Manager-SHP Behavioral Health (Hybrid)

Utilizes clinical knowledge and system improvement skills to support SHP Behavioral Health services. Supports contract compliance, OAR’s, and system transformation. Focuses on supporting system improvements, both internally and externally with stakeholders. Seeks system coordination with the focus on whole person health integration. Utilizes knowledge of Medicaid, continuum of care, knowledge of state and CCO regulations and gap identification for constructive support and change. Supports the oversight and monitoring of treatment-based services.

• This is a hybrid position that would consist of remote and onsite work in Corvallis, OR.
• DEPARTMENT DESCRIPTION

Samaritan Health Plans (SHP) operates a portfolio of health plan products under several different legal structures : InterCommunity Health Plans, Inc. (IHN) is designated as a regional Coordinated Care Organization (CCO) for Medicaid beneficiaries; Samaritan Health Plans, Inc. offers Medicare Advantage, Commercial Large Group, and Commercial Large Group PPO and EPO plans; SHP is also the third-party administrator for Samaritan Health Services’ self-funded employee health benefit plan. As part of an Integrated Delivery System, Samaritan Health Plans is strategically and operationally aligned with Samaritan Health Services’ mission of Building Healthier Communities Together.

• EXPERIENCE / EDUCATION / QUALIFICATIONS

Master's degree in Mental Health, Social Work, Clinical Psychology or a closely related field required.

• Current unencumbered Oregon licensure in one (1) of the following required :

Licensed Clinical Social Worker (LCSW).

• Licensed Professional Counselor (LPC).
• Licensed Marriage and Family Therapist (LMFT).
• Five (5) years behavioral health experience required.
• Three (3) years Health Plans and / or leadership experience required.
• Experience in data analysis, program / project management, utilization review / management, case management, managed care, Medicare, Medicaid and commercial insurance preferred.
• KNOWLEDGE / SKILLS / ABILITIES

Leadership - Inspires, motivates, and guides others toward accomplishing goals. Achieves desired results through effective people management.

• Conflict resolution - Influences others to build consensus and gain cooperation. Proactively resolves conflicts in a positive and constructive manner.
• Critical thinking – Identifies complex problems. Involves key parties, gathers pertinent data and considers various options in decision making process. Develops, evaluates and implements effective solutions.
• Communication and team building – Leads effectively with excellent verbal and written communication. Delegates and initiates / manages cross-functional teams and multi-disciplinary projects.
• PHYSICAL DEMANDS

Rarely

1 - 10% of the time)

Occasionally

11 - 33% of the time)

Frequently

34 - 66% of the time)

Continually

67 – 100% of the time)

LIFT (Floor to Waist : 0"-36") 0-20 Lbs

LIFT (Knee to chest : 24"-54") 0 - 20 Lbs

LIFT (Waist to Eye : up to 54") 0 - 20 Lbs

CARRY 1-handed, 0 - 20 pounds

CARRY 2-handed, 0 - 20 pounds

KNEEL (on knees)

BEND FORWARD at waist

CLIMB - STAIRS

STAND

WALK - LEVEL SURFACE

ROTATE TRUNK Standing

REACH - Upward

PUSH (0-20 pounds force)

PULL (0-20 pounds force)

ROTATE TRUNK Sitting

REACH - Forward

MANUAL DEXTERITY Hands / wrists

FINGER DEXTERITY

PINCH Fingers

GRASP Hand / Fist

None specified

PI261222609