|WCSI Position Title:||BH Program Specialist|
|Position Classification:||Program Specialist 1|
|Supervisor:||BH Divisional Director|
This is a full-time non-exempt position which primary role is to assist with ensuring the daily operations of the behavioral health division, working directly with the BH Division Director and management staff to ensure program operations in a number of key areas, including submission/review of regular division reports, incident management, quality monitoring/reporting, satisfaction surveys, licensing survey activity, and any other reporting as required by regulation, agency requirements, or program needs.
These duties and responsibilities are accomplished through effective collaboration with the Division Director, managers, supervisors and other BH staff as appropriate and with equally effective collaborative with other divisions and/or departments as necessary to support successful execution of responsibilities. The incumbent represents the office of the division director and as directed, expected to participate in meetings or respond to inquiries as the director’s delegate representative. Incumbent is expected to ensure adherence with all required time frames and deadlines and will serve as appropriate in a liaison role with the county, payers and/or other stakeholders relevant to assigned responsibilities.
This position has no direct supervisory responsibility.
Standard work hours are Monday through Friday, 8:30 a.m. to 4:30 p.m. with a 1/2-hour lunch (37.5 hrs./week). Incumbent will need to be prepared to work flexible hours as the work dictates. To the extent possible, these needs will be identified in advance.
As with all WCSI positions, it is the expectation that employees adhere to WCSI, County, State and Federal guidelines, regulation, policies, and laws which govern the business and service of WCSI.
This position requires the employee to perform their daily job duties and responsibilities in a structured work environment.
Essential Duties and Responsibilities
Include the following, (other duties may be assigned as deemed necessary by management):
Division Operational Reports
As directed, the incumbent serves as the point person overseeing completion of written communication, regular reporting, e.g., provisions, service doc corrections, spot audits, etc.
Conducts initial review of said reports, identify trends/areas of concern, etc. and notify division leadership as appropriate.
Serves as the point person regarding BH-related incidents. Works directly with the BH managers and division director to ensure effective coordination with and response to important stakeholders, e.g., Quality/Compliance, Human Resources, Fiscal, etc. Provides necessary follow-up with those designated to collect/complete necessary information within time-line requirements as determined by county and internal (Q/C) requirements.
Annual Surveys and Self-Audits:
Assists the division with preparation for annual surveys, e.g., licensing, satisfaction, etc.
Quality Management/Data Reporting:
Assists with collection and analysis of data utilizing various data sources, including HCSIS, On-base, Clientrek, various tracking tools, etc. Maintains a master calendar of required time frames/deadlines/activities related to quality improvement.
Adheres to WCSI, county, state, and federal regulations governing blended case management.
Responsible for reviewing the BH Manual as changes in governing guidelines and requirements develop to ensure that the manual is kept up to date and current with respect to any changes.
Attends specially designed training programs provided though WCSI, county, state, and federal agencies.
Maintains records as required for compliance and regulations. Completes paperwork and other program related material in a timely and efficient manner meeting all program standards.
Proficiency in Microsoft Office. Current and knowledgeable with programs and regulations relating to the BH program. Possess knowledge of current tracking tools and data bases. Demonstrated ability to establish and maintain effective working relationships with associates, and other agency personnel.
Professionally represent the agency. Possess the ability to provide on-going communication to management about reviews, findings and recommendations for quality improvement of the program.
This position will require involvement in special projects or other duties, as assigned by the Division Director or Program Manager or the CEO.
This position has no supervisory responsibilities. This position reports directly to the BH Division Director and may take direction from the BH managers and/or the Chief Executive Officer.
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 functions. Due to the nature of this position, the incumbent must have strong time management skills, computer skills, and organizational skills. The incumbent must also be highly flexible and able to multi-task and prioritize assignments. The incumbent must present the ability to successfully navigate working relationships with a variety of stakeholders, work independently, with minimal supervision and possess strong interpersonal and communication skills with the ability to navigate conflict and competing demands.
Education and/or Experience:
Bachelor’s degree (BA/BS) in related field required. Three (3) years of professional level experience in behavioral health required, with preference two (2) years’ experience working at WCSI in a case management capacity.
Strong Interpersonal skills, effective oral and written communications skills. Ability to provide clear and concise reports and documentation.
Certificates, Licenses, Registrations:
Valid PA Driver’s License, Proof of Valid Auto Insurance, Act 34 (Criminal Record), and Act 33 (Child Abuse) and FBI Clearance. There will be monthly screenings of PA Medicheck List, LEIE (List of Excluded Individuals/Entities) and SAM (System for Award Management).
As a requirement of employment, certain personal information (Birth Date, Driver’s License, Diplomas, Transcripts, etc.) can be shared in a confidential communication as related to regulations, licensure and/or insurance carrier contracts.
As with all WCSI positions, this position will adhere to all random drug screening requirements, as set forth by WCSI Policy.
ENVIRONMENT, PHYSICAL and MENTAL CONDITIONS
Primary functions require sufficient physical ability and mobility to work in an office setting, to stand or sit for prolonged periods of time; to occasionally stoop, bend, kneel, crouch, reach and twist; to lift and carry light to moderate (15 pounds) amounts of weight, to operate office equipment requiring repetitive hand movement and fine coordination including use of a computer keyboard; to travel to other locations using various modes of private and commercial transportation; and to verbally communicate to exchange information. Requires the ability to see, within the normal vision range, with or without correction. Requires the ability to hear, within the normal audio range, with or without correction. Work responsibilities will require excellent problem-solving skills and organizational skills. Will be exposed to situations which are urgent or emergent, which may require immediate action. Responsibilities require multi-tasking, with extensive employee contact and frequent interruptions, which could be time sensitive and/or have deadlines. Will require management of requests and situations that occur at the same time.
Work is performed primarily in a standard office environment. with extensive employee contact and frequent interruptions. Work may be required outside the office environment in relation to needs of the organization. This can include overnight travel. Exposure to outside weather conditions will exist. The noise level in the work environment is low to moderate.
This position’s funding is determined by WCSI’s allocation process. Incumbent in this position may be required to complete a WCSI Time Study, frequency determined by Fiscal Management, for purposes of this allocation process.
It is WCSI’s business philosophy and practice to provide reasonable accommodations, according to applicable state and federal laws, to all qualified individuals with disabilities.
This position description is not an employment agreement or contract, but rather a description of the expectations of job duties and responsibilities as assigned to this position. Management has the exclusive right to alter the scope of work within the framework of this position description and the position classification, at any time without prior notice.