provider engagement, with a focus on leveraging the data available to providers, helping to improve the value delivered to Beacon members. PQMs achieve this by building highly collaborative strategic partnerships and bringing an analytic mindset to discussions with providers. PQMs drive provider performance improvement year-over-year through education and data. PQM performance is assessed not only on the ability to establish relationships and engage providers, but by evidence of measurable improvements in clinical and quality outcomes for Beacon Members. Data trends to be measured for improvement include (but are not limited to): FUH, IET and other HEDIS outcomes Cost metrics Trends in length of stay Readmission Rates Community Tenure Access to medically necessary care Successful transitions of care Quality outcomes Other utilization patterns and trends Building relationships with internal Beacon teams will be necessary to be successful in this role, in particular coordinating closely with clinical and quality departments, to ensure high quality care to members, and achievement of company HEDIS performance, as applicable to the regionalPosition Responsibilities: Implement regionally based strategies that meet clinical, quality, and network improvement goals through positive working relationships with providers, state agencies, advocacy groups and other market stakeholders. Interface with a strategic subset of Beacon's network of behavioral health providers.Meetings with providers are face to face, telephonic and via Web-Ex.General parameters for type and frequency of meetings are determined by the Regional Provider Quality Lead in collaboration with other Regional and National leaders.Type and frequency of meetings for specific providers are determined on a case by case basis. Liaison for Beacon clinical, quality, Provider Strategy, and network departments to ensure interdepartmental collaboration and coordination of goals and priorities. Support regional and corporate initiatives regarding Alternative Payment Models (APM), including Value Based Payment (VBP), clinical innovation, and thought leadership transforming provider relationships from transactional interactions to collaborative aggregate data assessment. Liaison between strategic providers and Beacon Operations, Claims and Provider Relations departments to support linkages for issue resolution, helping to improve provider experience and overall satisfaction with Beacon. Ensure, and create as necessary and as applicable depending on the regional market, linkages between providers of all levels of care, as well as other community based services and resources to improve transitions of care and continuity of services. Partner with network providers and Beacon stakeholders to operationalize innovative programs and strategies to improve clinical and quality outcomes. Analyze strategic provider reports pertaining to cost, utilization, and outcomes, and prepare this data to share with providers.Lead analysis of data sets that identify data outliers and opportunities for improvement for individual providers. Present data strategically, detailing patterns and trends in provider performance over time.Highlight key areas of focus, including interpretation of provider utilization data that show patterns.Ensure that data is kept meaningful to providers. Share data to help educate strategic providers about Beacon's mission and vision, with a focus on driving high levels of value for Beacon members and delivering on performance on behalf of Beacon's clients. Identify high-performing and innovative providers who may be interested in new programmatic or payment models.Gather information on program structure, function efficacy and outcomes to share with Beacon colleagues.Work with those providers to implement the new concepts.Communicate and collaborate with regional leadership to support provider activities consistent with Beacon's provider strategy and deliver progress to internal and external stakeholders.Collaborate with regional leadership and network teams to identify providers who are best suited for APMs, preferred provider networks, and/or other aggregate data management programs.Help identify opportunities with regional and corporate leadership for expansion and development of innovative pilot programs, to include program development, implementation, launch, and efficacy and outcomes measurements.Provider innovations should reflect Beacon's thought leadership. Contribute to the identification of best practices across the entire group of PQMs nationally and integrate high-quality program ideas/designs into the local market to drive high levels of value. Provide consultation for clinically complex members. Surface clinical and quality issues to Beacon's regional clinical and quality teams and participate in helping to address concerns. Work with Beacon clinical teams to be knowledgeable regarding Beacon UM and care management programs and services, to be able to answer or appropriately triage provider questions. Conduct medical record reviews annually or as needed with network providers across all service levels. Assist with provider orientations and provider training events in the region; trainings and orientations will be led by Beacon's network operations team. Closely collaborate with Beacon's network operations team to ensure a fluid bi-directional sharing of information. Reliable transportation and ability to travel within local market on a regular basis is required. Other duties and projects as assigned and specified by supervisor in line with Department and company needs. 60% travelBeacon anticipates the Provider Quality Manager will spend time each week in four main ways: Strategic Provider outreach and meetings (2 - 3 days/week) Analyze provider data to determine utilization and outcomes outliers, including root cause analysis for outliers and utilization patterns (1 day/week) Developing strategy for specific provider engagement activities to be executed (1 day/week) PowerPoint report generation to prepare for on-site provider outreach meetings (1/2 - 1 day/week) Support linkage for Provider-specific problem resolution and navigation of Beacon by connecting providers to the appropriate Beacon staff (1/2- 1 day/week) Position Requirements:Education: Master's Degree or above in Behavioral Health.Licenses: Current, valid, independent and unrestricted license (RN, LCSW, LMFT, LPC, or Licensed Psychologist). Valid driver's license, safe driving record, reliable transportation/accessibility to a vehicle.Years and Type of Relevant Work Experience:Requires at least 10 years of progressively responsible professional experience in healthcare, with at least five (5) of those years in behavioral health. Knowledge of managed care, analytics, performance improvement and clinical skill preferred. Strong execution and follow-up skills, analytic skills, organization, and ability to multi-task are key. 5-7 years of experience in behavioral health setting, either provider or payer, required.TO APPLYClick below on "Apply for this Position" to create a profile and apply for the positionBeacon Health Strategies, LLC., a Beacon Health Options company, is proud to be an Equal Opportunity Employer as well as a Drug Free Work Environment.$NFD#CBPM16#GDAAP Reporting Location:AR - Little RockID (Req #):56276FTE Status:Full TimeSchedule:Monday-Friday 8:30 am - 5:00pmExemptPI105693169
Location NY: Manhattan (2 Penn Plaza, New York, NY) Job Family Network Contracting/Provider Relations Job Brief We are currently seeking a dynamic Provider Quality Manager to join our team at our office in New York, NY (Manhattan)! ABOUT THE POSITION We are currently seeking a dynamic Provider Quality Manager to join our team at our office in New York, NY (Manhattan)! The Provider Quality Manager (PQM) are strategically oriented professionals who help lead the next generation of provider engagement, with a focus on leveraging the data available to providers, helping to improve the value delivered to Beacon members. PQMs achieve this by building highly collaborative strategic partnerships and bringing an analytic mindset to discussions with providers. PQMs drive provider performance improvement year-over-year through education and data. PQM performance is assessed not only on the ability to establish relationships and engage providers, but also by evidence of measurable improvements in clinical and quality outcomes for Beacon Members. Data trends to be measured for improvement include (but are not limited to):FUH, IET and other HEDIS outcomesCost metricsTrends in length of stayReadmission RatesCommunity TenureAccess to medically necessary careSuccessful transitions of careQuality outcomesOther utilization patterns and trends Building relationships with internal Beacon teams will be necessary to be successful in this role, in particular coordinating closely with clinical and quality departments, to ensure high quality care to members, and achievement of company HEDIS performance, as applicable to the regional market. Position ResponsibilitiesImplement regionally based strategies that meet clinical, quality, and network improvement goals through positive working relationships with providers, state agencies, advocacy groups and other market stakeholders.Interface with a strategic subset of Beacon's network of behavioral health providers. Meetings with providers are face to face, telephonic and via Web-Ex. The Regional Provider Quality Lead in collaboration with other Regional and National leaders determines general parameters for type