Description

Job Summary:

In addition to the responsibilities listed below, this position is also responsible for reviewing services (e.g., mental health assessments, treatments, crisis interventions) and documentation to ensure quality, accuracy, and completeness; conducting a clinical review of moderately complex treatment plans and follow-up care to ensure appropriateness and alignment with best practices and internal and external guidelines; leveraging guidelines and tools to provide direction on appropriate behavioral health interventions and care plans as well as documentation of care provided; reviewing intakes, follow-up visits, and/or progress updates to ensure each entry has a complete and accurate assessment of mental health risk (e.g., suicide, abuse) and that appropriate procedures and processes are followed; educating physicians and allied health professionals to ensure understanding of regulatory requirements and align on behavioral health care plans; and independently conducting quality management studies through data collection, analysis, and synthesis to identify areas for program improvements and assess risks.

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)

• Clinical Risk Assessment
• 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 five (5) years of experience assessing, diagnosing, and treating a broad range of behavioral health conditions.
• 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.

• Licensed Marriage and Family Therapist (California) required at hire OR Board Certified Behavior Analyst required at hire OR Licensed Professional Clinical Counselor (California) required at hire OR Licensed Clinical Social Worker (California) required at hire OR Registered Nurse License (California) required at hire OR Psychologist License (California) required at hire

• National Provider Identifier required at hire
  

Preferred Qualifications:

• Three (3) years of experience in an inpatient psychiatric or psychiatric emergency service setting.
• One (1) year of experience in a leadership role with or without direct reports.

Primary Location: California,Pasadena,West Annex - Parsons
Scheduled Weekly Hours: 40
Shift: Day
Workdays: Mon, Tue, Wed, Thu, Fri, Sat
Working Hours Start: 07:00 AM
Working Hours End: 07:00 PM
Job Schedule: Full-time
Job Type: Standard Worker Location: Flexible
Employee Status: Regular
Employee Group/Union Affiliation: NUE-SCAL-01|NUE|Non Union Employee
Job Level: Individual Contributor
Department: Parsons East Annex - Mental Health/Psychiatry-MOC - 0806
Pay Range: $156000 - $180400 / 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, 20 % 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.

For jobs where work will be performed in unincorporated LA County, the employer provides the following statement in accordance with the Los Angeles County Fair Chance Ordinance. Criminal history may have a direct, adverse, and negative relationship on the following job duties, potentially resulting in the withdrawal of the conditional offer of employment:

Consistently supports compliance and the Principles of Responsibility (Kaiser Permanente's Code of Conduct) by maintaining the privacy and confidentiality of information, protecting the assets of the organization, acting with ethics and integrity, reporting non-compliance, and adhering to applicable federal, state, and local laws and regulations, accreditation, and licensure requirements (where applicable), and Kaiser Permanente's policies and procedures.

Models and reinforces ethical behavior in self and others in accordance with the Principles of Responsibility, adheres to organizational policies and guidelines; supports compliance initiatives; maintains confidences; admits mistakes; conducts business with honesty, shows consistency in words and actions; follows through on commitments.

Job duties with at least occasional or possible access to: (1) patients, the general public, or other employees; (2) confidential protected health information and other confidential KP information (including employee, proprietary, financial or trade secret information); (3) KP property and assets, for example, electronic assets, medical instruments, or devices; (4) controlled substances regulated by federal law or potentially subject to diversion.

Requisition #: 1412448

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