Supervisor, Behavioral Health Case Management (BCBA)

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    "ExternalDescriptionStr": "<p><span style=\"font-size:11.0pt;\">HealthPartners is hiring a Supervisor, Behavioral Health Case Management. This role will specifically support the Autism Care Management team. Applicants are required to have Board Certified Behavioral Analyst (BCBA) certification and experience working with individual with Autism Spectrum Disorder.</span></p><p><span style=\"font-size:11.0pt;\">This position exits to maximize the level of skill and knowledge of the behavioral health case managers in order to efficiently and effectively serve the members identified for the case management program. To provide support to patients, their families, and physicians in addressing behavioral health and social concerns; educate and empower patients and families to make informed personal health care decisions; and facilitate communication between patient, physician, health plan and community.</span><br><span style=\"font-size:11.0pt;\">&nbsp;</span></p><p><span style=\"font-size:11.0pt;\"><strong><u>ACCOUNTABILITIES</u>:&nbsp;</strong></span></p><p><span style=\"font-size:11.0pt;\"><strong><u>Supervisory Duties:</u></strong></span></p><ol><li style=\"tab-stops:list .5in;\"><span style=\"font-size:11.0pt;\">Responsible for the supervision of staff, including having the authority to hire, transfer, lay off, promote, discipline and discharge, train, reward and review performance of employees. Ensures compliance to organizational and departmental policies and procedures.</span></li><li style=\"tab-stops:list .5in;\"><span style=\"font-size:11.0pt;\">Provides prompt case consultation as well as individual supervision sessions with each Case Manager and Case Management Assistant.</span></li><li style=\"tab-stops:list .5in;\"><span style=\"font-size:11.0pt;\">Reviews the monthly management reports with the Case Managers and the Case Management Assistants as to their performance with measurement expectations.</span></li><li style=\"tab-stops:list .5in;\"><span style=\"font-size:11.0pt;\">Performs quality audits and review with the Case Managers and the Case Management Assistants as to their performance with meeting the requirement of the business rules, policies, procedures, and accurate documentation of case work.</span></li></ol><p><span style=\"font-size:11.0pt;\"><strong><u>Member Focus:</u></strong></span></p><ol><li style=\"tab-stops:list .5in;\"><span style=\"font-size:11.0pt;\">Ensures all activities are member-focused and individualized, resulting in personalized attention to each patient’s unique needs.</span></li><li style=\"tab-stops:list .5in;\"><span style=\"font-size:11.0pt;\">Identifies interventions and resources to assist member reaching personal health related goals.</span></li><li style=\"tab-stops:list .5in;\"><span style=\"font-size:11.0pt;\">Identifies patterns and episodes of care that are predictive of future needs and services.</span></li></ol><p><span style=\"font-size:11.0pt;\">&nbsp;</span></p><p><span style=\"font-size:11.0pt;\"><strong><u>Integration:</u></strong></span></p><ol><li style=\"tab-stops:list .5in;\"><span style=\"font-size:11.0pt;\">Integrates clinical and psychosocial information for case identification and individual patient assessment to develop action-oriented and time-specific planning and implementation of appropriate interventions.</span></li><li style=\"tab-stops:list .5in;\"><span style=\"font-size:11.0pt;\">Facilitates integration of patient care by encouragement of effective communications between patients, families, providers, health plan and care system programs, and community-based services.&nbsp;</span></li><li style=\"tab-stops:list .5in;\"><span style=\"font-size:11.0pt;\">Adheres to policy and procedure in daily activities.&nbsp;</span></li><li style=\"tab-stops:list .5in;\"><span style=\"font-size:11.0pt;\">Coordinates service coverage with appropriate funding sources when indicated.