and frequency of meetings. Type and frequency of meetings for specific providers are determined on a case-by-case basis.Liaison for Beacon clinical, quality, Provider Strategy, and network departments to ensure interdepartmental collaboration and coordination of goals and priorities.Support regional and corporate initiatives regarding Alternative Payment Models (APM), including Value Based Payment (VBP), clinical innovation, and thought leadership transforming provider relationships from transactional interactions to collaborative aggregate data assessment.Liaison between strategic providers and Beacon Operations, Claims and Provider Relations departments to support linkages for issue resolution, helping to improve provider experience and overall satisfaction with Beacon.Ensure, and create as necessary and as applicable depending on the regional market, linkages between providers of all levels of care, as well as other community based services and resources to improve transitions of care and continuity of services.Collaborate with network providers and Beacon stakeholders to operationalize innovative programs and strategies to improve clinical and quality outcomes.Analyze strategic provider reports pertaining to cost, utilization, and outcomes, and prepare this data to share with providers. Lead analysis of data sets that identify data outliers and opportunities for improvement for individual providers. Present data strategically, detailing patterns and trends in provider performance over time. Highlight key areas of focus, including interpretation of provider utilization data that show patterns. Ensure that data is kept meaningful to providers.Share data to help educate strategic providers about Beacon's mission and vision, with a focus on driving high levels of value for Beacon members and delivering on performance on behalf of Beacon's clients.Identify high-performing and innovative providers who may be interested in new programmatic or payment models. Gather information on program structure, function efficacy and outcomes to share with Beacon colleagues. Work with those providers to implement the new concepts. Communicate and collaborate with regional leadership to support provider activities consistent with Beacon's provider strategy and deliver progress to internal and external stakeholders.Contribute to the identification of best practices across the entire group of PQMs nationally and integrate high-quality program ideas/designs into the local market to drive high levels of value.Provide consultation for clinically complex members.Surface clinical and quality issues to Beacon's regional clinical and quality teams and participate in helping to address concerns.Work with Beacon clinical teams to be knowledgeable regarding Beacon UM and care management programs and services, to be able to answer or appropriately triage provider questions.Conduct medical record reviews annually or as needed with network providers across all service levels.Assist with provider orientations and Beacon's network operations team will lead provider-training events in the region; trainings and orientations.Closely collaborate with Beacon's network operations team to ensure a fluid bi-directional sharing of information.Reliable transportation and ability to travel within local market on a regular basis is required.Other duties and projects as assigned and specified by supervisor in line with Department and company needs. Position Requirements: Education : Master's Degree or above in Behavioral Health Licensure: REQUIRED Current, valid, independent and unrestricted licensure (RN, LCSW, LMFT, LPC, or Licensed Psychologist) Valid driver's license, safe driving record, reliable transportation/accessibility to a vehicle. Relevant Work Experience: -Requires at least 10 years of progressively responsible professional experience in healthcare, with at least five (5) of those years in behavioral health. -Knowledge of managed care, analytics, performance improvement and clinical skill preferred. -Strong execution and follow-up skills, analytical skills, organization, and ability to mulit-task are key. -5-7 years of experience in behavioral health setting, either provider or payor required. Knowledge, Skills & Abilities: Expert and proficient knowledge, skill, and ability in: Analysis and problem solving, Interpersonal communications, Verbal and written communication, Collaboration and team-oriented work philosophy. 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 PI105693168
Nov 18, 2018
Location NY: Manhattan (2 Penn Plaza, New York, NY) Job Family Network Contracting/Provider Relations Job Brief We are currently seeking a dynamic Provider Quality Manager to join our team at our office in New York, NY (Manhattan)! ABOUT THE POSITION We are currently seeking a dynamic Provider Quality Manager to join our team at our office in New York, NY (Manhattan)! The Provider Quality Manager (PQM) are strategically oriented professionals who help lead the next generation of provider engagement, with a focus on leveraging the data available to providers, helping to improve the value delivered to Beacon members. PQMs achieve this by building highly collaborative strategic partnerships and bringing an analytic mindset to discussions with providers. PQMs drive provider performance improvement year-over-year through education and data. PQM performance is assessed not only on the ability to establish relationships and engage providers, but also by evidence of measurable improvements in clinical and quality outcomes for Beacon Members. Data trends to be measured for improvement include (but are not limited to):FUH, IET and other HEDIS outcomesCost metricsTrends in length of stayReadmission RatesCommunity TenureAccess to medically necessary careSuccessful transitions of careQuality outcomesOther utilization patterns and trends Building relationships with internal Beacon teams will be necessary to be successful in this role, in particular coordinating closely with clinical and quality departments, to ensure high quality care to members, and achievement of company HEDIS performance, as applicable to the regional market. Position ResponsibilitiesImplement regionally based strategies that meet clinical, quality, and network improvement goals through positive working relationships with providers, state agencies, advocacy groups and other market stakeholders.Interface with a strategic subset of Beacon's network of behavioral health providers. Meetings with providers are face to face, telephonic and via Web-Ex. The Regional Provider Quality Lead in collaboration with other Regional and National leaders determines general parameters for type and frequency of meetings. Type and frequency of meetings for specific providers are determined on a case-by-case basis.Liaison for Beacon clinical, quality, Provider Strategy, and network departments to ensure interdepartmental collaboration and coordination of goals and priorities.Support regional and corporate initiatives regarding Alternative Payment Models (APM), including Value Based Payment (VBP), clinical innovation, and thought leadership transforming provider relationships from transactional interactions to collaborative aggregate data assessment.Liaison between strategic providers and Beacon Operations, Claims and Provider Relations departments to support linkages for issue resolution, helping to improve provider experience and overall satisfaction with Beacon.Ensure, and create as necessary and as applicable depending on the regional market, linkages between providers of all levels of care, as well as other community based services and resources to improve transitions of care and continuity of services.Collaborate with network providers and Beacon stakeholders to operationalize innovative programs and strategies to improve clinical and quality outcomes.Analyze strategic provider reports pertaining to cost, utilization, and outcomes, and prepare this data to share with providers. Lead analysis of data sets that identify data outliers and opportunities for improvement for individual providers. Present data strategically, detailing patterns and trends in provider performance over time. Highlight key areas of focus, including interpretation of provider utilization data that show patterns. Ensure that data is kept meaningful to providers.Share data to help educate strategic providers about Beacon's mission and vision, with a focus on driving high levels of value for Beacon members and delivering on performance on behalf of Beacon's clients.Identify high-performing and innovative providers who may be interested in new programmatic or payment models. Gather information on program structure, function efficacy and outcomes to share with Beacon colleagues. Work with those providers to implement the new concepts. Communicate and collaborate with regional leadership to support provider activities consistent with Beacon's provider strategy and deliver progress to internal and external stakeholders.Contribute to the identification of best practices across the entire group of PQMs nationally and integrate high-quality program ideas/designs into the local market to drive high levels of value.Provide consultation for clinically complex members.Surface clinical and quality issues to Beacon's regional clinical and quality teams and participate in helping to address concerns.Work with Beacon clinical teams to be knowledgeable regarding Beacon UM and care management programs and services, to be able to answer or appropriately triage provider questions.Conduct