JOB SUMMARY: The Director of Value-Based Care at Mental Health Cooperative (MHC) will lead the organization's efforts to improve patient outcomes through high-quality, cost-effective, and patient-centered care. This role is responsible for developing and implementing strategies to enhance care coordination, delivery of appropriate care, and maximize performance. The Director will work closely with clinical and operational teams to align initiatives with MHC's mission and strategic objectives. Additionally, this role will provide leadership in learning and development for care management roles at MHC, ensuring staff are equipped with the necessary knowledge and skills to support value-based care initiatives.

RESPONSIBILITIES:

• Strategic Leadership:

Develop and execute MHC's value-based care strategy, ensuring alignment with industry best practices and regulatory requirements.

• Quality & Performance Improvement:

Implement initiatives (including audit, compliance, and quality functions) to enhance patient outcomes, reduce costs, and improve key performance indicators related to value-based care models.

• Data Analytics & Reporting:

Utilize data-driven insights to monitor performance, identify trends, and drive decision-making to optimize care delivery.

• Collaboration & Integration:

Partner with internal departments, healthcare providers, payers, and community organizations to enhance care coordination and operational efficiency.

• Training & Development:

Educate staff on value-based care principles, performance metrics, and best practices to drive a culture of accountability and continuous improvement.

• Learning & Development:

Provide leadership in the training and professional development of care management roles at MHC, ensuring team members are well-prepared to deliver effective and coordinated care.

• Regulatory Compliance:

Ensure adherence to all federal, state, and payer-specific regulations related to value-based care models.

• Financial Oversight:

Work with finance teams to develop budgets, track financial performance, and maximize reimbursement opportunities under value-based contracts.

Other Responsibilities:

• Responsible for attending all mandatory in-services, continuing education and annual health requirements.
• Comply with all Corporate Compliance policies, practices and procedures.
• Report all unethical activities to supervisor, Corporate Compliance Office, Values Hotline number or Human Resource Director.
• Comply with all OSHA and safety policies, practices, and procedures. Report all unsafe practices or accidents to supervisor, Safety Supervisor and/or OSHA Coordinator.
• Will be compliant with the relevant regulations concerning the privacy and security of consumer's protected health information (PHI) as established by the Health Insurance Portability and Accountability Act of 1996 (HIPAA).
• Participate in proactive team efforts to achieve departmental and company goals.
• Perform other duties as assigned.
• Provide leadership to others through example and sharing of knowledge/skill.
• Follow all policies and procedures set by the Agency.

REQUIREMENTS:

Essential Skills and Experience:

• Master's degree in Clinical Psychology, Social Work (MSW), Healthcare Administration, or related field.
• LCSW (Licensed Clinical Social Worker) or LPC (Licensed Professional Counselor) preferred.
• Minimum of 5 years of clinical experience with at least 3 years in a leadership role within integrated care, behavioral health, or substance use services.
• Strong understanding of value-based payment models, risk-based contracting, and healthcare quality metrics.
• Proven ability to analyze healthcare data, identify trends, and implement performance improvement initiatives.
• Excellent leadership, communication, and stakeholder engagement skills.
• Experience working within behavioral health or mental health settings is a plus.

Essential Requirements for the Position:

• Valid Tennessee Driver's License
• Acceptable Motor Vehicle Report (MVR)
• Acceptable Criminal Background Investigation
• Cell Phone

ABOUT YOU | CORE SKILLS:

Core Competencies:

Leadership Skills

• Ability to lead by example
• Ability to make sound decisions quickly and decisively
• Ability to motivate staff
• Ability to identify strengths and weaknesses of team and develop solutions to combat weaknesses and utilize strengths
• Is cool under pressure; does not become defensive or irritated when times are tough; can be counted on to hold things together during stressful times
• Clearly and comfortable delegates tasks; broadly shares both responsibility and accountability

Team Oriented

• Assist teammates as needed
• Creates and maintains a climate in which teammates want to do their best
• Can quickly find common ground and solve problems for the good of the team

Interpersonal Skills

• Can negotiate skillfully in difficult situations with both internal and external groups; can win concessions without damaging relationships; can be both direct and forceful as well as diplomatic

Customer Service

• Internal & external customer service indicative of mutual respect & trust

Joint Commission Competencies:

• Consumer Engagement - establishes and maintains a therapeutic relationship via effective, appropriate communication and behaviors with consumers.
• Suicide Specific Triage Assessments - use of C-SSRS and suicide specific assessment.
• Appropriate use of Therapeutic Options De-escalation and Restraint.
• Appropriate Triage Disposition for supported by clinically based rationale.
• Professional and complete communication and coordination of care.
• Appropriate use of Therapeutic Options De-escalation.
• Actively participates in consultation process.
• Maintain timely availability for calls through appropriate logging in and logging out.
• Establish further care by scheduling and completing follow up calls.
• Complete all clinical documentation in specified time periods.
• Complete all Crisis Management System documentation in a timely manner.
• Demonstrates ability to work independently, to make critical decisions and to work collaboratively as an integral part of a team.
• Demonstrates appropriate infection prevention and control through proper hand hygiene.
• Demonstrates evidenced informed practice related to substance use disorders.
• Demonstrates evidenced informed practice related to clinical care of children and youth.

Reporting to this Position:

• Learning & Development Lead, Care Management
• Learning & Development Lead, Intensive Care Management

Physical Demands and Work Environment:

The physical demands and work environment characteristics described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

• Physical demands: While performing duties of job, employee is occasionally required to stand; walk; sit; use hands to finger, handle or feel objects, tools or controls; reach with hands and arms; talk and hear. Employee must occasionally lift and/or move up to 15 pounds. Specific vision abilities required by the job include close vision, distance vision, color vision, peripheral vision, depth perception and the ability to adjust focus.
• Work environment: The noise level in the work environment is usually moderate.

BENEFITS:

Mental Health Cooperative offers a full comprehensive benefit plan for you to participate in. The following products are available:

• Medical Insurance/Prescription Drug Coverage
• Health Savings Account
• Dental & Vision Insurance
• Basic Life and AD&D Insurance
• Short- & Long-Term Disability
• Supplemental Life Insurance
• Cancer Insurance
• Accident Insurance
• Critical Illness Insurance
• 403b - Retirement Plan
• Calm App for medication and mental health
• Gym membership discounts