NHS Human Services, Inc.

Provides guidance within the HARP Department, particularly as it pertains to new processes and workflows which support program operations Promotes and facilitates a multidisciplinary approach, supporting HARP coordinated care operations amongst disciplines. Oversee clinical program training/retraining and creation and updating of departmental training tools/workflows and resources Adhere to clinical standards of care through collaboration with providers in order to ensure appropriate outcomes Practice and adhere to departmental and state guidelines in order to protect self, members, and organization Provide crisis intervention when necessary Maintains a tracking tool which logs unacceptable inconsistencies and errors observed during quality reviews of recorded calls via the queue and care management documentation, care planning, follow up and interventions Performs quarterly audits of Staff's chart documentation Works collaboratively with HARP management team to ensure program goals, projects and initiatives are implemented and meet departmental workflows and policy standards Supports Care Management staff as needed when management is in meetings and/or working on other program initiatives Follows best practice and clinical standards, and adheres to departmental and State guidelines. Performs all other duties or actions as required MSW/MA/MS Master's Degree or equivalent preferred. Bachelors Degree required LMSW, LCSW, LMHC, LMFT, RN preferred Two years' experience working with Behavioral Health and/or Substance abuse required Prior supervisory experience required At least 3 years previous managed care experience Ideally 2 years specific to Behavioral Health/HARP Previous Managed Care experience required in Medical Management/HARP Operations Knowledge of the Collaborative Care Model Experience with chronic condition management, particularly Diabetes, HIV, Heart Disease Experienced user/reviewer of the HCS/MAPP systems for Health Home member status preferred Knowledge of Psyckes, E-Paces, HCS (UAS) MAPP, Microsoft Teams Video knowledge preferred. Excellent written and oral communication skills required Ability to multi-task well while maintaining a positive can do attitude Demonstrated ability to manage large caseloads in a fast-paced environment while building and enhancing team productivity Demonstrated professionalism and leadership skills along with the ability to develop, direct and support staff Computer literacy: Proficiency with Word and Excel.