medical record reviews annually or as needed with network providers across all service levels.Assist with provider orientations and Beacon's network operations team will lead provider-training events in the region; trainings and orientations.Closely collaborate with Beacon's network operations team to ensure a fluid bi-directional sharing of information.Reliable transportation and ability to travel within local market on a regular basis is required.Other duties and projects as assigned and specified by supervisor in line with Department and company needs. Position Requirements: Education : Master's Degree or above in Behavioral Health Licensure: REQUIRED Current, valid, independent and unrestricted licensure (RN, LCSW, LMFT, LPC, or Licensed Psychologist) Valid driver's license, safe driving record, reliable transportation/accessibility to a vehicle. Relevant Work Experience: -Requires at least 10 years of progressively responsible professional experience in healthcare, with at least five (5) of those years in behavioral health. -Knowledge of managed care, analytics, performance improvement and clinical skill preferred. -Strong execution and follow-up skills, analytical skills, organization, and ability to mulit-task are key. -5-7 years of experience in behavioral health setting, either provider or payor required. Knowledge, Skills & Abilities: Expert and proficient knowledge, skill, and ability in: Analysis and problem solving, Interpersonal communications, Verbal and written communication, Collaboration and team-oriented work philosophy. 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 PI105693168
LocationNC: Morrisville (3800 Paramount Pkwy Suite 300)Job FamilyClinical, LicensedJob BriefThe EAP Advisor will provide guidance to client organizations regarding behavioral problems in the workplace and handles contacts/requests /referrals from client organization management regarding troubled employees, critical incidents, training, etc.ABOUT THE POSITIONWe are currently seeking a dynamic EAP Advisor to join our team at our office in Morrisville, NC. The EAP Advisor will provide guidance to client organizations regarding behavioral problems in the workplace and handles contacts/requests /referrals from client organization management regarding troubled employees, critical incidents, training and other events impacting the workplace such as reduction in force.Position Responsibilities: This position also provides assessments, referrals and counseling. Conducts telephone assessments, collecting sufficient data to make appropriate referral and certification decision for emergency/urgent referrals that require alternate levels of care. Prepares and presents training to client organizations and provides as liaison with account management to service client accounts. Responds to client organization requests for services: Mandatory/Management referrals of employees under performance improvement plans or conditional work agreements. Intake, monitoring and case management to conclusion of treatment plan. Responds to client organization requests for services: Coordinates HPS training and work life seminars. Liaison with HPS training specialist. Prepares and presents training topics as needed. Position Requirements:Education: Minimum of a master's degree in mental health related discipline or aminimum of an associate's degree in nursing with related psychiatric nursingexperience.Licensure : Current, valid and unrestricted California license in a mental health field(Ph.D., LCSW, LMFT or LPC.)Relevant Work Experience: Three (3) to five (5) years direct practice experience inpsychiatric or substance abuse treatment. Experience in settings that includeinpatient, partial, and/or outpatient care preferred. For some roles experience as aCEAP or EAP internal/external consultant to a work site area may be required.Knowledge, Skills & Abilities : Excellent written and verbal communication skills. Experience with computer based information systems and keyboard skills sufficient to type 40 words per minute. Comprehensive understanding of ValueOptions Policies & Procedures, Clinical Criteria and Benefit Plan requirements of the account(s) managed. TO APPLYClick below on "Apply for this Position" to create a profile and apply for the positionValueOptions, Inc., a Beacon Health Options company, is proud to be an Equal Opportunity and Affirmative Action Employer as well as a Drug Free and Tobacco Free Work Environment. EOE/AA/M/F/Veterans/Disabled.$FDL#CBPM16AAP Reporting Location:NC - MorrisvilleID (Req #):56111FTE Status:Part TimeSchedule:Mon - Fri 2:00 pm - 8:00 pm ESTExemptPI105693166
Nov 18, 2018
LocationNC: Morrisville (3800 Paramount Pkwy Suite 300)Job FamilyClinical, LicensedJob BriefThe EAP Advisor will provide guidance to client organizations regarding behavioral problems in the workplace and handles contacts/requests /referrals from client organization management regarding troubled employees, critical incidents, training, etc.ABOUT THE POSITIONWe are currently seeking a dynamic EAP Advisor to join our team at our office in Morrisville, NC. The EAP Advisor will provide guidance to client organizations regarding behavioral problems in the workplace and handles contacts/requests /referrals from client organization management regarding troubled employees, critical incidents, training and other events impacting the workplace such as reduction in force.Position Responsibilities: This position also provides assessments, referrals and counseling. Conducts telephone assessments, collecting sufficient data to make appropriate referral and certification decision for emergency/urgent referrals that require alternate levels of care. Prepares and presents training to client organizations and provides as liaison with account management to service client accounts. Responds to client organization requests for services: Mandatory/Management referrals of employees under performance improvement plans or conditional work agreements. Intake, monitoring and case management to conclusion of treatment plan. Responds to client organization requests for services: Coordinates HPS training and work life seminars. Liaison with HPS training specialist. Prepares and presents training topics as needed. Position Requirements:Education: Minimum of a master's degree in mental health related discipline or aminimum of an associate's degree in nursing with related psychiatric nursingexperience.Licensure : Current, valid and unrestricted California license in a mental health field(Ph.D., LCSW, LMFT or LPC.)Relevant Work Experience: Three (3) to five (5) years direct practice experience inpsychiatric or substance abuse treatment. Experience in settings that includeinpatient, partial, and/or outpatient care preferred. For some roles experience as aCEAP or EAP internal/external consultant to a work site area may be required.Knowledge, Skills & Abilities : Excellent written and verbal communication skills. Experience with computer based information systems and keyboard skills sufficient to type 40 words per minute. Comprehensive understanding of ValueOptions Policies & Procedures, Clinical Criteria and Benefit Plan requirements of the account(s) managed. TO APPLYClick below on "Apply for this Position" to create a profile and apply for the positionValueOptions, Inc., a Beacon Health Options company, is proud to be an Equal Opportunity and Affirmative Action Employer as well as a Drug Free and Tobacco Free Work Environment. EOE/AA/M/F/Veterans/Disabled.$FDL#CBPM16AAP Reporting Location:NC - MorrisvilleID (Req #):56111FTE Status:Part TimeSchedule:Mon - Fri 2:00 pm - 8:00 pm ESTExemptPI105693166
LocationMA: Boston (1000 Washington St.)Job FamilyQuality Mgmt / Performance ImprovementJob BriefWe are currently seeking a Director of Quality Operations to join our team at our office in Boston, MA!ABOUT THE POSITIONWe are currently seeking a Director of Quality Operations to join our team at our office in Boston, MA. The Director of Quality Operations will be responsible for ensuring the integrity of MBHP internal quality operations; improving quality of care among network providers; maintaining NCQA accreditation; organizing clinical and quality management training for internal staff and network providers.Position Responsibilities: Develop, direct and implement strategic goals for the Partnership's Quality Management (QM) Program Insert Responsibility Develop the annual Quality Management Program Description, workplan and annual program evaluation and submit to clients and BHO for review and approval.Ensure Partnership's compliance with generally accepted quality management principles Accountable for the MBHP quality department in the absence of the VP of Quality Management, including assuring the timely completion of all contact deliverables. Responsible for NCQA accreditation including development of workplan to ensure compliance with all standards, serve as the liaison with BHO quality team and NCQA staff and directs NCQA Project Manager. Ensures all reporting is timely, and that all documentation is complete and timely, meeting all requirements Accountable to the Senior Leadership Team for identifying resources required and barriers to maintaining accreditation. Ensures programmatic compliance with standards established by external accrediting agencies, including facilitating the annual review of the Partnerships policies and procedures. Works with the Director of Quality Project Analysis to ensure that all projects are completed as required for NCQA accreditation. Responsible for oversight of