RN NP LPN LMSW LCSW Manager of Behavioral Health ...

A healthcare company in New York City is looking to add a new Manager of Behavioral Health Quality (RN, LPN, or LMSWLCSW) to their Behavioral Health Quality Management team. In this role, the Manager of Behavioral Health Quality (RN, LPN, or LMSWLCSW) will define and strategically develop the organization's Quality Improvement (QI) strategy for Behavioral Health (BH) metrics. ***This is a Hybrid opportunity requiring the qualified professional to work onsite at least 2 days a week*** Responsibilities: The Manager of Behavioral Health Quality (RN, LPN, or LMSWLCSW) will: Develop and implement the organization's Quality Improvement (QI) strategy for Behavioral Health (BH) metrics, leading a cross-functional team to design, execute, and assess QI initiatives and data research to enhance quality performance as defined by NCQA, DOH, CMS, and other regulatory bodies Collaborate with BH Care Management, Pharmacy, and other departments to allocate resources effectively to address performance gaps, ensuring a coordinated and measured quality strategy aimed at maximizing performance in the state's Quality Incentive Award (QIA) programs, particularly focusing on the Health and Recovery Plan Lead QI Specialists and Clinical Outreach Specialists in the design, implementation, and evaluation of projects aimed at supporting HEDISQARR and engaging high-risk members Spearhead data analytics efforts to identify improvement areas, understand behaviors, and evaluate BH metrics, while fostering innovative problem-solving among the team Collaborate with providers to improve quality performance in BH metrics, develop incentives, and ensure data integrity, while aligning action plans with the organization's QI strategy Oversee quality and performance improvement projects, document performance indicators and outcomes, and report to CMSDOHIPRO, ensuring compliance with regulatory requirements Drive provider education initiatives on behavioral health aspects, participate in quality committees, and developdeliver intra-department training to support state and plan initiatives Qualifications: Master's degree in a clinical discipline Active NYS license as an RN, LPN, or LMSWLCSW 10+ years' experience in the healthcare industry, with a focus on clinical and quality improvement process methodologies 5+ years' experience supervising and managing staff Familiarity with HEDIS and QARR requirements Clinical experience in behavioral health or mental health settings Advanced proficiency in Microsoft Office applications, including Word, Excel, PowerPoint, and Access Desired Skills: Six Sigma Yellow or Green Belt Project management and documentation skills

Created: 2025-01-14