</span></li></ol><p><span style=\"font-size:11.0pt;\"><strong><u>Communication:</u></strong></span></p><ol><li style=\"tab-stops:list .5in;\"><span style=\"font-size:11.0pt;\">Effectively and routinely communicates with patients, families, physicians and health care team members to facilitate successful collaboration resulting in high levels of member/patient/family/provider satisfaction.</span></li><li style=\"tab-stops:list .5in;\"><span style=\"font-size:11.0pt;\">Provides regular reporting of member outcomes to behavioral health leadership according to defined process.</span></li><li style=\"tab-stops:list .5in;\"><span style=\"font-size:11.0pt;\">Identifies and promptly reports potentially adverse situations to department leadership.</span></li><li style=\"tab-stops:list .5in;\"><span style=\"font-size:11.0pt;\">Identifies and promptly reports high cost cases for reinsurance.</span></li><li style=\"tab-stops:list .5in;\"><span style=\"font-size:11.0pt;\">Maintains confidentiality of information in accordance with department and corporate policies.</span></li></ol><p><span style=\"font-size:11.0pt;\"><strong><u>Relationships and Team Building:</u></strong></span></p><ol><li style=\"tab-stops:list .5in;\"><span style=\"font-size:11.0pt;\">Establishes and maintains good working relationships within the Behavioral Health Improvement and Operations Department, with other HealthPartners Departments, and with other health team participants.&nbsp;</span></li><li style=\"tab-stops:list .5in;\"><span style=\"font-size:11.0pt;\">Supports other team members in achieving patient centered goals.</span></li><li style=\"tab-stops:list .5in;\"><span style=\"font-size:11.0pt;\">Assists supervisor in maintaining a cohesive team by contributing to a collaborative, respectful, and diverse environment.</span></li><li style=\"tab-stops:list .5in;\"><span style=\"font-size:11.0pt;\">Participates in and contributes to appropriate departmental and/or organizational meetings.</span></li><li style=\"tab-stops:list .5in;\"><span style=\"font-size:11.0pt;\">Acts as a liaison between internal customers, Marketing, Sales, Claims and Member Services to resolve systems/process issues.</span></li></ol><p><span style=\"font-size:11.0pt;\"><strong><u>Technology:</u></strong></span></p><ol><li style=\"tab-stops:list .5in;\"><span style=\"font-size:11.0pt;\">Maintains knowledge of and effectively uses automated applications and systems.</span></li><li style=\"tab-stops:list .5in;\"><span style=\"font-size:11.0pt;\">Identifies deficits in technological literacy and seeks appropriate training under guidance of supervisor.</span></li><li style=\"tab-stops:list .5in;\"><span style=\"font-size:11.0pt;\">Maintains maximum individual productivity through proficient use of automated systems.</span></li></ol><p><span style=\"font-size:11.0pt;\"><strong><u>Personal Development:</u></strong></span></p><ol><li style=\"tab-stops:list .5in;\"><span style=\"font-size:11.0pt;\">Participates in ongoing independent study and education-related professional activities to maintain and increase knowledge in the areas of case management, patient care services, and benefit packages for development of effective case management skills.</span></li><li style=\"tab-stops:list .5in;\"><span style=\"font-size:11.0pt;\">Demonstrates responsiveness to and appreciation of constructive feedback and recommendations for personal growth and development.</span></li><li style=\"tab-stops:list .5in;\"><span style=\"font-size:11.0pt;\">Maintains current, active Minnesota licensure.</span></li></ol><p><span style=\"font-size:11.0pt;\"><strong><u>Other Duties:</u></strong></span></p><ol><li style=\"tab-stops:list .5in;\"><span style=\"font-size:11.0pt;\">Willingly participates in various committees, task forces, projects, and quality improvement teams, as needed and assigned.</span></li><li style=\"tab-stops:list .5in;\"><span style=\"font-size:11.0pt;\">Participates in the creation and updates of Business Continuity and Disaster Recovery plans and tests.</span></li><li style=\"tab-stops:list .5in;\"><span style=\"font-size:11.0pt;\">Performs other duties as assigned.