operationalizing surveys for Members, behavioral health providers and primary care clinicians Directs the quality operations unit within the quality department, including: supervising the QM specialists; supervising the appeals process, adverse incident and complaints investigations; supervising review of written provider compliance action plans; and ensuring provider implementation of corrective quality improvement plans.Provides leadership in collaborating with all inter-departmental staff. Utilizing clinical and regulatory expertise, serves as the Quality Department expert and liaison to the Utilization Management Committee and clinical areas, responsible for the auditing of all denial and appeal files. Develop and participate in the implementation of an annual strategic training program for network providers, and assume responsibility for the Partnership's internal quality management training curriculum. Responsible for the design, measurement and evaluation of quality operations performance indicators and associated reporting per contract requirements and business needs. Directs the Partnership's Risk Management Committee and leads the investigation and presenting of all risk cases or suspected cases of fraud and abuse. Participates in quality management committees Position Requirements:Education: Master's degree required in mental health or substance abuse servicesLicensure: Current, valid and unrestricted license in a State or territory of the United States in a mental health field (RN, Ph.D., LCSW/LMSW, MHC, LPC, etc.).Relevant Work Experience: A minimum of five years of managed behavioral health experience required with a minimum of three years of experience managing and supervising quality management staff preferred.Knowledge, Skills & Abilities: Strong written and verbal communication skills Excellent time management abilities Excellent documentation ability Excellent project management skills Interpersonal skills including negotiation and conflict resolution MS Office Suite NCQA knowledge and understanding TO APPLYClick below on "Apply for this Position" to create a profile and apply for the positionBeacon Health Options is proud to be an Equal Opportunity and Affirmative Action Employer as well as a Drug Free and Tobacco Free Work Environment. EOE/AA/M/F/Veterans/Disabled#GDPM16#LI-BH1AAP Reporting Location:MA - Boston (MBHP)ID (Req #):56074FTE Status:Full TimeSchedule:8 am - 5 pmExemptPI105693165
Nov 18, 2018
LocationMA: Boston (1000 Washington St.)Job FamilyQuality Mgmt / Performance ImprovementJob BriefWe are currently seeking a Director of Quality Operations to join our team at our office in Boston, MA!ABOUT THE POSITIONWe are currently seeking a Director of Quality Operations to join our team at our office in Boston, MA. The Director of Quality Operations will be responsible for ensuring the integrity of MBHP internal quality operations; improving quality of care among network providers; maintaining NCQA accreditation; organizing clinical and quality management training for internal staff and network providers.Position Responsibilities: Develop, direct and implement strategic goals for the Partnership's Quality Management (QM) Program Insert Responsibility Develop the annual Quality Management Program Description, workplan and annual program evaluation and submit to clients and BHO for review and approval.Ensure Partnership's compliance with generally accepted quality management principles Accountable for the MBHP quality department in the absence of the VP of Quality Management, including assuring the timely completion of all contact deliverables. Responsible for NCQA accreditation including development of workplan to ensure compliance with all standards, serve as the liaison with BHO quality team and NCQA staff and directs NCQA Project Manager. Ensures all reporting is timely, and that all documentation is complete and timely, meeting all requirements Accountable to the Senior Leadership Team for identifying resources required and barriers to maintaining accreditation. Ensures programmatic compliance with standards established by external accrediting agencies, including facilitating the annual review of the Partnerships policies and procedures. Works with the Director of Quality Project Analysis to ensure that all projects are completed as required for NCQA accreditation. Responsible for oversight of operationalizing surveys for Members, behavioral health providers and primary care clinicians Directs the quality operations unit within the quality department, including: supervising the QM specialists; supervising the appeals process, adverse incident and complaints investigations; supervising review of written provider compliance action plans; and ensuring provider implementation of corrective quality improvement plans.Provides leadership in collaborating with all inter-departmental staff. Utilizing clinical and regulatory expertise, serves as the Quality Department expert and liaison to the Utilization Management Committee and clinical areas, responsible for the auditing of all denial and appeal files. Develop and participate in the implementation of an annual strategic training program for network providers, and assume responsibility for the Partnership's internal quality management training curriculum. Responsible for the design, measurement and evaluation of quality operations performance indicators and associated reporting per contract requirements and business needs. Directs the Partnership's Risk Management Committee and leads the investigation and presenting of all risk cases or suspected cases of fraud and abuse. Participates in quality management committees Position Requirements:Education: Master's degree required in mental health or substance abuse servicesLicensure: Current, valid and unrestricted license in a State or territory of the United States in a mental health field (RN, Ph.D., LCSW/LMSW, MHC, LPC, etc.).Relevant Work Experience: A minimum of five years of managed behavioral health experience required with a minimum of three years of experience managing and supervising quality management staff preferred.Knowledge, Skills & Abilities: Strong written and verbal communication skills Excellent time management abilities Excellent documentation ability Excellent project management skills Interpersonal skills including negotiation and conflict resolution MS Office Suite NCQA knowledge and understanding TO APPLYClick below on "Apply for this Position" to create a profile and apply for the positionBeacon Health Options is proud to be an Equal Opportunity and Affirmative Action Employer as well as a Drug Free and Tobacco Free Work Environment. EOE/AA/M/F/Veterans/Disabled#GDPM16#LI-BH1AAP Reporting Location:MA - Boston (MBHP)ID (Req #):56074FTE Status:Full TimeSchedule:8 am - 5 pmExemptPI105693165
LocationNY: TarrytownJob FamilyClinical, LicensedJob BriefWe are currently seeking a dynamic Director, Behavioral Health Care Management to join our team in Tarrytown, NY!ABOUT THE POSITIONWe are currently seeking a dynamic Director, Behavioral Health Care Management to join our team in Tarrytown, NY! The Director will work closely with the BH Children's Clinical Director, Health Plan staff, providers and agencies to create a program that will improve the health outcomes for the children and youth of New York. They will have oversight of the BH care management teams that will work closely with health plans and health homes coordinating care for children/youth. They maintain a positive interaction with internal and external customers, supporting the overall goals of the NY State Children's program, Health Plan partners, and BeaconThis employee must work in the State of New York. There is flexibility for the person to work from home or our Tarrytown office.Position Responsibilities: Oversee the BH Children's program CM programs creating policies and procedures that support the delivery of SPA/ HCBS services. Ensure appropriate staff education and training regarding NYS Children's program Create, monitor and evaluate all elements of the BH CM program meeting all Beacon, Health plan and state requirements. Working with internal staff, Health plan staff and providers ensuring quality of care and service for members Works with BH Clinical Director, Care Management staff, and the Implementation Team to support development and implementation of care management programs for health plan partners Attends and participate in Clinical, quality improvement committee meetings as designated and leader for continuous quality improvement teams as assigned. Works closely with BH Clinical Director, Care Management staff, and the Director of Quality Management and Improvement on URAC and NCQA initiatives Interface with Health plans, Health homes and providers as indicated implementing program changes as required, creating process improvement flows when necessary. Position Requirements:Education : Master's degree or higher, or RN.Licensure : Have either a current, valid, unrestricted independent NYS license in behavioral health or nursing (RN) and practice within the scope of their licensure. Proof required on date of hire with re-verification to take place no less than every three years.Relevant Work Experience: Demonstrated work experience meeting strict deadlines and established cycle times through effective prioritization and follow-up skills. -Minimum of seven years of combined direct behavioral health clinical and managed care experience. -Minimum of 2 years of managed care. -Minimum of 5 years experience working with children required. Knowledge of and experience with NYS child-serving systems required. Experience working with Health Homes, community, family-based services, and child-serving systems preferred. TO APPLYClick below on "Apply for this Position" to create a profile and apply for the positionBeacon 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$REM #CB #GD PM16AAP Reporting Location:NY - ManhattanID (Req #):56066FTE Status:Full TimeSchedule:Mon - Fri 830-5ExemptPI105693163
