ATHENA CONSULTING JOB LISTINGS
Team Lead
We are currently hiring for the
Maryland Behavioral Health Administrative Services Project!
ATHENA Consulting is an award-winning staffing firm serving state and local governments. Our mission is to make lives better! We make our Clients’ Lives Easier by engaging and supporting our clients and partnering with them to be the most knowledgeable staffing partner. We make our Employees’ Lives Better by identifying and cultivating their talents and matching these talents with our customers’ needs. ATHENA places a high value on customer service, accountability and getting the job done.
POSITION SUMMARY:
This FULL-TIME position ranges from $42.00-$46.00 per hour depending on experience and is located in Hanover, Maryland. The Manager Behavioral Health Services is responsible for Behavioral Health Utilization Management (BH UM), Behavioral Health Case Management (BH CM), or a combination of both functions in an integrated model. The role may also involve managing the Employee Assistance Program (EAP) and Resource Center (RC), and related duties as assigned.
This position is hybrid and will go into the office 1-2x a week.
ESSENTIAL DUTIES AND RESPONSIBILITIES:
Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions:
- Serves as a resource for medical management programs and identifies and recommends revisions to policies and procedures.
- Ensures staff adherence to accreditation guidelines and supports quality improvement activities.
- May assist with the implementation of cost of care initiatives and attend meetings to review UM and/or CM processes, discussing facility issues.
- Hires, trains, coaches, counsels, and evaluates the performance of direct reports.
Responsibilities for BH UM may include:
- Managing a team of licensed clinicians and non-clinical support staff to ensure the medical necessity and appropriateness of care for inpatient and outpatient BH services.
- Ensuring appropriate utilization of BH services through level of care determination, accurate interpretation/application of benefits, corporate medical policy, and cost-efficient, high-quality care.
- Managing consultation with facilities and providers to discuss plan benefits and alternative services.
- Leading the development and maintenance of positive relationships with providers to ensure quality outcomes and cost-effective care.
- Assisting in developing clinical guidelines and medical policies used in performing medical necessity reviews.
- Providing leadership in developing new pilots and initiatives to improve care or lower costs.
Responsibilities for BH CM may include:
- Managing a team of licensed clinicians and non-clinical support staff engaged in telephonic outreach to members.
- Overseeing staff in assessing, developing, implementing, coordinating, monitoring, and evaluating care plans to optimize member healthcare across the care continuum.
- Ensuring member access to services appropriate to their health needs and monitoring and evaluating the effectiveness of care plans.
- Supporting process improvement and quality assurance activities.
- Facilitating collaboration across departments to ensure cost-effective and quality member care.
Responsibilities for integrated BH UM and BH CM model include:
- Integrating the UM/CM functions to improve information flow and collaboration.
Responsibilities for EAP/Resource Center include:
- Managing a team of licensed clinicians and non-clinical support staff responsible for telephonic crisis intervention, substance abuse/biopsychosocial assessments, employer services (such as Management Consultations and Supervisory Referrals), and connecting members or providers with available resources to optimize quality outcomes and cost-effective care.
- Supporting quality improvement by identifying new business processes, recommending revisions to policies/procedures, and providing quality control to ensure adherence to the appropriate medical policy, best practices, relevant clinical standards, and contracts for an inbound and outbound 24/7 call center managing EAP and BH Services.
- Serving as a resource for direct reports, vendors, account management, implementation teams, privacy and compliance, and infrastructure support teams.
Education and Experience Requirements:
- Experience with child and adolescent population
- A minimum of 5 years clinical practice as a BCBA, BCBA-D or licensed psychologist
- Current active unrestricted Board-Certified Behavioral Analyst (BCBA) certification and/or state licensure required (Maryland).
- Prior utilization management experience preferred.
- Prior managed care experience preferred.
- Prior leadership experience managing, hiring, and coaching a team.
- Experience with Applied Behavioral Analysis (ABA) comprehensive and focused treatment modalities.
- Experience applying clinical and policy knowledge on the continuum of clinical services.
- The following professional competencies apply: Associates in this role are expected to have strong oral, written, and interpersonal communication skills, problem-solving skills, facilitation skills, analytical skills, and computer skills
Physical Requirements:
- Possible prolonged periods of sitting at a desk and working on a computer.
- Must be able to lift and move up to 25 pounds at times.
- Standard hours of work Monday through Friday, 8:00 am – 5:00 pm.
Successful ATHENA employees will display the following characteristics:
- You strive to be the best in your field currently and in the future.
- You like to make your employer look good.
- You find solutions, where others only see problems.
- You are proactive, you make and meet commitments, and you perform your duties exceedingly well.
- You are aware of the employer’s needs at all times and are well-versed in what you personally and ATHENA can offer them as a whole.
- You have the ability to work with diverse, integrated, deliverable-driven teams to accomplish the larger mission.
The benefits of working for ATHENA include a full Benefit package:
- Support from a team of professionals committed to making your life better.
- 19 days of PTO.
- 12 paid holidays, 13 paid holidays during election years.
- Merit / COLA increases.
- Flex time allowed, during the same week.
- Medical, dental and vision insurance.
- Medical and dependent flexible spending account.
- Pet insurance.
- Mass transportation benefit for the Maryland and Washington, D.C. area.
- 401k with a generous employer match.
- Easy to use employee self-serve HR portal.
The statements in this Job Posting are intended to describe the general nature and minimum level of work required. The content should not be construed as a complete list of all duties, responsibilities, and skills required to meet the criteria for this position. Upon request, reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Application for employment is not intended to and does not create a contract or offer of employment and if hired, employment with the company is on an at-will basis and could be terminated at the will of either party.
ATHENA Consulting LLC does not discriminate in hiring based on federally protected classifications to include but not limited to race, color, religion, national or ethnic origin, sex, sexual orientation, gender identity or expression, age, disability, protected veteran status, marital status or other characteristics protected by law. Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities.
