Description

Job Summary:

In addition to the responsibilities listed below, this position is also responsible for leveraging clinical expertise in Behavioral Health Therapy (BHT)/Applied Behavioral Analysis (ABA) to coordinate the provision of care for members with Autism Spectrum Disorder (ASD) and/or Developmental Delay (DD) by external vendors; reviewing clinical progress notes from providers and collaborating on treatment goals and ensuring adherence to the plan of care; monitoring and providing recommendations on appropriateness of therapeutic plans, goals, and outcomes to improve quality, timeliness, and effectiveness of treatment; maintaining databases to monitor and track services for ASD and/or DD populations; and coordinating the transition of members/families from ABA services to lower level of care.

Essential Responsibilities:

• Promotes learning in others by proactively providing and/or developing information, resources, advice, and expertise with coworkers and members; builds relationships with cross-functional/external stakeholders and customers. Listens to, seeks, and addresses performance feedback; proactively provides actionable feedback to others and to managers. Pursues self-development; creates and executes plans to capitalize on strengths and develop weaknesses; leads by influencing others through technical explanations and examples and provides options and recommendations. Adopts new responsibilities; adapts to and learns from change, challenges, and feedback; demonstrates flexibility in approaches to work; champions change and helps others adapt to new tasks and processes. Facilitates team collaboration to support a business outcome.
• Completes work assignments autonomously and supports business-specific projects by applying expertise in subject area and business knowledge to generate creative solutions; encourages team members to adapt to and follow all procedures and policies. Collaborates cross-functionally and/or externally to achieve effective business decisions; provides recommendations and solves complex problems; escalates high-priority issues or risks, as appropriate; monitors progress and results. Supports the development of work plans to meet business priorities and deadlines; identifies resources to accomplish priorities and deadlines. Identifies, speaks up, and capitalizes on improvement opportunities across teams; uses influence to guide others and engages stakeholders to achieve appropriate solutions.
• Ensures quality of care by: using advanced knowledge to review moderately complex patient assessments, care, and interventions for completeness and accuracy; prioritizing patient experience during internal and external care transitions by proactively anticipating and identifying barriers; documenting the progression of treatment plans and conducting moderately complex chart reviews; contributing critical updates during multi-disciplinary clinical consultation meetings to discuss patient treatment; and coordinating patient care needs (e.g., coordinating transfers, planning discharges, making community service referrals, reviewing and/or obtaining authorizations) as they move across the continuum of care.
• Manages patient data and records by: compiling and reporting patient information and data (e.g., length of stay, services provided, cost) and facilitating interventions as necessary; and conducting quality management studies and/or audits through data collection, data input, and report development and collaborating with stakeholders to improve future practices.
• Coordinates the care of a moderate caseload of patients by: collaborating with treating clinician to review and ensure quality of patient treatment plans; advising, guiding, and/or coordinating services to improve care coordination based on quality principles; using advanced knowledge to recommend patient referrals for moderately complex cases; developing and maintaining case management policies and procedures to ensure optimal and appropriate member utilization and engagement of services; and solving problems concerning patient treatment plans and follow-up appointment documentation.
• Ensures member compliance with policies and procedures by: solving compliance failures to promote patient care and avoid liability concerns; applying local, state, and federal standards, regulations, credentialing organizations requirements, health plan benefits, policies, and procedures when working with patients, physicians, medical office staff, contact providers, and outside agencies; and leading efforts to support the survey readiness program at contracted facilities and/or medical centers to maintain compliance with regulatory standards.
• Collaborates with stakeholders to facilitate care by: cultivating relationships with external providers, medical center physicians, and/or other staff to solve patient treatment problems collaboratively and ensure contract compliance; and establishing relationships with outside contractors as well as serving as a liaison on contracting consultation including informing and advising on the organizations levels of care and referral process.

