Manager Clinical Behavioral Health

Job Summary

The Clinical Manager provides clinical and operational management over all behavioral health programming and services delivered to the organization's membership or patients. Through development and oversight of clinical programs and direct management of staff, this position ensures timely, efficient, and successful delivery of behavioral health services to the organization's membership or patients in conjunction with company-wide initiatives policy.

Essential Functions

• Provides operational management over the Behavioral Health Outpatient Prior Authorization program, Utilization Management, Outpatient Case Management program, Emergency Services program or Behavioral Health Ambulatory Care Management Program including people, program administration and service delivery. Includes ensuring adequate staff allocation and assignment.
• Develop project/program resourcing strategies, allocating budget, staff, tools, and internal support necessary for cost-effective implementation.
• Works with Director on clinical program development, key tactics, outcomes/metric measurements and department strategies that improve health, reduce costs, create profitable growth, and meet department/organizational goals and objectives.
• Plan and direct all Quality, UM, and Clinical regulatory functions of the Behavioral Health department in order to maintain regulatory and accreditation compliance.
• Ensures staff compliance to operational policies and procedures as well as regulatory processes, as evidenced by routine internal audit results.
• Serves as Behavioral Health representative/expert on designated external work teams, community and provider partnerships, outreach events and projects.
• Provides leadership, coaching and mentoring to direct reports including direct oversight of quality review and clinical operations, as well as routine audits of staff performance related to concurrent review, discharge planning and prior authorization.
• Assists Director with budget preparation and monitoring, operates effectively within defined budget parameters.

How Corewell Health cares for you

• Comprehensive benefits package to meet your financial, health, and work/life balance goals. Learn more here.
• On-demand pay program powered by Payactiv.
• Discounts directory with deals on the things that matter to you, like restaurants, phone plans, spas, and more!
• Optional identity theft protection, home and auto insurance, pet insurance.
• Traditional and Roth retirement options with service contribution and match savings.

Qualifications

Required

• Master's Degree in a human service field.
• 5 years of relevant experience in health care regulations and accreditation arenas.
• 5 years of relevant experience in a psychiatric or substance abuse treatment setting.
• 5 years of relevant experience in direct management of staff.
• LIC - Master Social Worker (MSW-Master) from the State of Michigan upon hire

Preferred

• 10 years of relevant experience in a psychiatric of substance abuse treatment setting.
• 7 years of relevant experience in direct management of staff.

About Corewell Health

As a team member at Corewell Health, you will play an essential role in delivering personalized health care to our patients, members and our communities. We are committed to cultivating and investing in YOU. Our top-notch teams are comprised of collaborators, leaders and innovators that continue to build on one shared mission statement - to improve health, instill humanity and inspire hope. Join a nationally recognized health system with an ambitious vision of continued advancement and excellence.

Primary Location

SITE - Priority Health - 1231 E Beltline - Grand Rapids

Department Name

PH - Behavioral Health

Employment Type

Full time

Shift

Day (United States of America)

Weekly Scheduled Hours

40

Hours of Work

8:00 a.m. to 5:00 p.m.

Days Worked

Monday to Friday

Weekend Frequency

N/A

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Corewell Health is committed to providing a safe environment for our team members, patients, visitors, and community. We require a drug-free workplace and require team members to comply with the MMR, Varicella, Tdap, and Influenza vaccine requirement if in an on-site or hybrid workplace category. We are