Nov 18, 2018
LocationNY: TarrytownJob FamilyClinical, LicensedJob BriefWe are currently seeking a dynamic Director, Behavioral Health Care Management to join our team in Tarrytown, NY!ABOUT THE POSITIONWe are currently seeking a dynamic Director, Behavioral Health Care Management to join our team in Tarrytown, NY! The Director will work closely with the BH Children's Clinical Director, Health Plan staff, providers and agencies to create a program that will improve the health outcomes for the children and youth of New York. They will have oversight of the BH care management teams that will work closely with health plans and health homes coordinating care for children/youth. They maintain a positive interaction with internal and external customers, supporting the overall goals of the NY State Children's program, Health Plan partners, and BeaconThis employee must work in the State of New York. There is flexibility for the person to work from home or our Tarrytown office.Position Responsibilities: Oversee the BH Children's program CM programs creating policies and procedures that support the delivery of SPA/ HCBS services. Ensure appropriate staff education and training regarding NYS Children's program Create, monitor and evaluate all elements of the BH CM program meeting all Beacon, Health plan and state requirements. Working with internal staff, Health plan staff and providers ensuring quality of care and service for members Works with BH Clinical Director, Care Management staff, and the Implementation Team to support development and implementation of care management programs for health plan partners Attends and participate in Clinical, quality improvement committee meetings as designated and leader for continuous quality improvement teams as assigned. Works closely with BH Clinical Director, Care Management staff, and the Director of Quality Management and Improvement on URAC and NCQA initiatives Interface with Health plans, Health homes and providers as indicated implementing program changes as required, creating process improvement flows when necessary. Position Requirements:Education : Master's degree or higher, or RN.Licensure : Have either a current, valid, unrestricted independent NYS license in behavioral health or nursing (RN) and practice within the scope of their licensure. Proof required on date of hire with re-verification to take place no less than every three years.Relevant Work Experience: Demonstrated work experience meeting strict deadlines and established cycle times through effective prioritization and follow-up skills. -Minimum of seven years of combined direct behavioral health clinical and managed care experience. -Minimum of 2 years of managed care. -Minimum of 5 years experience working with children required. Knowledge of and experience with NYS child-serving systems required. Experience working with Health Homes, community, family-based services, and child-serving systems preferred. TO APPLYClick below on "Apply for this Position" to create a profile and apply for the positionBeacon 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$REM #CB #GD PM16AAP Reporting Location:NY - ManhattanID (Req #):56066FTE Status:Full TimeSchedule:Mon - Fri 830-5ExemptPI105693163
LocationNY: LathamJob FamilyClinical, LicensedJob BriefWe are currently seeking a dynamic Director, Behavioral Health Care Management to join our team in Latham, NY.ABOUT THE POSITIONWe are currently seeking a dynamic Director, Behavioral Health Care Management to join our team in Latham, NY. The Director will work closely with the BH Children's Clinical Director, Health Plan staff, providers and agencies to create a program that will improve the health outcomes for the children and youth of New York. They will have oversight of the BH care management teams that will work closely with health plans and health homes coordinating care for children/youth. They maintain a positive interaction with internal and external customers, supporting the overall goals of the NY State Children's program, Health Plan partners, and BeaconThis employee must work in the State of New York. There is flexibility for the person to work from home or either our Latham offices.Position Responsibilities: Oversee the BH Children's program CM programs creating policies and procedures that support the delivery of SPA/ HCBS services. Ensure appropriate staff education and training regarding NYS Children's program Create, monitor and evaluate all elements of the BH CM program meeting all Beacon, Health plan and state requirements. Working with internal staff, Health plan staff and providers ensuring quality of care and service for members Works with BH Clinical Director, Care Management staff, and the Implementation Team to support development and implementation of care management programs for health plan partners Attends and participate in Clinical, quality improvement committee meetings as designated and leader for continuous quality improvement teams as assigned. Works closely with BH Clinical Director, Care Management staff, and the Director of Quality Management and Improvement on URAC and NCQA initiatives Interface with Health plans, Health homes and providers as indicated implementing program changes as required, creating process improvement flows when necessary. Position Requirements:Education : Master's degree or higher, or RN.Licensure : Have either a current, valid, unrestricted independent NYS license in behavioral health or nursing (RN) and practice within the scope of their licensure. Proof required on date of hire with re-verification to take place no less than every three years.Relevant Work Experience: Demonstrated work experience meeting strict deadlines and established cycle times through effective prioritization and follow-up skills. -Minimum of seven years of combined direct behavioral health clinical and managed care experience. -Minimum of 2 years of managed care. -Minimum of 5 years experience working with children required. Knowledge of and experience with NYS child-serving systems required. Experience working with Health Homes, community, family-based services, and child-serving systems preferred. TO APPLYClick below on "Apply for this Position" to create a profile and apply for the positionBeacon 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$REM #CB #GD PM16AAP Reporting Location:NY - LathamID (Req #):56065FTE Status:Full TimeSchedule:Mon - Fri 830-5ExemptPI105693164
Nov 18, 2018
LocationNY: LathamJob FamilyClinical, LicensedJob BriefWe are currently seeking a dynamic Director, Behavioral Health Care Management to join our team in Latham, NY.ABOUT THE POSITIONWe are currently seeking a dynamic Director, Behavioral Health Care Management to join our team in Latham, NY. The Director will work closely with the BH Children's Clinical Director, Health Plan staff, providers and agencies to create a program that will improve the health outcomes for the children and youth of New York. They will have oversight of the BH care management teams that will work closely with health plans and health homes coordinating care for children/youth. They maintain a positive interaction with internal and external customers, supporting the overall goals of the NY State Children's program, Health Plan partners, and BeaconThis employee must work in the State of New York. There is flexibility for the person to work from home or either our Latham offices.Position Responsibilities: Oversee the BH Children's program CM programs creating policies and procedures that support the delivery of SPA/ HCBS services. Ensure appropriate staff education and training regarding NYS Children's program Create, monitor and evaluate all elements of the BH CM program meeting all Beacon, Health plan and state requirements. Working with internal staff, Health plan staff and providers ensuring quality of care and service for members Works with BH Clinical Director, Care Management staff, and the Implementation Team to support development and implementation of care management programs for health plan partners Attends and participate in Clinical, quality improvement committee meetings as designated and leader for continuous quality improvement teams as assigned. Works closely with BH Clinical Director, Care Management staff, and the Director of Quality Management and Improvement on URAC and NCQA initiatives Interface with Health plans, Health homes and providers as indicated implementing program changes as required, creating process improvement flows when necessary. Position Requirements:Education : Master's degree or higher, or RN.Licensure : Have either a current, valid, unrestricted independent NYS license in behavioral health or nursing (RN) and practice within the scope of their licensure. Proof required on date of hire with re-verification to take place no less than every three years.Relevant Work Experience: Demonstrated work experience meeting strict deadlines and established cycle times through effective prioritization and follow-up skills. -Minimum of seven years of combined direct behavioral health clinical and managed care experience. -Minimum of 2 years of managed care. -Minimum of 5 years experience working with children required. Knowledge of and experience with NYS child-serving systems required. Experience working with Health Homes, community, family-based services, and child-serving systems preferred. TO APPLYClick below on "Apply for this Position" to create a profile and apply for the positionBeacon 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$REM #CB #GD PM16AAP Reporting Location:NY - LathamID (Req #):56065FTE Status:Full TimeSchedule:Mon - Fri 830-5ExemptPI105693164
