BWH - Program Manager PHP - ALITA CARE

Bournewood Health Systems is a behavioral health organization with a main campus in Brookline, MA and various satellite sites in Woburn, Lo...Responsibilities:

Direct day-to-day operations of designated Partial Hospitalization Program (PHPs)

Facilitate daily morning treatment team meetings.

Communicate with entire team, including collaborating closely with identified attending medical staff at each location.

Manage relationship with tutoring company that services  Adolescent PHP.

Manage all current and future outpatient program staff and interns with responsibilities that include training, clinical and administrative supervision, performance evaluation, and disciplinary action.

On site commitment within location.

Review insurance authorizations to ensure that initial and concurrent reviews are completed.

Manage insurance denials and billing issues, collaborating with our Patient Accounts Department and contracted insurance carriers.

Co-sign clinical documentation for any clinician and intern without licensure.

Audit open and closed patient charts, identifying areas for improvement and training with individual clinicians.

Review referrals for clinical appropriateness and accept/decline referrals.

Facilitate individual and family treatment team meetings.

Consult with individual clinicians about difficult cases.

Provide clinical coverage as needed if staff are out sick, including leading groups and engaging in case management activities.

Coordinate clinical care with an interdisciplinary team of professionals including licensed mental health counselors (LMHCs), clinical social workers (LCSWs/LICSWs), physicians, nurses, advanced practice nurses, and psychologists.

Collaborate with different department personnel and executives including the Director of Outpatient Services, Chief Executive Officer, Chief Medical Officer, Chief Nursing Officer, Director of Social Work, and others.

Ensure all programs comply with agency policies and procedures, standards set by the agency's accrediting and regulatory bodies, and requirements of third-party payers.

Monitor and reinforce appropriate billing and fee collection policies and procedures, and communicate regularly with the Billing Department.

Participate in the development of goal-oriented treatment plans in accordance with standards set by Bournewood Health Systems, the Department of Mental Health, Joint Commission, Centers for Medicare and Medicaid Services, and others.

Develop and maintain relationships with various external agency referral sources including Emergency Service Programs (ESPs), hospitals and clinics, detoxification programs, and schools.

Attend and participate in internal and external meetings and committees, as requested.

Monitor patient satisfaction surveys and identify areas for improvement.

Required Experience & Qualifications:

Masters graduate degree in a human-services related field (e.g., MSW, MA, MS, EdD, PhD, PsyD) from an accredited college or university is required.

Independent clinical licensure within the state of Massachusetts (e.g., LICSW, LMHC, LP) is required.

Applicant must have a history of clinical work, people management, and leadership.

Applicant must have a history of providing clinical supervision to unlicensed or junior-licensed clinicians.

Applicant must have a history of working with patients who experience symptoms of mental illness and/or substance use disorders.

Preferred Experience & Qualifications:

Applicant should have history of working in an outpatient environment and/or hospital setting.

Applicant should have a history of working in an interdisciplinary team.

Applicant should have strong organizational and time management skills.

Applicant should have a history of working and using an Electronic Medical Record (EMR).

Applicant should have experience interfacing with licensing and accrediting bodies.

Openings: 1

Salary: Negotiable

Start Date: ASAP

Schedule: Monday through Friday (8am-4pm)

Location: Satellite PHP's are located in Dedham, Lowell, Woburn. The location posted in the posting is the facility of hire.