</span></li></ol><p><span style=\"font-size:11.0pt;\"><strong><u>REQUIRED QUALIFICATIONS</u>:&nbsp;</strong></span></p><ol><li style=\"tab-stops:list .5in;\"><span style=\"font-size:11.0pt;\">Licensed in Minnesota as LICSW, RN or Psychologist, Masters Degree preferred.</span></li><li style=\"tab-stops:list .5in;\"><span style=\"font-size:11.0pt;\">Board Certified Behavioral Analyst (BCBA) certification</span></li><li style=\"tab-stops:list .5in;\"><span style=\"font-size:11.0pt;\">Experience working with individual with Autism Spectrum Disorder.</span></li><li style=\"tab-stops:list .5in;\"><span style=\"font-size:11.0pt;\">Minimum of 3 years clinical practice experience; minimum of 3 years relevant utilization review, discharge planning, or case management experience; and current clinical knowledge.</span></li><li style=\"tab-stops:list .5in;\"><span style=\"font-size:11.0pt;\">Minimum of 1 year supervisory experience.</span></li><li style=\"tab-stops:list .5in;\"><span style=\"font-size:11.0pt;\">Demonstrated effective, clinical judgment and skills.</span></li><li style=\"tab-stops:list .5in;\"><span style=\"font-size:11.0pt;\">Demonstrated skill and experience in effectively collaborating with care team members, using a high level of expertise in written, oral and interpersonal communication.</span></li><li style=\"tab-stops:list .5in;\"><span style=\"font-size:11.0pt;\">Demonstrated working knowledge of QI, UM, benefit plans fiscal management, and various payment methodologies preferred. Understanding of healthcare and/or HMO industry.</span></li><li style=\"tab-stops:list .5in;\"><span style=\"font-size:11.0pt;\">Demonstrated skill in effective use and management of automated medical management systems.</span></li><li style=\"tab-stops:list .5in;\"><span style=\"font-size:11.0pt;\">Demonstrated flexibility, organization, and appropriate decision-making under challenging situations.</span></li><li style=\"tab-stops:list .5in;\"><span style=\"font-size:11.0pt;\">Ability to organize and prioritize multiple assignments within workload.</span></li><li style=\"tab-stops:list .5in;\"><span style=\"font-size:11.0pt;\">Ability to deal with change and ambiguity.</span><br><span style=\"font-size:11.0pt;\">&nbsp;</span></li></ol><p><span style=\"font-size:11.0pt;\"><strong><u>DECISION-MAKING</u>:&nbsp;</strong></span></p><ol><li style=\"tab-stops:list .5in;\"><span style=\"font-size:11.0pt;\">Makes independent decisions within the scope of this position’s accountabilities and determines the need for and the timing of consultation with behavioral health leadership.</span></li><li style=\"tab-stops:list .5in;\"><span style=\"font-size:11.0pt;\">Uses sound judgment, organizational knowledge, industry knowledge, and common sense in determining appropriate alternatives for members/patients/families, consulting with leadership and/or Medical Director, when indicated.&nbsp;</span></li><li style=\"tab-stops:list .5in;\"><span style=\"font-size:11.0pt;\">Utilizes the member contract coverage policy on-line benefits, level of care guidelines and Member or Claims Services on-line policies and procedures.&nbsp;</span></li><li style=\"tab-stops:list .5in;\"><span style=\"font-size:11.0pt;\">Makes recommendations to leadership regarding policy development needs and/or changes.</span></li></ol><p><span style=\"font-size:11.0pt;\">&nbsp;</span></p><p><span style=\"font-size:11.0pt;\"><strong><u>MAJOR CHALLENGES:</u></strong></span></p><ol><li style=\"tab-stops:list .5in;\"><span style=\"font-size:11.0pt;\">Maintaining member focus in a rapidly evolving environment.</span></li><li style=\"tab-stops:list .5in;\"><span style=\"font-size:11.0pt;\">Influencing team members and colleagues to work collaboratively in achieving the goals and objectives of the department.</span></li><li style=\"tab-stops:list .5in;\"><span style=\"font-size:11.0pt;\">Maintaining timely, comprehensive reviews with concise documentation of pertinent facts, decisions and rationale.</span></li><li style=\"tab-stops:list .5in;\"><span style=\"font-size:11.0pt;\">Maintaining appropriate use of supervisory and consultation resources</span></li></ol><p><span style=\"font-size:11.0pt;\">&nbsp;</span></p>",
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