Exciting opportunity to be part of an innovative behavioral health team within Yamhill Community Care (YCCO).  As a Behavioral Health and Integration Specialist II (BHIS II) the successful applicant will use their clinical knowledge and system improvement skills to support the YCCO’s behavioral health network, ensure YCCO contract compliance, and assist in ongoing system transformation. YCCO is looking for applicants that have experience in community behavioral health, thorough knowledge of the full continuum of care, understanding of Medicaid managed care, and a passion for system improvement and whole person health integration. Ability to work well as part of a team and comfortable working within a Matrix model of task assignments is highly important.

Experience & Education:

Required:

• Master’s degree in social work, counseling, or related healthcare field; AND
• 5 years’ related experience.

Preferred:

• 3 years’ experience in community behavioral health direct service.
• Experience in quality and/or project management.
• Experience in administering Oregon Health Plan (OHP) benefits/managed care.
• Licensed Clinical Social Worker (LCSW), Licensed Professional Counselor (LPC), or equivalent license.

+--------------------+--------------------+--------------------+--------------------+ | DEPARTMENT: | Behavioral Health | FLSA STATUS: | Exempt | +--------------------+--------------------+--------------------+--------------------+ | REPORTS TO: | Behavioral Health | PHYSICAL STRENGTH: | Light (L) | | | and Integrations | | | | | Director | | | +--------------------+--------------------+--------------------+--------------------+

+--------------------------------------------------------------------------+ | SUMMARY | | | | This position is responsible for supporting whole-person | | health/integrated care within Yamhill Community Care (YCCO) and in its | | communities by performing the following duties. | | | | ESSENTIAL DUTIES | | | | - Collaborates in the development and maintenance of a comprehensive | | health service delivery system that provides high quality and | | cost-effective service to YCCO members. | | - Functions as a matrixed member of various project and task teams to | | develop, strengthen, and expand access to robust, high value health | | services within Yamhill Community Care’s service areas. | | - Assists with the design and development of processes to ensure | | compliance with contract requirements including, but not limited to, | | access, quality, program integrity, quality of clinical care, | | utilization, and compliance with OARs and other regulatory | | standards, as assigned. | | - Provides content expertise and technical assistance to Yamhill | | Community Care’s behavioral health and physical health | | provider organizations. | +--------------------------------------------------------------------------+

JOB DUTIES

• Collaborates in the development and maintenance of a comprehensive health service delivery system that provides high quality and cost-effective service to YCCO members.
• Provides behavioral health and integration subject matter expertise across various function areas within YCCO.
• Actively follows behavioral health best practices and professional code of conduct/ethics.
• Ensures integration of work between program functional areas and promotes effective communications within YCCO and between external partners and providers.
• Assists with development and implementation of processes to ensure compliance with contract requirements including but not limited to access, quality, program integrity, quality of clinical care, utilization, and compliance with OARs and other regulatory standards.
• Develops trust/credibility and collaborates with YCCO providers and other community partners.
• Provides content expertise and technical assistance to Yamhill Community Care’s behavioral health and physical health provider organizations.
• Provides clinical and other support for innovative initiatives to support delivery system transformation.
• Identifies opportunities for cost savings and process improvements.
• Works collaboratively in a team/matrixed environment.
• Assists team members and offer suggestions to improve processes, culture, and/or work environment.
• Respectfully takes direction from Behavioral Health and Integration Director and matrixed managers/supervisor(s).
• Adheres to YCCO policy and procedures and standards of operations.
• Functions successfully within a Matrix model.
• Prepares reports and other documents as assigned.
• Maintains punctual, regular and predictable attendance.  
• Works collaboratively in a team environment with a spirit of cooperation.
• Performs special projects and other duties as assigned.
• Operates within a Matrixed model providing Behavioral Health and Integration subject matter expertise to assigned projects/tasks.
• Works to develop strong relationships with community providers and provide support, as assigned.
• Demonstrates cooperation and teamwork.
• Demonstrates a professional demeanor.
• Works effectively in a very fast-paced environment.
• Adheres to established internal control procedures for all contract functions.
• Proposes and implements process improvements.
• Meets deadlines for completion of assigned responsibilities and projects.
• Maintains agreed upon work schedule.
• Provides cross-training on specific job responsibilities.
• Meets identified goals that contribute to overall departmental goals.
• Performs special projects and other duties as assigned.
• Knowledgeable in managed care, OHP benefits, behavioral health systems, Oregon Administrative Rules (OAR), Oregon Statute (ORS), and CCO requirements.
• Working knowledge regarding health system contracting.
• Ability to use logic and reasoning to identify the strengths and weaknesses of alternative solutions, conclusions or approaches to problems.
• Ability to identify complex problems and review related information to develop and evaluate options and implement solutions.
• Strong organizational skills with the ability to manage multiple tasks simultaneously.
• Ability to problem solve, analyze and provide written documentation of analysis.
• Ability to communicate project status and issues to manager in a timely manner.
• Ability to remain flexible, positive and adaptable.
• Ability to build productive working relationships, problem solve and resolve conflicts successfully.
• Ability to work in a continuously changing environment.
• Excellent verbal and written communication, facilitation and customer service skills.
• Ability to work independently or as part of a team within a Matrix model.
• Ability to work in an environment with diverse individuals and groups.
• Ability to use critical thinking skills in problem solving.
• Ability to function as an influential communicator and creative problem solver.
• Ability to work across the YCCO region and to work remotely, as needed.
• Ability to build and maintain professional relationships with community stakeholders.
• Skills in project management, group facilitation, community organizing and systems-thinking.
• Ability to work independently absent explicit directions, using excellent judgment and attention to detail.
• Possess a high degree of initiative and motivation along with the ability to effectively collaborate and plan with coworkers and others.
• Ability to focus on and comprehend information, learn new skills and abilities, assess a situation and seek or determine appropriate resolution, accept managerial direction and feedback, and tolerate and manage stress.
• Ability to use Microsoft Office.