LocationNY: BuffaloJob FamilyClinical, LicensedJob BriefWe are currently seeking a dynamic Director, Behavioral Health Care Management to join our team in Buffalo or Rochester, NY.ABOUT THE POSITIONWe are currently seeking a dynamic Director, Behavioral Health Care Management to join our team in Buffalo or Rochester, NY. The Director will work closely with the BH Children's Clinical Director, Health Plan staff, providers and agencies to create a program that will improve the health outcomes for the children and youth of New York. They will have oversight of the BH care management teams that will work closely with health plans and health homes coordinating care for children/youth. They maintain a positive interaction with internal and external customers, supporting the overall goals of the NY State Children's program, Health Plan partners, and BeaconThis employee must work in the State of New York. There is flexibility for the person to work from home or either our Buffalo or Rochester offices.Position Responsibilities: Oversee the BH Children's program CM programs creating policies and procedures that support the delivery of SPA/ HCBS services. Ensure appropriate staff education and training regarding NYS Children's program Create, monitor and evaluate all elements of the BH CM program meeting all Beacon, Health plan and state requirements. Working with internal staff, Health plan staff and providers ensuring quality of care and service for members Works with BH Clinical Director, Care Management staff, and the Implementation Team to support development and implementation of care management programs for health plan partners Attends and participate in Clinical, quality improvement committee meetings as designated and leader for continuous quality improvement teams as assigned. Works closely with BH Clinical Director, Care Management staff, and the Director of Quality Management and Improvement on URAC and NCQA initiatives Interface with Health plans, Health homes and providers as indicated implementing program changes as required, creating process improvement flows when necessary. Position Requirements:Education : Master's degree or higher, or RN.Licensure : Have either a current, valid, unrestricted independent NYS license in behavioral health or nursing (RN) and practice within the scope of their licensure. Proof required on date of hire with re-verification to take place no less than every three years.Relevant Work Experience: Demonstrated work experience meeting strict deadlines and established cycle times through effective prioritization and follow-up skills. -Minimum of seven years of combined direct behavioral health clinical and managed care experience. -Minimum of 2 years of managed care. -Minimum of 5 years experience working with children required. Knowledge of and experience with NYS child-serving systems required. Experience working with Health Homes, community, family-based services, and child-serving systems preferred. TO APPLYClick below on "Apply for this Position" to create a profile and apply for the positionBeacon 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$REM #CB #GD PM16AAP Reporting Location:NY - LathamID (Req #):56064FTE Status:Full TimeSchedule:Mon - Fri 830-5pmExemptPI105693161
Nov 18, 2018
LocationNY: BuffaloJob FamilyClinical, LicensedJob BriefWe are currently seeking a dynamic Director, Behavioral Health Care Management to join our team in Buffalo or Rochester, NY.ABOUT THE POSITIONWe are currently seeking a dynamic Director, Behavioral Health Care Management to join our team in Buffalo or Rochester, NY. The Director will work closely with the BH Children's Clinical Director, Health Plan staff, providers and agencies to create a program that will improve the health outcomes for the children and youth of New York. They will have oversight of the BH care management teams that will work closely with health plans and health homes coordinating care for children/youth. They maintain a positive interaction with internal and external customers, supporting the overall goals of the NY State Children's program, Health Plan partners, and BeaconThis employee must work in the State of New York. There is flexibility for the person to work from home or either our Buffalo or Rochester offices.Position Responsibilities: Oversee the BH Children's program CM programs creating policies and procedures that support the delivery of SPA/ HCBS services. Ensure appropriate staff education and training regarding NYS Children's program Create, monitor and evaluate all elements of the BH CM program meeting all Beacon, Health plan and state requirements. Working with internal staff, Health plan staff and providers ensuring quality of care and service for members Works with BH Clinical Director, Care Management staff, and the Implementation Team to support development and implementation of care management programs for health plan partners Attends and participate in Clinical, quality improvement committee meetings as designated and leader for continuous quality improvement teams as assigned. Works closely with BH Clinical Director, Care Management staff, and the Director of Quality Management and Improvement on URAC and NCQA initiatives Interface with Health plans, Health homes and providers as indicated implementing program changes as required, creating process improvement flows when necessary. Position Requirements:Education : Master's degree or higher, or RN.Licensure : Have either a current, valid, unrestricted independent NYS license in behavioral health or nursing (RN) and practice within the scope of their licensure. Proof required on date of hire with re-verification to take place no less than every three years.Relevant Work Experience: Demonstrated work experience meeting strict deadlines and established cycle times through effective prioritization and follow-up skills. -Minimum of seven years of combined direct behavioral health clinical and managed care experience. -Minimum of 2 years of managed care. -Minimum of 5 years experience working with children required. Knowledge of and experience with NYS child-serving systems required. Experience working with Health Homes, community, family-based services, and child-serving systems preferred. TO APPLYClick below on "Apply for this Position" to create a profile and apply for the positionBeacon 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$REM #CB #GD PM16AAP Reporting Location:NY - LathamID (Req #):56064FTE Status:Full TimeSchedule:Mon - Fri 830-5pmExemptPI105693161
LocationNY: Manhattan (2 Penn Plaza, New York, NY)Job FamilyClinical, LicensedJob BriefWe are currently seeking a dynamic Director, Behavioral Health Care Management to join our team in New York, NY (Manhattan).ABOUT THE POSITIONWe are currently seeking a dynamic Director, Behavioral Health Care Management to join our team in New York, NY (Manhattan). The Director will work closely with the BH Children's Clinical Director, Health Plan staff, providers and agencies to create a program that will improve the health outcomes for the children and youth of New York. They will have oversight of the BH care management teams that will work closely with health plans and health homes coordinating care for children/youth. They maintain a positive interaction with internal and external customers, supporting the overall goals of the NY State Children's program, Health Plan partners, and BeaconThis employee must work in the State of New York. There is flexibility for the person to work from home or either our Manhattan or Latham offices.Position Responsibilities: Oversee the BH Children's program CM programs creating policies and procedures that support the delivery of SPA/ HCBS services. Ensure appropriate staff education and training regarding NYS Children's program Create, monitor and evaluate all elements of the BH CM program meeting all Beacon, Health plan and state requirements. Working with internal staff, Health plan staff and providers ensuring quality of care and service for members Works with BH Clinical Director, Care Management staff, and the Implementation Team to support development and implementation of care management programs for health plan partners Attends and participate in Clinical, quality improvement committee meetings as designated and leader for continuous quality improvement teams as assigned. Works closely with BH Clinical Director, Care Management staff, and the Director of Quality Management and Improvement on URAC and NCQA initiatives Interface with Health plans, Health homes and providers as indicated implementing program changes as required, creating process improvement flows when necessary. Position Requirements:Education : Master's degree or higher, or RN.Licensure : Have either a current, valid, unrestricted independent NYS license in behavioral health or nursing (RN) and practice within the scope of their licensure. Proof required on date of hire with re-verification to take place no less than every three years.Relevant Work Experience: Demonstrated work experience meeting strict deadlines and established cycle times through effective prioritization and follow-up skills. -Minimum of seven years of combined direct behavioral health clinical and managed care experience. -Minimum of 2 years of managed care. -Minimum of 5 years experience working with children required. Knowledge of and experience with NYS child-serving systems required. Experience working with Health Homes, community, family-based services, and child-serving systems preferred. TO APPLYClick below on "Apply for this Position" to create a profile and apply for the positionBeacon 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$REM #CB #GD PM16AAP Reporting Location:NY - ManhattanID (Req #):56067FTE Status:Full TimeSchedule:Mon - Fri 830-5pmExemptPI105693159
