Utilization Management Supervisor (PPM III)
Job
King County
Remote
Full-Time
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Job Description
JOB The Department of Community and Human Services values diverse perspectives and life experiences. The Department encourages people of all backgrounds to apply, including Black, Indigenous, and People of Color, immigrants, refugees, women, LGBTQ, people with disabilities, veterans, and those with lived experiences. King County's Department of Community and Human Services (DCHS) provides equitable opportunities for people to be healthy, happy, and connected to community. At King County Department of Community and Human Services (DCHS), we believe in working as one team that solves problems—striving to be customer-focused and drive for the best results. We envision a welcoming community that is racially just. We believe the field of human services exists to undo and mitigate unfair structures. We seek to lead the way by working as respectful and responsible stewards for our community.
The Behavioral Health and Recovery Division (BHRD) of DCHS is looking for a Hospital and Mental Health Residential Treatment Utilization Management Supervisor (Project/Program III). This position will hold direct responsibility for the overall Utilization Management of the Hospital & Mental Health Residential Treatment Section.
The following items are required to be considered for this vacancy: NeoGov Job Application (The responses on your job application should be thorough and complete, and will be used in the screening process)Supplemental Questions (The responses to the supplemental questions should be thorough and complete, and will be used in the screening process)Your application may be rejected as incomplete if you do not include the relevant information in the application. Cover letters and/or resumes are not accepted in lieu of a completed application. Applications and/or Supplemental Questionnaires that state "see my resume" or "see my personnel file" are considered incomplete and will not be accepted.
This selection process may also be used to create a pool of candidates for current and future career service, term-limited temporary, and special duty opportunities. The pool will be active for 6 months.
King County has a robust collection of tools and resources to support working remotely. The individual selected for this opportunity will join an innovative and progressive team that is redefining how we work as we transition to the department's hybrid environment. Employees will be provided with a County-issued laptop and must maintain a home workspace with an internet connection where they can reliably perform work and remain available and responsive during scheduled work hours.
Demonstrated contract management experience, including but not limited to invoice reconciliation, data entry, data validation, and independent quality assurance reviews.
Complete and direct continuing stay reviews to determine that an individual continues to meet medical necessity standards commensurate with the current level of functioning as determined by the Level of Care Utilization System (LOCUS) Assessment.
Supervise and monitor the team of Mental Health Utilization Project-Program Manager II staff as part of a collaborative Utilization Management Team.
Lead the collection, analysis, and reporting of utilization and care-transition data to ensure timely progression of care, appropriate resource use, and optimal patient throughput across the continuum.
Develop close coordination, partnership, and communication within the Behavioral Health and Recovery Division (BHRD) and other departments within the Department of Community & Human Services.
Ensure continuing stay reviews meet Utilization Management Timelines established by BHRD's Quality team and Managed Care Organizations (MCOs). Communicate outcomes of continuing stay reviews with supervisors of mental health residential facilities contracted through the King County Integrated Care Network (KCICN).Develop and maintain excellent working relationships with behavioral health providers working in the mental health residential treatment continuum. Align the workflow of the Utilization Management Team to promote equity and social justice, a recovery-oriented system of care, with the goal of providing a transition from psychiatric hospitalization.
Attend and participate in assigned meetings, treatment conferences, and committees relevant to the performance of job functions. Troubleshoot, advocate, and resolve issues that may arise between community members, behavioral health housing providers, or governmental organizations.
Participate as part of the Hospital and Mental Health Residential Treatment (HMHR) Section Leadership Team.
Perform other related duties as assigned.
Together, with leadership and our employees, we're changing the way government delivers service and winning national recognition as a model of excellence. Are you ready to make a difference? Come join the team dedicated to serving one of the nation's best places to live, work and play.
Guided by our "True North", we are making King County a welcoming community where every person can thrive. We value diversity, inclusion and belonging in our workplace and workforce. To reach this goal we are committed to workforce equity. Equitable recruiting, support, and retention is how we will obtain the highest quality workforce in our region; a workforce that shares and will help advance our guiding principles - we are one team; we solve problems; we focus on the customer; we drive for results; we are racially just; we respect all people; we lead the way; and we are responsible stewards. We encourage people of all backgrounds and identities to apply, including Native American and people of color, immigrants, refugees, women, LGBTQ+, people living with disabilities, and veterans.
King County is an Equal Employment Opportunity (EEO) EmployerNo person is unlawfully excluded from employment opportunities based on race, color, religion, national origin, sex (including gender identity, sexual orientation and pregnancy), age, genetic information, disability, veteran status, or other protected class. Our EEO policy applies to all employment actions, including but not limited to recruitment, hiring, selection for training, promotion, transfer, demotion, layoff, termination, rates of pay or other forms of compensation.
To ApplyIf you are interested in pursuing this position, please follow the application instructions carefully. If you need this announcement in an alternate language or format, would like to request accommodation or assistance in the application or assessment process or if you have questions please contact the recruiter listed on this job announcement.
The Behavioral Health and Recovery Division (BHRD) of DCHS is looking for a Hospital and Mental Health Residential Treatment Utilization Management Supervisor (Project/Program III). This position will hold direct responsibility for the overall Utilization Management of the Hospital & Mental Health Residential Treatment Section.
