| WCSI Position Title: | BH Program Specialist |
| Position Classification: | Program Specialist 1 |
| MCR Code: | W3015 |
| Department: | Behavioral Health |
| Supervisor: | BH Divisional Director |
| Position Status: | Full-Time/Regular/Non-Exempt |
Summary
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.
Compliance:
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.
Incident Management:
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.
Compliance:
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.
Documentation:
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.
Professional/Technical Responsibilities:
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.
Other Duties
This position will require involvement in special projects
or other duties, as assigned by the Division Director or Program Manager or the
CEO.
Supervisor Responsibility
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.
Qualifications
:
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.
Language Skills:
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).
Other:
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
Physical/Mental Demands:
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 Environment:
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.
Position Funding:
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.
REASONABLE ACCOMMODATION
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.
