Manager, Behavioral Health (Clinical Engagement)

Are you looking to join a team of like-minded professionals who are passionate about serving Douglas County OHP members, engaging with the community, and delivering outstanding customer service?At Umpqua Health, we are committed to recruiting top-tier team members who provide exceptional service with professionalism, compassion, and respect for the unique needs of every individual we serve.If you thrive in a fast-paced, dynamic healthcare environment and are ready to make a meaningful impact, you may be the team member we’re looking for.We seek individuals who:Possess genuine compassion and empathy for our membersCan adapt to ever-evolving healthcare regulations and requirementsAre motivated by challenges and dedicated to delivering superior customer serviceJoin us in serving over 40,000 Douglas County residents as we administer Medicaid benefits and work together to improve health outcomes in our community.Umpqua Health is a mission-driven, community-focused healthcare organization proudly serving Douglas County, Oregon. Locally owned by CHI Mercy Health and the Douglas County Individual Practice Association (DCIPA), we are deeply rooted in the region and dedicated to improving the health and well-being of our friends, families, and neighbors.Umpqua Health is the parent company of Umpqua Health Alliance, one of 16 Oregon coordinated care organizations serving the Oregon Health Plan. The Roseburg-based company and its subsidiaries are focused on expanding access, improving care, and reducing unnecessary costs across the clinical space for more than 40,000 Douglas County residents on the Oregon Health Plan and close to 10,000 more individuals with Medicare, private insurance or Exchange coverage.Job DescriptionJOB TITLEManager Behavioral HealthREPORTS TODirector Behavioral HealthSTATUSFT-ExemptWAGE RANGE20 (2024)DEPARTMENTBehavioral HealthWORK LOCATIONRemote POSITION PURPOSEThe Behavioral Health Operations Manager will oversee the daily operations of the care management team, which includes managing care coordination and case management functions, ensuring the success of the Care Management program, and collaborating with various departments to improve processes and outcomes for members. This role is critical in leading the team to deliver high-quality care management that aligns with both internal performance metrics and regulatory standards. The Manager will play a key role in the development, implementation, and strategic planning of the care management department to ensure its ongoing success and continuous improvement. ESSENTIAL JOB RESPONSIBILITIESOverall Leadership: Provide strategic oversight for the entire care coordination team, ensuring alignment with the organization’s mission, vision, and values. Policy Development: Develop, implement, and evaluate policies and procedures to enhance care coordination practices and improve member outcomes. Leadership Initiative: Lead case reviews and promote strategic initiatives aimed at enhancing care coordination and increasing member satisfaction across the organization. Senior Management Collaboration: Collaborate with senior management and other departments to ensure that care coordination aligns with organizational strategies and goals. Subject Matter Expertise: Act as a subject matter expert on care coordination practices, member advocacy, and relevant healthcare regulations, providing guidance to staff and leadership. Mentoring Future Leaders: Identify and mentor high-potential team members, ensuring a strong pipeline of talent for future leadership roles within the organization. External Representation: Represent the organization in external meetings and partnerships with healthcare providers, community organizations, and regulatory bodies to promote effective care coordination. Performance Evaluation: Establish, track, and analyze key performance indicators (KPIs) and outcomes related to the behavioral health program, implementing corrective actions when necessary. Other duties and responsibilities as assignedCHALLENGESWorking with a variety of personalities, maintaining a consistent and fair communication styleSatisfying the needs of a fast paced and challenging companyQUALIFICATIONSPreferred Qualifications5 years of clinical experience and prior supervisory or management experience required. Minimum of 3 years’ direct health plan experience in case management, utilization management, or disease management preferred. Licensure: Registered Nurse, Licensed Clinical Social Worker, Licensed Professional Counselor, or Licensed Marriage and Family Therapist. Bachelor’s degree in nursing, Social Work, Healthcare Administration, Public Health, or a related field (Master’s degree preferred). Certified Case Manager Certification (CCM) is strongly desired at the time of hireNo suspension/exclusion/debarment from participation in federal health care programs (eg. Medicare/Medicaid)Proficient computer skills, including MS Office suiteExperience considering the impacts of the work on multiple communities, including communities of color, in technical analysis. Experience working on a diverse team Experience working with different communication stylesBi-lingual translation or translation capabilities a plusPHYSICAL DEMANDSA typical office environment requires standing, sitting, walking, bending, and lifting up to 25 plus pounds. May be exposed to patient and environment conditions such as unpleasant sights, smells and contagious diseases.EQUAL EMPLOYMENT OPPORTUNITYUH is an equal opportunity employer that is committed to diversity and inclusion in the workplace. We prohibit discrimination and harassment of any kind based on race, color, sex, religion, sexual orientation, national origin, disability, genetic information, pregnancy, or any other protected characteristic as outlined by federal, state, or local laws.This policy applies to all employment practices within our organization, including hiring, recruiting, promotion, termination, layoff, recall, leave of absence, compensation, benefits, training, and apprenticeship. UH makes hiring decisions based solely on qualifications, merit, and business needs at the time. For more information, read through our EEO Policy.JOB DESCRIPTION ACKNOWLEDGEMENTI have reviewed the attached job description as outlined above and understand that I am responsible for all duties as outlined and other tasks as may be assigned. I understand that if I need accommodation to perform the essential functions of my job that I must contact my supervisor or Human Resources as soon as possible to begin an interactive process.Note: This job description in no way states or implies that these are the only duties to be performed by the employee(s) incumbent in this position. Employees will be required to follow any other job-related instructions and to perform any other job-related duties requested by any person authorized to give instructions or assignments. All duties and responsibilities are essential functions and requirements and are subject to possible modification to reasonably accommodate individuals with disabilities. To perform this job successfully, the incumbents will possess the skills, aptitudes, and abilities to perform each duty proficiently. Some requirements may exclude individuals who pose a direct threat or significant risk to the health or safety of themselves or others. The requirements listed in this document are the minimum levels of knowledge, skills, or abilities. This document does not create an employment contract, implied or otherwise, other than an “at will” relationship. EMPLOYEE SIGNATUREDATEAbout Umpqua HealthAt Umpqua Health, we're more than just a healthcare organization; we're a community-driven Coordinated Care Organization (CCO) committed to improving the health and well-being of individuals and families throughout our region. Umpqua Health serves Douglas County, Oregon, where we prioritize personalized care and innovative solutions to meet the diverse needs of our members. Our comprehensive services include primary care, specialty care, behavioral health services, and care coordination to ensure our members receive holistic, integrated healthcare. Our collaborative approach fosters a supportive environment where every team member plays a vital role in our mission to provide accessible, high-quality healthcare services. From preventative care to managing chronic conditions, we're dedicated to empowering healthier lives and building a stronger, healthier community together. Join us in making a difference at Umpqua Health.Umpqua Health is an equal opportunity employer that embraces individuals from all backgrounds. We prohibit discrimination and harassment of any kind, ensuring that all employment decisions are based on qualifications, merit, and the needs of the business. Our dedication to fairness and equality extends to all aspects of employment, including hiring, training, promotion, and compensation, without regard to race, color, religion, gender, gender identity or expression, sexual orientation, national origin, genetics, disability, age, veteran status, or any other protected category under federal, state, or local law.Powered by JazzHRU29y4KW4Eq