WHO MAY APPLY
This position is open to all qualified candidates who meet the minimum qualifications. Interviews for this selection process will take place on or around 6/9/26.APPLICATION PROCESSIf you are interested in pursuing this position, please follow the application instructions carefully. If you need this announcement in an alternate language or format, would like to request accommodation or assistance in the application or assessment process, or if you have questions, please contact the recruiter listed on this job announcement.The following items are required to be considered for this vacancy: NeoGov Job Application (The responses on your job application should be thorough and complete, and will be used in the screening process)Supplemental Questions (The responses to the supplemental questions should be thorough and complete, and will be used in the screening process)Your application may be rejected as incomplete if you do not include the relevant information in the application. Cover letters and/or resumes are not accepted in lieu of a completed application. Applications and/or Supplemental Questionnaires that state "see my resume" or "see my personnel file" are considered incomplete and will not be accepted.
This selection process may also be used to create a pool of candidates for current and future career service, term-limited temporary, and special duty opportunities. The pool will be active for 6 months.
WORK SCHEDULE/CONDITIONS
This position is scheduled to work 40 hours per week, Monday - Friday, 8 am - 5 pm. This position meets the provisions of the Fair Labor Standards Act and is overtime eligible with supervisory pre-approval.MISSION CRITICAL POSITION STATUS
This position has been designated Mission Critical. Unless otherwise directed by the County Executive, department director, or agency head, all employees, regardless of designation, are expected to report to work or request leave during an emergency or inclement weather. For more detailed information, please visit HR Policy County Operations During Emergency Situations and the King County Guidelines for Workforce Management in an Emergency.TELEWORKING REQUIREMENT
DCHS works in a hybrid model, with days in the office as well as telecommuting. The ratio of remote to onsite work will be dependent on business needs and is subject to change. The primary onsite location is the Chinook Building at 401 Fifth Avenue, Seattle, WA 98104. Employees must reside in Washington state and within a reasonable distance to their King County worksite to respond to workplace reporting requirements.King County has a robust collection of tools and resources to support working remotely. The individual selected for this opportunity will join an innovative and progressive team that is redefining how we work as we transition to the department's hybrid environment. Employees will be provided with a County-issued laptop and must maintain a home workspace with an internet connection where they can reliably perform work and remain available and responsive during scheduled work hours.
RECRUITER
Greg Mallory, grmallory@kingcounty.govEXAMPLE OF DUTIES
Contribute to quality assurance and reporting activities, including site visits of mental health residential treatment providers, contract compliance reviews, invoice reconciliation, and other monitoring activities as assigned.Demonstrated contract management experience, including but not limited to invoice reconciliation, data entry, data validation, and independent quality assurance reviews.
Complete and direct continuing stay reviews to determine that an individual continues to meet medical necessity standards commensurate with the current level of functioning as determined by the Level of Care Utilization System (LOCUS) Assessment.
Supervise and monitor the team of Mental Health Utilization Project-Program Manager II staff as part of a collaborative Utilization Management Team.
Lead the collection, analysis, and reporting of utilization and care-transition data to ensure timely progression of care, appropriate resource use, and optimal patient throughput across the continuum.
Develop close coordination, partnership, and communication within the Behavioral Health and Recovery Division (BHRD) and other departments within the Department of Community & Human Services.
Ensure continuing stay reviews meet Utilization Management Timelines established by BHRD's Quality team and Managed Care Organizations (MCOs). Communicate outcomes of continuing stay reviews with supervisors of mental health residential facilities contracted through the King County Integrated Care Network (KCICN).Develop and maintain excellent working relationships with behavioral health providers working in the mental health residential treatment continuum. Align the workflow of the Utilization Management Team to promote equity and social justice, a recovery-oriented system of care, with the goal of providing a transition from psychiatric hospitalization.
Attend and participate in assigned meetings, treatment conferences, and committees relevant to the performance of job functions. Troubleshoot, advocate, and resolve issues that may arise between community members, behavioral health housing providers, or governmental organizations.
Participate as part of the Hospital and Mental Health Residential Treatment (HMHR) Section Leadership Team.
Perform other related duties as assigned.
SUPPLEMENTAL INFORMATION
Forbes named King County as one of Washington State's best employers.Together, with leadership and our employees, we're changing the way government delivers service and winning national recognition as a model of excellence. Are you ready to make a difference? Come join the team dedicated to serving one of the nation's best places to live, work and play.
Guided by our "True North", we are making King County a welcoming community where every person can thrive. We value diversity, inclusion and belonging in our workplace and workforce. To reach this goal we are committed to workforce equity. Equitable recruiting, support, and retention is how we will obtain the highest quality workforce in our region; a workforce that shares and will help advance our guiding principles - we are one team; we solve problems; we focus on the customer; we drive for results; we are racially just; we respect all people; we lead the way; and we are responsible stewards. We encourage people of all backgrounds and identities to apply, including Native American and people of color, immigrants, refugees, women, LGBTQ+, people living with disabilities, and veterans.
King County is an Equal Employment Opportunity (EEO) EmployerNo person is unlawfully excluded from employment opportunities based on race, color, religion, national origin, sex (including gender identity, sexual orientation and pregnancy), age, genetic information, disability, veteran status, or other protected class. Our EEO policy applies to all employment actions, including but not limited to recruitment, hiring, selection for training, promotion, transfer, demotion, layoff, termination, rates of pay or other forms of compensation.
To ApplyIf you are interested in pursuing this position, please follow the application instructions carefully. If you need this announcement in an alternate language or format, would like to request accommodation or assistance in the application or assessment process or if you have questions please contact the recruiter listed on this job announcement.
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