Nov 18, 2018
LocationNY: Manhattan (2 Penn Plaza, New York, NY)Job FamilyClinical, LicensedJob BriefWe are currently seeking a dynamic Director, Behavioral Health Care Management to join our team in New York, NY (Manhattan).ABOUT THE POSITIONWe are currently seeking a dynamic Director, Behavioral Health Care Management to join our team in New York, NY (Manhattan). The Director will work closely with the BH Children's Clinical Director, Health Plan staff, providers and agencies to create a program that will improve the health outcomes for the children and youth of New York. They will have oversight of the BH care management teams that will work closely with health plans and health homes coordinating care for children/youth. They maintain a positive interaction with internal and external customers, supporting the overall goals of the NY State Children's program, Health Plan partners, and BeaconThis employee must work in the State of New York. There is flexibility for the person to work from home or either our Manhattan or Latham offices.Position Responsibilities: Oversee the BH Children's program CM programs creating policies and procedures that support the delivery of SPA/ HCBS services. Ensure appropriate staff education and training regarding NYS Children's program Create, monitor and evaluate all elements of the BH CM program meeting all Beacon, Health plan and state requirements. Working with internal staff, Health plan staff and providers ensuring quality of care and service for members Works with BH Clinical Director, Care Management staff, and the Implementation Team to support development and implementation of care management programs for health plan partners Attends and participate in Clinical, quality improvement committee meetings as designated and leader for continuous quality improvement teams as assigned. Works closely with BH Clinical Director, Care Management staff, and the Director of Quality Management and Improvement on URAC and NCQA initiatives Interface with Health plans, Health homes and providers as indicated implementing program changes as required, creating process improvement flows when necessary. Position Requirements:Education : Master's degree or higher, or RN.Licensure : Have either a current, valid, unrestricted independent NYS license in behavioral health or nursing (RN) and practice within the scope of their licensure. Proof required on date of hire with re-verification to take place no less than every three years.Relevant Work Experience: Demonstrated work experience meeting strict deadlines and established cycle times through effective prioritization and follow-up skills. -Minimum of seven years of combined direct behavioral health clinical and managed care experience. -Minimum of 2 years of managed care. -Minimum of 5 years experience working with children required. Knowledge of and experience with NYS child-serving systems required. Experience working with Health Homes, community, family-based services, and child-serving systems preferred. TO APPLYClick below on "Apply for this Position" to create a profile and apply for the positionBeacon 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$REM #CB #GD PM16AAP Reporting Location:NY - ManhattanID (Req #):56067FTE Status:Full TimeSchedule:Mon - Fri 830-5pmExemptPI105693159
LocationMA: WoburnJob FamilyCustomer ServiceJob BriefWe are currently seeking a dynamic Customer Service Technical Coach to join our team at our office in Woburn, MA.ABOUT THE POSITIONWe are currently seeking a dynamic Customer Service Technical Coach to join our team at our office in Woburn, MA. Under the direction of the Customer Service Management Team, the Customer Service Technical Advisor/Coach will contribute to overall customer satisfaction by providing technical support to a group of Customer Service Representatives. This position is also responsible for tracking and analyzing data/trends and recommending process improvements. The incumbent conducts on the job training/support, monitors quality, timeliness, work flows and assists management with special projects and administrative tasks. The Technical Advisor/Coach resolves issues by interacting with all levels of management staff and acts as a role model, leading by example, to promote morale within the department.Position Responsibilities: Provide mentoring and support to new hires during their training and nesting period. This includes a comprehensive review of the Mentoring Program and available resources. Ensure that new hires develop the required job knowledge and competencies to work independently. Develop a shared resource for Customer Service teams to use and maintain the accuracy of the material listed. Provide front line technical support for Customer Service Representatives by identifying key learning opportunities and providing ideas for improvement. Provide immediate feedback/training on where the information was found and how the issue should be resolved when assisting CSR with questions. Escalate Supervisor level call issues and coordinate with other departments to get issues resolved. Conduct skill development and client specific training to seasoned staff members. Perform call monitoring and review inventory queues. Identify process improvements and coach/develop staff to contribute/improve overall Customer Satisfaction. • Assist management with special projects and administrative tasks as assigned including, but not limited to new client implementations, coordinating testing for system releases, inquiry analysis and root cause identification. • Demonstrate a thorough knowledge of all lines of business/company operations/procedures related to the CSR position, support answering inquiries for all customer and products, report issues and offer suggestions for improvement to management. • Complete projects and other research tasks as assigned by management. • Comply with all HIPAA Compliance regulations.Position Requirements: Education: A High School/GED Diploma is required. An Associates Degree or equivalent related experience is preferred. Relevant Work Experience: - Two years' experience in resolution of complex claims issues in Customer Service or a related field - Knowledge of resources available within the organization to resolve internal/external problems and concerns is required. - Excellent analytical, problems solving, decision making, time management, organizational, coaching and feedback skills along with excellent written, verbal, interpersonal/negotiation skills and a strong ability to prioritize tasks is also required. TO APPLYClick below on "Apply for this Position" to create a profile and apply for the positionBeacon Health Options is proud to be an Equal Opportunity and Affirmative Action Employer as well as a Drug Free and Tobacco Free Work Environment. EOE/AA/M/F/Veterans/Disabled #CB #GD PM16AAP Reporting Location:MA - WoburnID (Req #):56079FTE Status:Full TimeSchedule:M-FExemptPI105693157
Nov 18, 2018
LocationMA: WoburnJob FamilyCustomer ServiceJob BriefWe are currently seeking a dynamic Customer Service Technical Coach to join our team at our office in Woburn, MA.ABOUT THE POSITIONWe are currently seeking a dynamic Customer Service Technical Coach to join our team at our office in Woburn, MA. Under the direction of the Customer Service Management Team, the Customer Service Technical Advisor/Coach will contribute to overall customer satisfaction by providing technical support to a group of Customer Service Representatives. This position is also responsible for tracking and analyzing data/trends and recommending process improvements. The incumbent conducts on the job training/support, monitors quality, timeliness, work flows and assists management with special projects and administrative tasks. The Technical Advisor/Coach resolves issues by interacting with all levels of management staff and acts as a role model, leading by example, to promote morale within the department.Position Responsibilities: Provide mentoring and support to new hires during their training and nesting period. This includes a comprehensive review of the Mentoring Program and available resources. Ensure that new hires develop the required job knowledge and competencies to work independently. Develop a shared resource for Customer Service teams to use and maintain the accuracy of the material listed. Provide front line technical support for Customer Service Representatives by identifying key learning opportunities and providing ideas for improvement. Provide immediate feedback/training on where the information was found and how the issue should be resolved when assisting CSR with questions. Escalate Supervisor level call issues and coordinate with other departments to get issues resolved. Conduct skill development and client specific