Under the direction of the Director of Network Oversight, the County & Provider Relations Coordinator (CPRC) will ensure support of clinical interface and clinical consideration to operations for network. The CPRC will assist the Director of Network Oversight with monitoring and enhancing a recovery-focused, culturally competent, and stable network. This will be accomplished by predicting and responding to emergent, urgent, and ongoing network needs through collaboration with the BHARP committees. The CPRC will meet with providers, base service units, county personnel, families, and other system stakeholders to analyze service utilization, outcomes, and data. The CPRC will build a collaborative relationship with providers and the Behavioral Health Managed Care Organization (BHMCO) which is vital and will lead the way to creating meaningful outcomes that promote the health and well-being of our members.
This is a remote position, however there is the requirement to come to the BHARP office as requested by management. The BHARP office is in State College, PA. Additional travel is required throughout the BHARP catchment area. Occasional overnight travel may be required.
The primary duties for this position will include:
- Have a highly comprehensive understanding of the behavioral health system in the assigned region.
- Develop a productive relationship with county leadership, provide analysis of each assigned regions service array, assist in service review, and support program development.
- Develop awareness of service gaps, capacity issues as well as BHMCO and provider performance issues and identify effectiveness of services in the assigned region.
- Management of provider complaints, provider reimbursement, and interface with BHMCO and other partners to achieve timely and efficient resolution.
- Maintain provider directory in assigned region to support outreach and special projects.
- Participate in assigned Network Monitoring and oversite activities that include, new provider orientation, levels of care reviews, and exit interviews.
- Participate in and independently manage all initiatives in specialty areas including but not limited to reinvestment projects, BHARP workgroups, committees, and development of supplemental services within the assigned region.
- Attend meetings sponsored by the BHMCO, DHS, county, provider network, etc., including but not limited to, provider meetings, specific levels of care meetings, family and person served advisory panels, and the Consumer Family Satisfaction Team meeting, county sponsored advisory and provider network meetings to monitor feedback from various stakeholders.
- Prepare reports as assigned by Director of Network Oversight, Chief Executive Officer, Chief Operations Officer, and those requested by the Network Committee.
- Problem solve requests made by persons served or other interested parties for obtaining behavioral health services or rectifying issues with providers.
- Identify data points and provide data analysis that can assist either counties or providers in examining service delivery best practice.
- Clinically review supplemental service descriptions, provide contrast with best practice guidelines, BHMCO performance standards, and regulatory expectations.
- Collaborate with provider network to support development and implementation of identified service delivery.
- Provide network team with teaching assistance and support with clinical expertise development.
- Research and conduct literature review relevant to Network project development.
- Conduct other duties as assigned by the Director of Network Oversight and/or BHARP Leadership.
We get excited when we see…
- Master’s level or clinical degree with a behavioral health, social science, or health care emphasis.
- Three years of experience in a behavioral health or related setting.
- Combination of related education and experience may be substituted for master’s degree.
- Clinical services provision and leadership experience in behavioral health (substance use disorder and mental health) with both ambulatory and inpatient settings preferred.
- Comfortability working independently performing multifaceted projects in conjunction with day-to-day activities.
- Excellent problem-solving skills and self-motivation.
- Ability to be resourceful and well-organized.
Due to the nature of our work, it is required to have certain licenses or clearances.
These may include:
- Valid Pennsylvania driver’s license
- Medicaid exclusion check
- Social security verification
- Clearances: Child Abuse History, Criminal Record Check, DMV Record Check, FBI fingerprinting
- Immigration and naturalization (I-9) clearance
What makes BHARP so great?
BHARP is more than just a job, we are a mission. When you join BHARP you are part of something bigger which drives real healthcare improvements across Pennsylvania. Along with caring for Pennsylvania, we care for our employees. We offer a variety of benefits including:
- Generous Starting Benefit Time including:
- 11 paid holidays
- 4 Floating Holidays
- 5 Personal Days
- 12 Sick Days
- 15 Vacation Days (with the opportunity for more as you stay with us)
- Dental, Vision, Life and Short-Term Disability – Fully Employer Paid
- Excellent Health Insurance
- 401K Plan with a match up to 5%
- So much more!