Description

The Richmond Behavioral Health Authority is seeking a Utilization Management Supervisor ll to join our Regional Programs team! The successful candiate will perform difficult professional and administrative work coordinating, supervising, and monitoring utilization of assigned Region 4 Programs, including but not limited to Regional Acute Care Project funds and SUD Diversion. Supervises the work of staff within assigned programs, ensures the quality of program services, coordinates services with other divisions and community partners, collects and analyzes data, participates in discharge planning, maintains records and files, prepares reports, and related work as apparent or assigned. Work is performed under the general direction of the assigned Regional Programs Manager. Supervision is exercised over subordinate personnel.

Essential Functions

• Travels to various Acute Care facilities to conduct comprehensive medical and psychiatric reviews for Region 4 hospitalized clients; performs intakes, client assessments and diagnostic interviews. Conducts face-to-face interviews with individual clients as requested and offers recommendations.
• Ensures appropriate utilization of care and tracking of clients who are hospitalized and using Region 4 Acute Care Project funds.
• Ensures communication between local inpatient hospitals providing care and the Community Services Board case management staff.
• Maintains a daily log of all consumers seen and time assigned to their individual case; assists team members as needed with monthly statistics, daily census, monitoring encumbered and expended funds, program SOP, etc.
• Coordinates meetings to discuss client/program/staff concerns or changes; consults with teams and committees in the planning and development of treatment and discharge plans.
• Reviews, collects and prepares medical records for review; provides clinically sound updates on client progress.
• Prepares and coordinates reviews for Acute Care Project cases that require funding extensions and requests for transfers.
• Prepares and distributes committee agendas; maintains records of committee findings and decisions; provides appropriate follow-up of their decisions and findings with the treating hospital and Community Service Board.
• Supports preparation of reports related to the Acute Care Project including cost estimates and reports outlining Regional Utilization Management activity including narrative and statistical summaries.
• Supports contract review and renewal process, including maintenance and distribution of per diem rate list to appropriate partners.
• Supports activities related to Acute Census Management at Central State Hospital, including census management meeting participation as indicated.
• Supervises clinical and case management activities of the SUD Diversion Liaison; ensures health, safety and welfare of clients; plans, organizes, directs and supervises assigned staff; supervises crisis interventions.
• Sets program priorities; monitors and evaluates service delivery in accordance with established guidelines and principles; develops and enforces program policies and procedures.
• Assists in the recruitment and selection of program personnel; assigns, directs, trains and inspects the work of staff; disciplines, coaches, counsels and evaluates staff performance; recommends suspensions and termination; develops staff schedules and approves leave.
• Conducts meetings to discuss client/program/staff concerns or changes; consults with teams and committees in the planning and development of treatment and discharge plans; coordinates admissions and discharges of clients.
• Monitors and audits clinical and medical records and practices for compliance with regulatory, reimbursement and agency standards; reviews documentation for accuracy.
• Consults and coordinates treatment with other service providers and client support system.
• Conducts community outreach presentations to local community partners and other service providers.
• Reviews, tracks and analyzes reports; prepares and submits reports.
• Manages program budgets; reviews accuracy of program and contract billing; reviews service activity logs; submits payroll/timesheets to Finance.
• Prepares and distributes correspondence to staff to improve communication and shares important announcements, deadlines, changes, etc.
• Serves on a variety of committees as directed; attends and participates in a variety of meetings.
• Attends professional conferences and trainings as required.

Position Requirements

Knowledge, Skills and Abilities

Thorough knowledge of community-based behavioral health principles and psychotherapeutic assessment and treatment techniques; thorough knowledge of the theories and techniques of counseling, psychotherapy and crisis intervention; thorough knowledge of community resources and human services network; thorough knowledge of the principles and practices of clinical supervision; general knowledge of managed care systems; skill in maintaining medical records requirements and professional documentation; ability to supervise the work of others; ability to solve problems within scope of responsibility; ability to communicate effectively orally and in writing; ability to prepare and present reports and program recommendations; ability to establish and maintain effective working relationships with clients, subordinates, associates, law enforcement, medical personnel, community partners and the general public.

Education and Experience

Master's degree with coursework in nursing, social work, psychology, counseling, or related field and considerable experience providing community-based mental health services including considerable supervisory experience, or equivalent combination of education and experience

Physical Requirements

This is sedentary work requiring the exertion of up to 10 pounds of force occasionally and a negligible amount of force frequently or constantly to move objects; work requires fingering, and repetitive motions; vocal communication is required for expressing or exchanging ideas by means of the spoken word; hearing is required to perceive information at normal spoken word levels, and to receive detailed information through oral communications and/or to make fine distinctions in sound; visual acuity is required for preparing and analyzing written or computer data, operation of motor vehicles or equipment, determining the accuracy and thoroughness of work, and observing general surroundings and activities; the worker is not subject to adverse environmental conditions.

Special Requirements

Licensed Clinical Social Worker, Licensed Clinical Psychologist, Registered Nurse, Licensed Professional Counselor, Licensed Substance Abuse Treatment Professional.

Valid driver's license in the Commonwealth of Virginia.

Full-Time/Part-Time
Full-Time

Open Date
5/29/2025

Close Date

About the Organization
Join the Fearless!

Richmond Behavioral Health Authority (RBHA) is licensed by the Virginia Department of Behavioral Health and Developmental Services and is the statutorily established public entity responsible for providing mental health, intellectual disabilities, substance abuse and prevention services to the citizens of the City of Richmond.

Our Mission:
RBHA promotes health, wellness, and recovery for the people and communities we serve.

Our Vision:
An inclusive, healthy community where individuals are inspired to reach their highest potential.

Our Values:
Equity / Innovation / Quality / Inclusion / Accessibility / Transparency / Compassion / Integrity

Creating Healthy Communities - One Person, One Family, One Community at a time.

RBHA is committed to providing behavioral health services to all Richmond residents regardless of race, color, gender, age, religion, disability, or national origin.

Services are provided directly by RBHA staff and through contracts with private providers in the community. Funding is received through fees from consumers, the Commonwealth of Virginia, the City of Richmond, and local and state grants.

Starting Salary Range
Negotiable depending on qualifications

EOE Statement
Richmond Behavioral Health Authority provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.

This position is currently accepting applications.