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Humana Healthy Horizons in Virginia is seeking a Director, Behavioral Health (BH) & Addiction and Recovery Treatment Services (ARTS) who will oversee teams of behavioral health experts and professionals that treat individuals with substance use disorders (SUD). The Director, BH/ARTs Care Management works within specific guidelines and procedures; applies advanced technical knowledge to solve moderately to complex problems; receives assignments in the form of objectives and determines approach, resources, schedules, and goals. Their decisions are typically related to resources, approach, and clinical operations for projects and initiatives related to behavioral health and addiction treatment.

               

The Director, BH/ARTs Services will be responsible for overseeing the development and implementation of Humana Healthy Horizon’s behavioral health and addiction and recovery treatment services in Virginia. They will oversee the assessment and evaluation of Medicaid enrollees' needs and requirements in order to attain and/or maintain optimal wellness by directing enrollees/families to and facilitating interaction with resources appropriate for enrollee care and well-being.  The Director, BH/ARTs Care Management will provide oversight of BH and ARTS Care Managers operating within an integrated physical and behavioral health approach utilizing the supports of an interdisciplinary care team and the enrollee’s multidisciplinary team. 

• Provides daily operational activities of behavioral health, addiction and recovery treatment services across the full spectrum of care to members, inclusive of mental health and substance abuse services. 
• Collaborates cross departmentally and conducts briefings and area meetings.
• Maintains frequent contact with other managers across the department, such as Care Coordination Manager, Quality Management Coordinator and BH Medical Director.
• Leads the BH/ARTS case management team and other clinical associates serving members with BH and SUD to ensure timely, culturally competent, and appropriate delivery of behavioral health, addiction care and support.
• Ensures access to behavioral health and substance use services. 
• Ensures systematic screening for behavioral health & ARTS related disorders by utilizing standardized and evidence-based approaches. 
• Promotes preventive behavioral health, addiction, and recovery strategies. 
• Identifies and coordinates assistance for member needs specific to behavioral health & substance use.
• Participates in management and program improvement activities with other key staff (including the Care Coordination Manager) for enhanced integration with primary care and coordination of behavioral health services/ARTS and achievement of outcomes.
• Works with the BH Medical Director as needed in the development and maintenance of programs and systems.
• Collaborates with Clinical Leaders to implement medical policy and population health strategies that advance outcomes for plan members. 
• Ensures compliance with the addiction principles of care and application of American Society of Addiction Medicine (ASAM) placement criteria for all addiction program development.

Use your skills to make an impact
 

Required Qualifications:

• Must reside in the state of Virginia.
• An active, Licensed Clinical Social Worker (LCSW), Licensed Professional Clinical Counselor (LPCC), Licensed Marriage and Family Therapist (LMFT) or a Certified Addiction Counselor (CAC), Certified Alcohol and Drug Counselor (CADC) in the state of Virginia with no disciplinary action; must have the ability to hold licenses in multiple states within the scope of practice. 
• Minimum eight (8) years of experience in the management of behavioral health programs, behavioral health program and policy development or experience in the provision and supervision of treatment services for mental illness and substance use disorders, specifically clinical experience with addiction treatment of adults or children experiencing substance use problems and disorders.
• 5+ years of management/leadership, project lead or subject matter BH/ARTS expert experience.
• 6+ years technical experience aptitude to troubleshoot and resolve system platform and connectivity problems.
• Experience with the development and implementation of policies and procedures.
• Strong proficiency with MS Office Suite specifically Word, Excel and PowerPoint.
• This role is considered patient facing and is a part of Humana's Tuberculosis (TB) screening program. If selected for this role, you will be required to be screened for TB.
• This role is a part of Humana’s Driver Safety program and therefore requires an individual to have a valid state driver’s license