Integrated Care Programs Manager

Heartland for Children; Bartow (FL); On-site; USD 70,000 - 100,000; Full time

Job summary

Heartland for Children in Florida seeks a professional management leader to oversee coordination and implementation of behavioral health, MMA plans, and related services for dependent children and families within Circuit 10.

You will supervise the integrated health department, coordinate multidisciplinary staffings, ensure contract compliance with the Sunshine Health Plan and DCF, and support field teams through complex case management and discharge planning.

Qualifications

• Bachelor's degree in social services, health care, business or related field is required.
• Minimum of three (3) years post-degree experience in mental health and/or substance abuse health care, utilization management or child welfare.
• Previous supervisory experience in child welfare and/or mental health.
• Ability to be flexible and adapt activities quickly.

Responsibilities

• Establishes and maintains positive working relationships with internal/external customers.
• Manages the integrated health department.
• Acts as single point of access for behavioral health-related issues for Medicaid and managed care plans.
• Ensures contracts and reporting requirements with Sunshine Health Plan and DCF are followed and HEDIS measures are met.
• Oversees scheduling of multi-disciplinary staffings for various programs (STFC; BQRTP; STGH; SIPP/RTC; etc.).
• Coordinates nurse care team staffing for medical foster care and medically complex cases.
• Responds to hospital notifications and collaborates with MMA and APD through service approvals.
• Monitors referrals and prepares information for suitability assessments and reviews.
• Reviews records for admissions into residential mental health or substance abuse treatment.
• Tracks behavioral health referrals for higher levels of care and participates in discharge planning and treatment team meetings.
• Participates in local/state review team meetings, court hearings, and MDT activities.
• Identifies clinical gaps and population-specific needs.
• Provides crisis intervention and emergency authorizations as needed.
• Assists network development by identifying gaps and quality providers.

Skills

Supervisory experience

Flexibility

Mental health care

Substance abuse care

Education

Bachelor's degree in social services/health care/business

Job description

Heartland for Children in Florida seeks a professional management leader to oversee coordination and implementation of behavioral health, MMA plans, and related services for dependent children and families within Circuit 10.

You will supervise the integrated health department, coordinate multidisciplinary staffings, ensure contract compliance with the Sunshine Health Plan and DCF, and support field teams through complex case management and discharge planning.