Manager, Integrated Behavioral Health
PacificSource

Job Info

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Looking for a way to make an impact and help people?

Join PacificSource and help our members access quality, affordable care!

PacificSource is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to status as a protected veteran or a qualified individual with a disability, or other protected status, such as race, religion, color, national origin, sex, sexual orientation, gender identity or age.

Diversity and Inclusion: PacificSource values the diversity of the people we hire and serve. We are committed to creating a diverse environment and fostering a workplace in which individual differences are appreciated, respected and responded to in ways that fully develop and utilize each person's talents and strengths.

The Manager of Behavioral Health will oversee the daily operations of the Integrated Behavioral Health team. This role is critical in leading the team to deliver high-quality behavioral health services that align with both internal performance metrics and regulatory standards. The Manager will play a key role in the development, implementation, and strategic planning of the integrated behavioral health program to ensure its ongoing success and continuous improvement.

Essential Responsibilities:

• Oversee and manage the daily operations of the Integrated Behavioral Health team, ensuring smooth workflow and collaboration across Team Leads, UMCs, Behavioral Health Navigators, and Clinicians.
• Foster effective teamwork and performance. Manage change and encourage innovation. Build collaborative relationships, encourage involvement and initiative and develop goal orientation in others.
• Lead the strategic planning, development and implementation of integrated behavioral health initiatives to enhance service delivery and outcomes.
• Collaborate with leadership to design and execute long-term strategic plans for the behavioral health program, ensuring alignment with organizational goals and member needs.
• Monitor and assess program effectiveness, recommending and leading improvements as needed.
• Ensure all team activities meet internal performance standards and comply with state and federal regulatory requirements, including CMS, NCQA, and other applicable behavioral health guidelines.
• Establish, track, and analyze key performance indicators (KPIs) and outcomes related to the behavioral health program, implementing corrective actions when necessary.
• Maintain accurate records and reports in compliance with regulatory standards and organizational policies.
• Collaborate with internal teams (e.g., Utilization Management, Case Management, Population Health) and external providers to ensure coordinated care for members with behavioral health needs.
• Oversee behavioral health interventions, including crisis management and follow-up care, ensuring the appropriate use of resources.
• Identify training and development needs for the Integrated Behavioral Health team and ensure team members receive ongoing education and professional development.
• Conduct regular performance evaluations, providing feedback and coaching to promote staff growth and performance improvement.
• Serve as a key liaison between the Behavioral Health department and other departments, such as Utilization Management, Medical Management, and Provider Relations.
• Engage with community partners and external behavioral health providers to build strong relationships and enhance service offerings.
• Promote effective teamwork and high performance by managing change, fostering innovation, and building strong collaborative relationships. Inspire others to take initiative, engage actively, and remain goal oriented.
• Develop and manage the department's annual budget, actively monitoring expenses throughout the year and implementing corrective actions as needed to stay within the approved budget.
• Actively participate as a key team member in Manager/Supervisor meetings.
• Actively participate in various strategic and internal committees in order to disseminate information within the organization and represent company philosophy.

Supporting Responsibilities:

• Act as a back up to the Director of Utilization Management or Director of Behavioral Health when needed
• Consistently meet department and company performance and attendance expectations.
• Adhere to the PacificSource privacy policy and comply with Health Insurance Portability and Accountability Act (HIPAA) regulations regarding the confidentiality and security of protected health information.
• Perform additional duties as assigned.

SUCCESS PROFILE

Work Experience: A minimum of five (5) years of experience in behavioral health is required, ideally in an integrated care or related setting., Prior leadership or supervisory experience required. Experience managing multidisciplinary teams is required.

Education, Certificates, Licenses: Master's degree in behavioral health, Social Work, Psychology, Nursing, or related field. Licensure as a Licensed Clinical Social Worker (LCSW), Licensed Mental Health Counselor (LMHC), or related licensure required.

Knowledge: Knowledge of Utilization Management and Care Coordination processes. In-depth knowledge and understanding of behavioral health treatment modalities, procedures, diagnoses, and care approaches, including ICD-9 & 10 codes, CPT codes, health insurance, state regulations, and State of Oregon OHA mandated benefits. Familiarity with managed care products and third-party liability (TPL) is essential. Ability to analyze, review, and assess utilization and case management data, and implement corrective actions as needed. Experience with health insurance and state-mandated benefits is required, and experience in adult education is preferred.

Competencies

Building Trust

Building a Successful Team

Aligning Performance for Success

Building Partnerships

Customer Focus

Continuous Improvement

Decision Making

Facilitating Change

Leveraging Diversity

Driving for Results

Environment: Work inside in a general office setting with ergonomically configured equipment. Travel is required approximately 10-15% of the time.

Skills:
Accountable leadership, Collaboration, Communication, Data-driven & Analytical, Delegation, Listening (active), Situational Leadership, Strategic Thinking

Our Values

We live and breathe our values. In fact, our culture is driven by these seven core values which guide us in how we do business:

• We are committed to doing the right thing.
• We are one team working toward a common goal.
• We are each responsible for customer service.
• We practice open communication at all levels of the company to foster individual, team and company growth.
• We actively participate in efforts to improve our many communities-internally and externally.
• We actively work to advance social justice, equity, diversity and inclusion in our workplace, the healthcare system and community.
• We encourage creativity, innovation, and the pursuit of excellence.

Physical Requirements: Stoop and bend. Sit and/or stand for extended periods of time while performing core job functions. Repetitive motions to include typing, sorting and filing. Light lifting and carrying of files and business materials. Ability to read and comprehend both written and spoken English. Communicate clearly and effectively.

Disclaimer: This job description indicates the general nature and level of work performed by employees within this position and is subject to change. It is not designed to contain or be interpreted as a comprehensive list of all duties, responsibilities, and qualifications required of employees assigned to this position. Employment remains AT-WILL at all times.

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