Director, Clinical Behavioral Health | Behavioral Health SME - TACOMA/Seatt

Location: Seattle, WA
Job Type: Direct Hire
Salary: $100,000.00 - $130,000.00
Degree: Bachelor;
Date: 6/23/2017
Job ID: 02486817
Job Description
Director, Clinical Behavioral Health | Behavioral Health SME - TACOMA/Seattle

Truly make a difference in healthcare in this community as part of this innovative health plan.   KEY leader will develop a high performing, fully integrated medical management team, working in collaboration with the VP and peer Medical Management Directors.   If you are a behavioral health SME who understands managed care, this may be THE opportunity to accelerate your career.

-Director will oversee clinical functions in all service areas including: intensive case management (ICM), utilization review (UR), provider training and care coordination and ensuring processes are consistent with URAC and NCQA guidelines and state mandates.
-  Drive implementation of new business and participate in RFP writing and in policy modification.
-  Develop clinical initiatives and monitor ICM, UR and disease management programs.

-  Develop program descriptions and evaluate programs to meet set guidelines.

-  Interface with network development and Quality Improvement.

Desired Qualifications:

-Master's degree in Behavioral Health or related field.


-5+ years of related experience in a managed care setting with experience in utilization management or case management.

-Proven leadership success in developing effective teams.
- Ideal candidate will have Strong Performance Management/Improvement experience, be analytical and data driven with CQI mind set.  (LEAN experience a plus)

- Community experience and relationships; demonstrated successful collaboration on multi-stakeholder projects

License/Certification: Unrestricted license as a LCSW, LMFT, LPC, PhD, PsyD or RN