Manager, Behavioral Health Care Management

City/State

Work Shift

Overview:

Sentara Health is seeking to hire a qualified individual to join our team as a Manager, Behavioral Health Care Management.

The Manager of Behavioral Health Care Management provides strategic and operational leadership for the Behavioral Health Navigator team, supporting patients experiencing psychological distress across hospital settings-including the Emergency Department, Medical Floors, and Behavioral Health Units-at both Sentara and non-Sentara hospitals. This role is dedicated to ensuring that patients receive timely, appropriate behavioral health services by guiding them through a complex healthcare landscape and improving access to care across multiple hospital systems.

Key Responsibilities:

• Lead, mentor, and manage the Behavioral Health Navigator team, ensuring effective coordination of care across licensed and non-licensed staff.

• Oversee daily operations, workflow efficiency, quality assurance, and service excellence across multiple hospital sites.

• Ensure patient progression through the continuum of care in alignment with clinical and financial outcomes.

• Supervise the quality and compliance of assessments, treatment planning, and post-discharge coordination.

• Monitor staff competencies, manage onboarding, develop resource planning, and implement engagement strategies.

• Maintain knowledge of and ensure compliance with NCQA, DMAS, CMS, and other relevant regulatory standards.

• Serve as a liaison to internal and external stakeholders, building collaborative partnerships across healthcare teams, social services, and community providers.

• Partner with the Health Plan Quality team to enhance behavioral health integration into HEDIS, CAHPS, and STARS quality ratings.

• Lead root cause analyses to identify performance trends and implement improvement strategies to support clinical outcomes.

Behavioral Health Navigator Oversight:
As part of this role, the Manager supports and enhances the work of Behavioral Health Navigators who serve as vital resources for patients in crisis. Their responsibilities include:

• Conducting initial assessments to determine behavioral health needs and identifying appropriate treatment options.

• Connecting patients with mental health providers, community resources, and support services.

• Coordinating and scheduling follow-up appointments to ensure continuity of care.

• Identifying and resolving barriers to care such as financial constraints, transportation issues, and insurance challenges.

• Providing education and emotional support to patients and families, helping them understand treatment plans and available resources.

• Collaborating with medical staff, social workers, case managers, and other healthcare professionals to ensure comprehensive care.

• Advocating for patients' mental health needs within the healthcare system and in the broader community.

• Master's degree in one of the following: Social Work, Counseling, Clinical Mental Health Counseling, Marriage and Family Therapy, Psychology, Nursing, or a closely related field

• Licensed in one of the following: Licensed Clinical Social Worker, Licensed Clinical Mental Health Counselor, Licensed Marriage and Family Therapist, Licensed Professional Counselor, Licensed Psychological Associate, Psychiatric-Mental Health Nurse Practitioner in the state of Virginia

• 3 years of experience in Behavorial health, Healthcare Management, Medicaid, and Medicare

• Demonstrated leadership experience in behavioral health or care management, with a strong focus on patient advocacy and systems navigation

• Deep understanding of behavioral health systems, care coordination, and regulatory compliance

• Experience with multidisciplinary collaboration and performance improvement initiatives

• Familiarity with quality measurement systems, including HEDIS, CAHPS, and STARS, is strongly preferred

• Excellent communication, problem-solving, and organizational skills

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Sentara Health is an equal opportunity employer and prides itself on the diversity and inclusiveness of its close to an almost 30,000-member workforce. Diversity, inclusion, and belonging is a guiding principle of the organization to ensure its workforce reflects the communities it serves.

In support of our mission "to improve health every day," this is a tobacco-free environment.

For positions that are available as remote work, Sentara Health employs associates in the following states:

Alabama, Delaware, Florida, Georgia, Idaho, Indiana, Kansas, Louisiana, Maine, Maryland, Minnesota, Nebraska, Nevada, New Hampshire, North Carolina, North Dakota, Ohio, Oklahoma, Pennsylvania, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, Washington, West Virginia, Wisconsin, and Wyoming.