Location: Hybrid. Most of the positions at YCCO are hybrid, meaning they have the flexibility to work both remotely and/or in-person at YCCO's office in McMinnville, OR.

COVID-19 Update for Prospective Employees: YCCO is no longer requiring COVID-19 vaccination for employees.

Department: Community & Behavioral Health Systems FLSA Status: Exempt

Reports To: Behavioral Health Manager Physical Strength: Light (L)

Summary

The Behavioral Health Systems Specialist positions are responsible for supporting the management of the Community Care Organization (CCO) behavioral health provider network and ensuring quality services and supports are available for Yamhill Community Care (YCCO) members. This position will carry out administrative task and duties necessary to ensure the performance of YCCO under its Oregon Health Plan managed care contract.

Learn more about Yamhill Community Care: click here

Essential Duties

• Collaborates in the development and maintenance of a comprehensive health service delivery system that provides high quality and cost-effective service to YCCO members.
• Coordination and oversight of health service arrays including, but not limited to, integrated services, System of Care, Wraparound, and youth and adult intensive services system array.
• Provides Behavioral Health subject matter expertise and cross team collaboration in support of contract deliverables and system improvement efforts. Functions as a Matrixed member of various project / task teams to develop, strengthen, and expand access to robust, high value health services within YCCO’s service areas.

Job Duties

• Proactively addresses administrative and other tasks necessary to drive network quality and compliance with the CCO contract.
• Assumes primary responsibility for the planning, development, and implementation of assigned projects or other responsibilities.
• Provides behavioral health and integration expertise across function areas within YCCO.
• Coordinates and supports for service arrays including, but not limited to, integrated services, System of Care, Wraparound, and youth and adult intensive services system array.
• Follows behavioral health best practices and professional code of conduct/ethics.
• Ensures integration of work between program functional areas and promotes effective communications within YCCO and between external partners and providers.
• Leads and/or assists with development and implementation of processes to ensure compliance with contract requirements including but not limited to access, quality, program integrity, quality of clinical care, utilization, and compliance with OARs and other regulatory standards.
• Develops and/or tracking of data / reports.
• Develops relationships of trust / credibility and collaborates with YCCO providers and other community partners.
• Provides content expertise and technical assistance to YCCO’s behavioral health and physical health provider organizations.
• Takes direction from Behavioral Health Manager, Community & Behavioral Health Systems Sr. Director, and Matrixed managers/supervisor(s).
• Adheres to YCCO policy and procedures and standards of operations.
• Prepares reports and other documents as assigned.
• Performs special projects and other duties as assigned.
• Works collaboratively in a team and Matrixed (cross-department) environment with a spirit of cooperation.

Essential Department & Organizational Functions

• Works to cultivate and develop inclusive and equitable services, and working relationships with diverse groups of employees, community partners, and community members.
• Participates in the preparation and submission of regulatory and contract required deliverables.
• Works closely with other YCCO departments, including Health Plan Operations and Compliance to assist with audits; including the External Quality Review (EQR), as needed.
• Works effectively in a very fast-paced environment.
• Adheres to established internal control procedures.
• Proposes and implements process improvements.
• Meets deadlines for completion of assigned responsibilities and projects.
• Maintains agreed upon work schedule with punctual, regular, and predictable attendance.
• Demonstrates cooperation and teamwork using a professional and respectful demeanor.
• Provides cross-training on specific job responsibilities.
• Meets identified goals that contribute to overall departmental goals.
• Works collaboratively in a team environment with a spirit of cooperation.
• Performs special projects and other duties as assigned.
• Respectfully takes direction from Supervisor.
• Other duties as assigned.

Knowledge, Skills, & Abilities

• Knowledgeable in managed care, OHP benefits, behavioral health systems, Oregon Administrative Rules (OAR), Oregon Statute (ORS), and CCO requirements.
• Advanced knowledge of behavioral health field.
• Strong organizational skills with the ability to manage multiple tasks / projects simultaneously.
• Strong report and policy development and writing skills.
• Ability to communicate project status and issues to Director in a timely manner.
• Ability to remain flexible, positive, and adaptable.
• Ability to build productive working relationships, problem solve and resolve conflicts successfully.
• Ability to work in transformational systems.
• Excellent verbal and written communication, facilitation, and customer service skills.
• Ability to work independently or as part of a diverse team within a Matrix (cross-department) model.
• Ability to use critical thinking skills in problem solving.
• Ability to work across the YCCO region and to work remotely, as needed.
• Ability to build and maintain professional relationships with community stakeholders.
• Skills in project management, group facilitation, community organizing and systems-thinking.
• Ability to work independently, use sound judgment, anticipate next steps and be proactive as part of a diverse team within a Matrix or shared resources across departments work model.
• Ability to focus on and comprehend information, learn new skills / abilities, assess situations, and determine appropriate resolution, accept direction and feedback, and manage stress.
• Excellent computer skills, including Microsoft Windows, Word, Excel, and Outlook.

Supervisory Responsibilities

This position has no supervisory responsibilities.

Qualifications

Ability to perform essential job duties with or without reasonable accommodation and without posing a direct threat to safety or health of employee or others. To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential duties.

Education & Experience

Required:

Behavioral Health Systems Specialist I

• Bachelor’s degree in social work, counseling, or related healthcare field.

AND

• Two (2) years’ related experience in social work, counseling, or related healthcare.

OR:

• Any combination of education and experience that would qualify candidate for the position.

Behavioral Health Systems Specialist II

• Master’s degree in social work, counseling, or related healthcare field.

AND

• Two (2) years’ related experience in social work, counseling, or related healthcare.

OR:

• Any combination of education and experience that would qualify candidate for the position.

Behavioral Health Systems Specialist III

• Master’s degree in social work, counseling, or related healthcare field.

AND

• Five (5) years’ related experience in social work, counseling, or related healthcare.

OR:

• Any combination of education and experience that would qualify candidate for the position.

Preferred:

• Three (3) years’ experience in community behavioral health direct service.
• Experience in quality and/or project management.
• Experience in Oregon Health Plan (OHP).

Certificates, Licenses and/or Registrations

Preferred:

• Licensed Clinical Social Worker (LCSW),
• Licensed Professional Counselor (LPC),

OR:

• Equivalent License.

Physical Demands & Work Environment

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential duties of this position. The work environment characteristics described here are representative of those an employee encounters while performing the essential duties of this position. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential duties.

While performing the duties of this job, the employee is regularly required to talk or hear. The employee is frequently required to sit, stand, walk, use hands and fingers, handle or feel, and reach with hands and arms. The employee is occasionally required to climb or balance, stoop, kneel, crouch or crawl. The employee may occasionally need to lift and/or move up to 25 pounds.

This position operates in a professional office environment and requires frequent use of standard office equipment such as computers, phones, photocopiers, filing cabinets and fax machines. Specific vision abilities required by this job include close vision, color vision, distance vision, depth perception, and ability to adjust focus. The noise level in the work environment is usually moderate.

This position may include occasional required or optional travel outside of the workplace, in which the employee’s personal vehicle, local transit, or other means of transportation may be used.