ESSENTIAL DEPARTMENT AND ORGANIZATIONAL FUNCTIONS

• Demonstrates cooperation and teamwork.
• Demonstrates a professional demeanor.
• Works effectively in a very fast-paced environment.
• Adheres to established internal control procedures for all contract functions.
• Proposes and implements process improvements.
• Meets deadlines for completion of assigned responsibilities and projects.
• Maintains agreed upon work schedule.
• Provides cross-training on specific job responsibilities.
• Meets identified goals that contribute to overall departmental goals.
• Performs special projects and other duties as assigned.

KNOWLEDGE, SKILLS, AND ABILITIES

• Knowledgeable in managed care, OHP benefits, behavioral health systems, Oregon Administrative Rules (OAR), Oregon Statute (ORS), and CCO requirements.
• Working knowledge regarding health system contracting.
• Ability to use logic and reasoning to identify the strengths and weaknesses of alternative solutions, conclusions or approaches to problems.
• Ability to identify complex problems and review related information to develop and evaluate options and implement solutions.
• Strong organizational skills with the ability to manage multiple tasks simultaneously.
• Ability to problem solve, analyze and provide written documentation of analysis.
• Ability to communicate project status and issues to manager in a timely manner.
• Ability to remain flexible, positive and adaptable.
• Ability to build productive working relationships, problem solve and resolve conflicts successfully.
• Ability to work in a continuously changing environment.
• Excellent verbal and written communication, facilitation and customer service skills.
• Ability to work independently or as part of a team within a Matrix model.
• Ability to work in an environment with diverse individuals and groups.
• Ability to use critical thinking skills in problem solving.
• Ability to function as an influential communicator and creative problem solver.
• Ability to work across the YCCO region and to work remotely, as needed.
• Ability to build and maintain professional relationships with community stakeholders.
• Skills in project management, group facilitation, community organizing and systems-thinking.
• Ability to work independently absent explicit directions, using excellent judgment and attention to detail.
• Possess a high degree of initiative and motivation along with the ability to effectively collaborate and plan with coworkers and others.
• Ability to focus on and comprehend information, learn new skills and abilities, assess a situation and seek or determine appropriate resolution, accept managerial direction and feedback, and tolerate and manage stress.
• Ability to use Microsoft Office.

SUPERVISORY RESPONSIBILITIES

This position has no supervisory responsibilities.

QUALIFICATIONS

Ability to perform essential job duties with or without reasonable accommodation and without posing a direct threat to safety or health of employee or others. To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential duties.

EDUCATION & EXPERIENCE

Master’s degree in social work, counseling, or related healthcare field with a minimum of five years’ related experience. Minimum three years’ experience in community behavioral health direct service, preferred. Experience in quality and/or project management, preferred. Experience in administering Oregon Health Plan benefits/managed care, preferred.

CERTIFICATES, LICENSES AND/OR REGISTRATIONS

Licensed Clinical Social Worker (LCSW), Licensed Professional Counselor (LPC), or equivalent license, preferred. Valid driver’s license, acceptable driving record, and automobile liability coverage or access to an insured vehicle, required.

PHYSICAL DEMANDS & WORK ENVIRONMENT

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential duties of this position. The work environment characteristics described here are representative of those an employee encounters while performing the essential duties of this position. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential duties.

While performing the duties of this job, the employee is regularly required to talk or hear. The employee is frequently required to sit, stand, walk, use hands and fingers, handle or feel, and reach with hands and arms. The employee is occasionally required to climb or balance, stoop, kneel, crouch or crawl. The employee may occasionally need to lift and/or move up to 25 pounds.

This position operates in a professional office environment and requires frequent use of standard office equipment such as computers, phones, photocopiers, filing cabinets and fax machines. Specific vision abilities required by this job include close vision, color vision, distance vision, depth perception, and ability to adjust focus. The noise level in the work environment is usually moderate.

This position may include occasional required or optional travel outside of the workplace, in which the employee’s personal vehicle, local transit, or other means of transportation may be used.