Director, Social Work and Ambulatory Services

Beth Israel Deaconess Medical Center; United States; On-site; USD 103,000 - 134,000; Full time

Job summary

Beth Israel Lahey Health seeks a Director of Social Work and Ambulatory Services for its inpatient behavioral health division. You will lead social work, admissions, groups, outpatient, utilization management, and the partial hospital program, ensuring high-quality care and compliant operations.

You will supervise staff, coordinate care with payors and community partners, and drive aftercare planning, program development, and performance improvement across clinical and administrative areas.

Qualifications

• Master's degree in social work (MSW) required.
• Massachusetts LICSW license required.
• Minimum 5 years of experience in an inpatient behavioral health setting.
• Minimum 3 years of managerial experience.
• Prior experience in healthcare admissions preferred.

Responsibilities

• Directs inpatient social work services and aftercare planning to meet regulations.
• Develops revenue strategies related to admissions and patient capacity.
• Plans and manages department budgets within staffing guidelines.
• Oversees utilization management and related policy implementation.
• Ensures policies align with hospital, regulatory and accrediting standards.
• Collaborates with group leaders to update group programming.
• Maintains outpatient productivity to meet fiscal goals and documentation standards.
• Monitors federal/state regulations on billing, reimbursement and licensing.
• Ensures licensing/regulatory requirements for partial hospital and outpatient care.
• Provides supervision to department managers.
• Engages stakeholders through networking and collaboration.
• Provides clinical consultation and oversight of case planning.
• Oversees staff development, training and performance management.
• Oversees master’s level interns in student contracts.
• Serves as back-up coverage to Human Rights Officer and handles service recovery.

Skills

Leadership

Supervision

Communication

Healthcare management

Education

Master's degree in social work (MSW)

Massachusetts LICSW license

Job description

When you join the growing BILH team, you're not just taking a job, you're making a difference in people's lives.

Reporting to the Executive Director of Inpatient Behavioral Health, the Director of Social Work and Ambulatory Services ensures quality care to patients by developing and maintaining standards of care in the social work, admissions, groups, outpatient, utilization management departments and in the partial hospital program for the inpatient behavioral health division. The Director will ensure that there are systems in place and in use to allow for effective and timely communication with patients, families, collaterals, referral sources, community agencies and payors.

The Director is responsible for providing leadership to social workers, clinicians and ambulatory services staff to support the organization's goals for delivery of effective and efficient high quality patient care and aftercare planning. Collaborates with the senior leadership team to provide guidance and direction for social work, utilization management, aftercare planning, administrative and staffing management, communication and collaboration, professional development and orientation, quality improvement and financial management.

Directs utilization review activities for the inpatient behavioral health division, interfaces with external payors to determine medical necessity of admissions and continued hospitalization. Partners with other departments, community agencies, vendors and payors.

Job Description:

Primary Responsibilities:

• 1. Directs and ensures high quality inpatient social work services and aftercare planning that meets state and regulatory requirements.
• 2. Develops, implements and maintains revenue generating strategies related to admissions and patient capacity.
• 3. Plan, monitor and manage department budgets. Responsible for staffing within budgetary guidelines across the social work, admissions, groups, outpatient, utilization management departments and in the partial hospital program.
• 4. Understands and hard wires the nuances in behavioral health payment (340b). Oversees Utilization Management and appeals.
• 5. Responsible for the development and implementation of all general, emergency, and program-specific policies and procedures necessary to ensure a safe, productive and therapeutic program. Ensures that all policies and procedures are designed to comply with standards set by the hospital and regulatory and accrediting agencies.
• 6. Works collaboratively with group leaders to create, evaluate and periodically update group programming.
• 7. Ensure the outpatient department maintains sufficient productivity to meet its fiscal goals and meets documentation standards.
• 8. Stays apprised of federal and state regulations governing capacity, billing and reimbursement, including Medicaid and Medicare guidelines, and Joint Commission standards.
• 9. Works to ensure that partial hospital program and outpatient requirements are met regarding licensing and regulatory requirements.
• 10. Provide supervision to department managers.
• 11. Networking and collaboration with stakeholders
• 12. Provide clinical consultation and oversight of case planning
• 13. Hiring, development, training and performance management of staff
• 14. Oversee student contracts for master's level interns
• 15. Serve as back-up coverage to Human Rights Officer and responsible for performing service recovery

Education, Experience, & Licensing Requirements:

• - Master's degree in social work (MSW)
• - Current Massachusetts Licensed Independent Clinical Social Work (LICSW) license
• - Minimum 5 years of experience in an inpatient behavioral health setting
• - Minimum 3 years of managerial experience
• - Prior experience in healthcare admissions preferred

Pay Range:

$103,359.10 USD - $133,706.00 USD

The pay range listed for this position is the annual base salary range the organization reasonably and in good faith expects to pay for this position at this time. Actual compensation is determined based on several factors, that may include seniority, education, training, relevant experience, relevant certifications, geography of work location, job responsibilities, or other applicable factors permissible by law.

As a health care organization, we have a responsibility to do everything in our power to care for and protect our patients, our colleagues and our communities. Beth Israel Lahey Health requires that all staff be vaccinated against influenza (flu) as a condition of employment.

More than 35,000 people working together. Nurses, doctors, technicians, therapists, researchers, teachers and more, making a difference in patients' lives. Your skill and compassion can make us even stronger.

Equal Opportunity Employer/Veterans/Disabled