Director, Behavioral Health & Addiction and Recovery Treatment Services

Become a part of our caring community and help us put health first
 

Humana Healthy Horizons in Virginia is seeking a Director, Behavioral Health (BH) & Addiction and Recovery Treatment Services (ARTS) who will oversee teams of behavioral health experts and professionals that treat individuals with substance use disorders (SUD). The Director, BH/ARTs Care Management works within specific guidelines and procedures; applies advanced technical knowledge to solve moderately to complex problems; receives assignments in the form of objectives and determines approach, resources, schedules, and goals. Their decisions are typically related to resources, approach, and clinical operations for projects and initiatives related to behavioral health and addiction treatment.

               

The Director, BH/ARTs Services will be responsible for overseeing the development and implementation of Humana Healthy Horizon’s behavioral health and addiction and recovery treatment services in Virginia. They will oversee the assessment and evaluation of Medicaid enrollees' needs and requirements in order to attain and/or maintain optimal wellness by directing enrollees/families to and facilitating interaction with resources appropriate for enrollee care and well-being.  The Director, BH/ARTs Care Management will provide oversight of BH and ARTS Care Managers operating within an integrated physical and behavioral health approach utilizing the supports of an interdisciplinary care team and the enrollee’s multidisciplinary team. 

• Provides daily operational activities of behavioral health, addiction and recovery treatment services across the full spectrum of care to members, inclusive of mental health and substance abuse services. 
• Collaborates cross departmentally and conducts briefings and area meetings.
• Maintains frequent contact with other managers across the department, such as Care Coordination Manager, Quality Management Coordinator and BH Medical Director.
• Leads the BH/ARTS case management team and other clinical associates serving members with BH and SUD to ensure timely, culturally competent, and appropriate delivery of behavioral health, addiction care and support.
• Ensures access to behavioral health and substance use services. 
• Ensures systematic screening for behavioral health & ARTS related disorders by utilizing standardized and evidence-based approaches. 
• Promotes preventive behavioral health, addiction, and recovery strategies. 
• Identifies and coordinates assistance for member needs specific to behavioral health & substance use.
• Participates in management and program improvement activities with other key staff (including the Care Coordination Manager) for enhanced integration with primary care and coordination of behavioral health services/ARTS and achievement of outcomes.
• Works with the BH Medical Director as needed in the development and maintenance of programs and systems.
• Collaborates with Clinical Leaders to implement medical policy and population health strategies that advance outcomes for plan members. 
• Ensures compliance with the addiction principles of care and application of American Society of Addiction Medicine (ASAM) placement criteria for all addiction program development.

Use your skills to make an impact
 

Required Qualifications:

• Must reside in the state of Virginia.
• An active, Licensed Clinical Social Worker (LCSW), Licensed Professional Clinical Counselor (LPCC), Licensed Marriage and Family Therapist (LMFT) or a Certified Addiction Counselor (CAC), Certified Alcohol and Drug Counselor (CADC) in the state of Virginia with no disciplinary action; must have the ability to hold licenses in multiple states within the scope of practice. 
• Minimum eight (8) years of experience in the management of behavioral health programs, behavioral health program and policy development or experience in the provision and supervision of treatment services for mental illness and substance use disorders, specifically clinical experience with addiction treatment of adults or children experiencing substance use problems and disorders.
• 5+ years of management/leadership, project lead or subject matter BH/ARTS expert experience.
• 6+ years technical experience aptitude to troubleshoot and resolve system platform and connectivity problems.
• Experience with the development and implementation of policies and procedures.
• Strong proficiency with MS Office Suite specifically Word, Excel and PowerPoint.
• This role is considered patient facing and is a part of Humana's Tuberculosis (TB) screening program. If selected for this role, you will be required to be screened for TB.
• This role is a part of Humana’s Driver Safety program and therefore requires an individual to have a valid state driver’s license and proof of personal vehicle liability insurance with at least 100,000/300,000/100,000 limits.

Preferred Qualifications:

• Experience working with members experiencing complex mental health and substance use disorder (SUD).
• Experience providing training, mentoring, and educational support to others. 
• 1+ year Care Management experience as a licensed professional and/or oversight of CM programs.
• Experience working with the needs of vulnerable populations who have chronic or complex bio-psychosocial needs.
• Prior experience with Medicaid recipients including TANF, foster care, and enrollees with special health care needs.
• Working knowledge of CMS guidelines.
• Experience with MCG and ASAM Criteria.
• Health Plan experience.
• Medicaid experience.

Additional Information

• Workstyle:  Hybrid Home - Associates Home office environment is their primary work location where the majority of their work week will be spent, but they will use Humana office space occasionally for collaboration and other face-to-face needs. Humana Healthy Horizons in Virginia's office is located in Glen Allen, VA.
• Typical Workdays/Hours: Monday - Friday; 8:00am - 5:00pm EST.
• Travel: Up to 5% within the state of Virginia.
• Direct Reports: Up to 7.

Work at Home Criteria

To ensure Home or Hybrid Home/Office employees’ ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria:

• At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is recommended; wireless, wired cable or DSL connection is suggested.
• Satellite, cellular and microwave connection can be used only if approved by leadership.
• Humana will provide Home or Hybrid Home/Office employees with telephone equipment appropriate to meet the business requirements for their position/job.
• Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information.

Interview Format

As part of our hiring process for this opportunity, we will be using an interviewing technology called Modern Hire to enhance our hiring and decision-making ability. Modern Hire allows us to quickly connect and gain valuable information from you pertaining to your relevant skills and experience at a time that is best for your schedule.

Scheduled Weekly Hours

40

About us
 

Humana Inc. (NYSE: HUM) is committed to putting health first – for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health – delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large.

Equal Opportunity Employer

It is the policy of  Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or because he or she is a protected veteran. It is also the policy of  Humana to take affirmative action to employ and to advance in employment, all persons regardless of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.