Knowledge, Skills and Abilities: (Core)

• Ambiguity/Uncertainty Management
• Attention to Detail
• Business Knowledge
• Communication
• Critical Thinking
• Cross-Group Collaboration
• Decision Making
• Dependability
• Diversity, Equity, and Inclusion Support
• Drives Results
• Facilitation Skills
• Health Care Industry
• Influencing Others
• Integrity
• Learning Agility
• Organizational Savvy
• Problem Solving
• Short- and Long-term Learning & Recall
• Teamwork
• Topic-Specific Communication

Knowledge, Skills and Abilities: (Functional)

• Applied Behavioral Analysis
• Vendor Engagement
• Behavioral Health Practice Knowledge
• Behavioral Health Practice Protocols and Guidelines
• Behavioral Health Treatment
• Business Process Improvement
• Clinical Quality Expertise
• Coordination
• Health Care Compliance
• Health Information Systems
• Health Records
• Interpersonal Skills
• Issues and Crisis Management
• Legal And Regulatory Requirements
• Medical History
• Organizational Skills
• Patient Safety
• Psychological Assessments and Diagnostics
• Psychology Knowledge
• Stakeholder Management

Minimum Qualifications:

• Minimum three (3) years of experience working with individuals with neurodevelopmental conditions (e.g., Autism Spectrum Disorder) and/or providing Applied Behavior Analysis (ABA) services.
• Minimum three (3) years of experience in behavioral health case management or care coordination.
• Masters degree in Psychology, Counseling, Social Work, or a related field AND minimum five (5) years of experience in counseling, social work, or a directly related field.

• This job requires credentials from multiple states. Credentials from the primary work state are required at hire. Additional Credentials from the secondary work state(s) are required post hire.
  

• Independent Clinical Social Worker License (District of Columbia) within 6 months of hire AND Licensed Clinical Social Worker - Certified (Maryland) within 6 months of hire AND Licensed Clinical Social Worker (Virginia) within 6 months of hire

OR

• Psychologist License (District of Columbia) within 6 months of hire AND Clinical Psychologist License (Virginia) within 6 months of hire AND Licensed Psychologist (Maryland) within 6 months of hire

OR

• Clinical Professional Counselor License (Maryland) within 6 months of hire AND Professional Counselor License (District of Columbia) within 6 months of hire AND Professional Counselor License (Virginia) within 6 months of hire

OR

• Licensed Marriage and Family Therapist (Virginia) within 6 months of hire AND Licensed Marriage and Family Therapist (District of Columbia) within 6 months of hire AND Licensed Clinical Marriage and Family Therapist (Maryland) within 6 months of hire

OR

• Behavior Analyst License (Maryland) within 6 months of hire AND Board Certified Behavior Analyst within 6 months of hire AND Behavior Analyst License (Virginia) within 6 months of hire

• National Provider Identifier required at hire
  

Preferred Qualifications:

• Board Certified Behavioral Analyst (in state where care is provided).
• Three (3) years of experience in an inpatient psychiatric or psychiatric emergency service setting.

Primary Location: Virginia,Woodbridge,Caton Hill Medical Center
Scheduled Weekly Hours: 40
Shift: Day
Workdays: Mon, Tue, Wed, Thu, Fri
Working Hours Start: 08:00 AM
Working Hours End: 06:00 PM
Job Schedule: Full-time
Job Type: Standard Worker Location: Flexible
Employee Status: Regular
Employee Group/Union Affiliation: NUE-MAS-01|NUE|Non Union Employee
Job Level: Individual Contributor
Department: Regional Office - Rgnl Mg Admn-Behavioral Health - 1808
Pay Range: $91700 - $118580 / year Kaiser Permanente is committed to pay equity and transparency. The posted pay range is based on possible base salaries for the role and does not include the value of our total rewards package. Actual pay determined at offer will be based on years of relevant work experience, education, certifications, skills and geographic location along with a review of current employees in similar roles to ensure that pay equity is achieved and maintained across Kaiser Permanente. Travel: Yes, 50 % of the Time Flexible: Work location is on-site at a KP location, with the flexibility to work from home. Worker location must align with Kaiser Permanente's Authorized States policy. Kaiser Permanente is an equal opportunity employer committed to fair, respectful, and inclusive workplaces. Applicants will be considered for employment without regard to race, religion, sex, age, national origin, disability, veteran status, or any other protected characteristic or status.
Requisition #: 1403659

bx2d9wfr1