Program Director - Behavioral Health Unit

Title: Program Director - Behavioral Health Unit

Location: Paris United States

Job Description:

POSITION SUMMARY:

The Prior Authorization Supervisor, Remote Care Team's role is to lead the Prior Authorization Team supervise the day-to-day operations of the team, including ensuring proper workflow, managing clinic assignments to staff to ensure coverage, addressing issues with markets/practices as they arise, monitor and mitigate productivity and quality concerns, facilitate new implementations, and process improvement. This role will conduct training with practice and Prior Authorization staff as needed to ensure the prior authorization workflow is efficient and meets the needs of the practices.

Good communication and teamwork with all leaders and team members are essential for this role to be successful. The ideal candidate needs to be outgoing, versatile, have a solid understanding of the Prior Authorization workflow and accept changes in job assignments and focus on a regular basis. This position reports to the Manager of the Remote Care Team.

ESSENTIAL FUNCTIONS: To perform this job, an individual must perform each essential function satisfactorily with or without a reasonable accommodation.

• Supervision of the Prior Authorization Team staff (5 - 10 direct reports) and day-to-day operations of the team.
• Lead and mentor the team members, fostering a collaborative and positive work environment.
• Responsible for the hiring and evaluation process.
• Responsible for Timecard Management through UKG for direct reports.
• Provide feedback regarding any disciplinary actions needed for staff.
• Review prior authorization quality, timeliness, and team productivity and provide constructive feedback to staff to improve individual and team performance.
• Responsible for researching and creating continuing educational training for all Prior Authorization staff, based on current needs
• Monitor and analyze denials related to prior authorizations and develop solutions to reduce the volume.
• Develop workflows as needed and ensure proper documentation is available to all staff.
• Provide individualized training sessions with practice staff and providers as needed.
• Conduct meetings with markets at a regular cadence for the purpose of evaluating team effectiveness and discussing any changes that will impact the team.
• Communicate regularly with your manager to alert them of trends identified and recommended resolution.
• Regularly solicit feedback from staff and market leaders to ensure prior authorization workflow is meeting the needs of the market and determine if requests can be implemented and are aligned with Team/Department goals.
• Model the MGRI Culture, Mission, Vision and Values for future success of the
• Monitor and analyze Athena release notes to ensure the team is utilizing the most effective workflows.
• Keep on task to meet all required deadlines and timeframes for team needs
• Perform all other duties as assigned.

OTHER FUNCTIONS

1. Maintains regular and predictable attendance.

2. Performs other essential duties as assigned.

KNOWLEDGE, SKILLS & ABILITIES: The requirements listed below are representative of the knowledge, skills and/or abilities required.

Education: Bachelor's Degree preferred or equivalent experience

Experience: 3-5 years as a Medical Assistant or Nurse in the practice setting. 3 years of experi-ence with Prior Authorizations.

Certifications: N/A

Licenses: N/A

Skills and Abilities:

• Strong leadership and supervisory skills.
• Minimum of one-year experience working in Athena
• Ability to work both independently and in a team environment
• Experience serving in a training role
• Computer Skills: Excel, Word, Outlook, Athena
• Excellent presentation, communication skills and ability to work well with different personality types.
• Strong organizational skills.
• Strong technical and computer skills (Athena Software, Excel, Outlook, SharePoint, Web).
• Ability to disseminate Release Notes and provide updates as appropriate.
• Ability to identify and resolve trends within your workflow.
• Ability to create quality process documentation

PHYSICAL AND MENTAL DEMANDS:

The physical demands 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 job responsibilities.

While performing the duties of this job, the employee is occasionally required to stand; walk; sit for extended periods of time; use hands to finger, handle, or feel objects, tools or controls; reach with hands and arms; climb stairs; balance; stoop, kneel, bend, crouch or crawl; talk or hear; taste or smell. Repetitive motion of upper body re-quired for extended use of computer. Required specific vision abilities include close vision, distance vision, color vision, peripheral vision, depth perception, and the ability to adjust focus.

WORK ENVIRONMENT AND TRAVEL REQUIREMENTS:

Remote work

Occasional, but very limited, travel may be possible with this role.

LifePoint considers a consistently positive, cooperative, self-motivated, courteous, and professional attitude to be an essential function of every position. While different positions have different primary areas of responsibility, everyone needs to work as a team, and we expect all employees to roll up their sleeves and pitch in as necessary to get the job done.

Employees must be able to relate to other people beyond giving and receiving instructions: (a) can get along with co-workers or peers without exhibiting behavioral extremes, (b) perform work activities requiring

negotiating, instructing, supervising, persuading, or speaking with others; and (c) respond appropriately to constructive feedback from a supervisor.

While this job description is intended to be an accurate reflection of the requirements of the job, management reserves the right to add or remove duties from particular jobs when circumstances (e.g., emergencies, changes in workload, rush jobs or technological developments) dictate.

GENERAL POSITION INFORMATION

Responsible for observing strict confidentiality of patient and guarantor information. The Representative is responsible for handling a large volume of accounts. The work is challenging and requires a self-motivated individual who is able to work with a wide variety of individuals.

Lifepoint Health is a leader in community-based care and driven by a mission of Making Communities Healthier. Our diversified healthcare delivery network spans 29 states and includes 63 community hospital campuses, 32 rehabilitation and behavioral health hospitals, and more than 170 additional sites of care across the healthcare continuum, such as acute rehabilitation units, outpatient centers and post-acute care facilities. We believe that success is achieved through talented people. We want to create places where employees want to work, with opportunities to pursue meaningful and satisfying careers that truly make a difference in communities across the country.