training to seasoned staff members. Perform call monitoring and review inventory queues. Identify process improvements and coach/develop staff to contribute/improve overall Customer Satisfaction. • Assist management with special projects and administrative tasks as assigned including, but not limited to new client implementations, coordinating testing for system releases, inquiry analysis and root cause identification. • Demonstrate a thorough knowledge of all lines of business/company operations/procedures related to the CSR position, support answering inquiries for all customer and products, report issues and offer suggestions for improvement to management. • Complete projects and other research tasks as assigned by management. • Comply with all HIPAA Compliance regulations.Position Requirements: Education: A High School/GED Diploma is required. An Associates Degree or equivalent related experience is preferred. Relevant Work Experience: - Two years' experience in resolution of complex claims issues in Customer Service or a related field - Knowledge of resources available within the organization to resolve internal/external problems and concerns is required. - Excellent analytical, problems solving, decision making, time management, organizational, coaching and feedback skills along with excellent written, verbal, interpersonal/negotiation skills and a strong ability to prioritize tasks is also required. TO APPLYClick below on "Apply for this Position" to create a profile and apply for the positionBeacon Health Options is proud to be an Equal Opportunity and Affirmative Action Employer as well as a Drug Free and Tobacco Free Work Environment. EOE/AA/M/F/Veterans/Disabled #CB #GD PM16AAP Reporting Location:MA - WoburnID (Req #):56079FTE Status:Full TimeSchedule:M-FExemptPI105693157
LocationCT: Rocky Hill (500 Enterprise Drive, Suite 4D)Job FamilyClinical, UnlicensedJob BriefWe are currently seeking a dynamic Clinical Liaison to join our team at our office in Rocky Hill, CT!ABOUT THE POSITIONWe are currently seeking a dynamic Clinical Liaison to join our team at our office in Rocky Hill, CT! The Clinical Liaison will work closely with their assigned geographic region or specialty within the clinical regional teams. Clinical Liaisons have professional and educational knowledge in the mental health field. Clinical Liaisons interact collaboratively with multiple systems to ensure appropriate linkage to services and community resources. They also foster a collaborative relationship between providers, community agencies, other administrative services organizations and Beacon staff in order to ensure members receive timely and integrated access to services across the continuum of care.Clinical Liaisons work with hospitals, clinics, outpatient facilities as well as clinicians to manage intake of admissions, discharge information, incoming/outgoing referrals, review of prior authorizations for lower levels of care and retrospective reviews.Position Responsibilities:1. Outreach calls to behavioral health providers and Medicaid members to ensure coordination of aftercare and services.2. Assist with managing discharge reporting data in CONNECT system.3. Support Exhibit E as a back up to Customer Services. Clinical Liaisons will answer calls coming into the engagement center from providers, members, and clients. They will help to identify resources that are available to support members and to help members maintain recovery in the least restrictive level of care possible. Be available to provide late shift schedule coverage (5-7pm) on a rotating schedule. 4. Work with Clinical Care Managers to proactively identify members needing additional support to be maintained in the community. Outreach to member or family to encourage connecting with a Peer Specialists, if appropriate, for additional supports.5. Assist with managing bed tracking component of residential services, including but not limited to, analysis of residential census reporting to ensure bed occupancy & tracking reliability.6. Process both real-time and retro authorizations for lower levels of care.7 . Assist with trouble shooting clinical reports as assigned and ensure necessary corrections are made.8. Sweep CareConnect queues for the Clinical Department per assigned task.9. Assist with other clinical and/or administrative management needs or projects as requested.10. Attend clinical staff meetings. Coordinate clinical rounds and enter notes into Connect system as appropriate.11. Assist CCMs and ICMs with various care management functions.12. Interacts with other department such as Quality Management, Customer Service department, Provider Relations, Compliance department to foster improved efficiency between clinical and these departments.Position Requirements:Education : A Bachelor's degree in a health related field (social work, psychology). Master's degree and licensure preferred. Relevant Work Experience: experience (at least 1 year) in a mental health or substance abuse field; assessment & treatment plan development experience; care management experience; knowledge of CT community resources/ social services; good oral and written communication skills; ability to organize and implement action.Knowledge, Skills & Abilities : MS Office Verbal and written communication skills, Group presentation and public speaking skills, Collaboration and team-oriented work philosophy TO APPLYClick below on "Apply for this Position" to create a profile and apply for the positionBeacon 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#CB #GD PM16AAP Reporting Location:CT - Rocky HillID (Req #):56080FTE Status:Full TimeSchedule:Mon - Fri 830-5pmNon-ExemptPI105693155
Nov 18, 2018
LocationCT: Rocky Hill (500 Enterprise Drive, Suite 4D)Job FamilyClinical, UnlicensedJob BriefWe are currently seeking a dynamic Clinical Liaison to join our team at our office in Rocky Hill, CT!ABOUT THE POSITIONWe are currently seeking a dynamic Clinical Liaison to join our team at our office in Rocky Hill, CT! The Clinical Liaison will work closely with their assigned geographic region or specialty within the clinical regional teams. Clinical Liaisons have professional and educational knowledge in the mental health field. Clinical Liaisons interact collaboratively with multiple systems to ensure appropriate linkage to services and community resources. They also foster a collaborative relationship between providers, community agencies, other administrative services organizations and Beacon staff in order to ensure members receive timely and integrated access to services across the continuum of care.Clinical Liaisons work with hospitals, clinics, outpatient facilities as well as clinicians to manage intake of admissions, discharge information, incoming/outgoing referrals, review of prior authorizations for lower levels of care and retrospective reviews.Position Responsibilities:1. Outreach calls to behavioral health providers and Medicaid members to ensure coordination of aftercare and services.2. Assist with managing discharge reporting data in CONNECT system.3. Support Exhibit E as a back up to Customer Services. Clinical Liaisons will answer calls coming into the engagement center from providers, members, and clients. They will help to identify resources that are available to support members and to help members maintain recovery in the least restrictive level of care possible. Be available to provide late shift schedule coverage (5-7pm) on a rotating schedule. 4. Work with Clinical Care Managers to proactively identify members needing additional support to be maintained in the community. Outreach to member or family to encourage connecting with a Peer Specialists, if appropriate, for additional supports.5. Assist with managing bed tracking component of residential services, including but not limited to, analysis of residential census reporting to ensure bed occupancy & tracking reliability.6. Process both real-time and retro authorizations for lower levels of care.7 . Assist with trouble shooting clinical reports as assigned and ensure necessary corrections are made.8. Sweep CareConnect queues for the Clinical Department per assigned task.9. Assist with other clinical and/or administrative management needs or projects as requested.10. Attend clinical staff meetings. Coordinate clinical rounds and enter notes into Connect system as appropriate.11. Assist CCMs and ICMs with various care management functions.12. Interacts with other department such as Quality Management, Customer Service department, Provider Relations, Compliance department to foster improved efficiency between clinical and these departments.Position Requirements:Education : A Bachelor's degree in a health related field (social work, psychology). Master's degree and licensure preferred. Relevant Work Experience: experience (at least 1 year) in a mental health or substance abuse field; assessment & treatment plan development experience; care management experience; knowledge of CT community resources/ social services; good oral and written communication skills; ability to organize and implement action.Knowledge, Skills & Abilities : MS Office Verbal and written communication skills, Group presentation and public speaking skills, Collaboration and team-oriented work philosophy TO APPLYClick below on "Apply for this Position" to create a profile and apply for the positionBeacon 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#CB #GD PM16AAP Reporting Location:CT - Rocky HillID (Req #):56080FTE Status:Full TimeSchedule:Mon - Fri 830-5pmNon-ExemptPI105693155