RN NP LPN LMSW LCSW Manager of Behavioral Health Quality QM - Managed Care - Manhattan NY - Hybrid

Tandym Group
New York, New York
$105K-$117K a year
Full-time

A healthcare company in New York City is looking to add a new Manager of Behavioral Health Quality (RN, LPN, or LMSW / LCSW) to their Behavioral Health Quality Management team.

In this role, the Manager of Behavioral Health Quality (RN, LPN, or LMSW / LCSW) will define and strategically develop the organization's Quality Improvement (QI) strategy for Behavioral Health (BH) metrics.

This is a Hybrid opportunity requiring the qualified professional to work onsite at least 2 days a week

Responsibilities :

The Manager of Behavioral Health Quality (RN, LPN, or LMSW / LCSW) will :

  • Develop and implement the organization's Quality Improvement (QI) strategy for Behavioral Health (BH) metrics, leading a cross-functional team to design, execute, and assess QI initiatives and data research to enhance quality performance as defined by NCQA, DOH, CMS, and other regulatory bodies
  • Collaborate with BH Care Management, Pharmacy, and other departments to allocate resources effectively to address performance gaps, ensuring a coordinated and measured quality strategy aimed at maximizing performance in the state's Quality Incentive Award (QIA) programs, particularly focusing on the Health and Recovery Plan
  • Lead QI Specialists and Clinical Outreach Specialists in the design, implementation, and evaluation of projects aimed at supporting HEDIS / QARR and engaging high-risk members
  • Spearhead data analytics efforts to identify improvement areas, understand behaviors, and evaluate BH metrics, while fostering innovative problem-solving among the team
  • Collaborate with providers to improve quality performance in BH metrics, develop incentives, and ensure data integrity, while aligning action plans with the organization’s QI strategy
  • Oversee quality and performance improvement projects, document performance indicators and outcomes, and report to CMS / DOH / IPRO, ensuring compliance with regulatory requirements
  • Drive provider education initiatives on behavioral health aspects, participate in quality committees, and develop / deliver intra-department training to support state and plan initiatives

Qualifications :

  • Master's degree in a clinical discipline
  • Active NYS license as an RN, LPN, or LMSW / LCSW
  • 10+ years’ experience in the healthcare industry, with a focus on clinical and quality improvement process methodologies
  • 5+ years’ experience supervising and managing staff
  • Familiarity with HEDIS and QARR requirements
  • Clinical experience in behavioral health or mental health settings
  • Advanced proficiency in Microsoft Office applications, including Word, Excel, PowerPoint, and Access

Desired Skills :

  • Six Sigma Yellow or Green Belt
  • Project management and documentation skills
  • 30+ days ago
Related jobs
Promoted
Bushwick Center
Queens, New York

Assures quality of care by adhering to Facility philosophies & standards of care. Our staff is committed to ensuring the highest quality of life of all our residents, by maintaining each resident's dignity and independence. Bushwick Center is hiring a Registered Nurse (RN) in Brooklyn, NY. Solid com...

Promoted
St. Patrick's Home Rehabilitation and Health Care
Queens, New York

Sharing in the Ministry of the Carmelite Sisters for the Aged and Infirm since 1931, the dedicated staff provides Long and Short-term Care to the elderly, meeting the physical, spiritual, and emotional needs of the residents as a part of the St. Review Resident records & quality of care. Patrick's H...

Promoted
St. Patrick's Home Rehabilitation and Health Care
The Bronx, New York

Sharing in the Ministry of the Carmelite Sisters for the Aged and Infirm since 1931, the dedicated staff provides Long and Short-term Care to the elderly, meeting the physical, spiritual, and emotional needs of the residents as a part of the St. Review Resident records & quality of care. Patrick...

Promoted
St. Patrick's Home Rehabilitation and Health Care
Larchmont, New York

Sharing in the Ministry of the Carmelite Sisters for the Aged and Infirm since 1931, the dedicated staff provides Long and Short-term Care to the elderly, meeting the physical, spiritual, and emotional needs of the residents as a part of the St. Review Resident records & quality of care. Patrick's H...

Promoted
St. Patrick's Home Rehabilitation and Health Care
East Tremont, New York

Sharing in the Ministry of the Carmelite Sisters for the Aged and Infirm since 1931, the dedicated staff provides Long and Short-term Care to the elderly, meeting the physical, spiritual, and emotional needs of the residents as a part of the St. Review Resident records & quality of care. Patrick...

Promoted
St. Patrick's Home Rehabilitation and Health Care
New York, New York

Sharing in the Ministry of the Carmelite Sisters for the Aged and Infirm since 1931, the dedicated staff provides Long and Short-term Care to the elderly, meeting the physical, spiritual, and emotional needs of the residents as a part of the St. Review Resident records & quality of care. Patrick's H...

Promoted
St. Patrick's Home Rehabilitation and Health Care
New York, New York

Sharing in the Ministry of the Carmelite Sisters for the Aged and Infirm since 1931, the dedicated staff provides Long and Short-term Care to the elderly, meeting the physical, spiritual, and emotional needs of the residents as a part of the St. Review Resident records & quality of care. Patrick...

Lead Health
New York, New York

There are Travel Nurses and then there are Travel Lead-ers! Lead Healthstaff is here to help you lead the charge forward in your healthcare career. Travel RN to make a positive impact on patient care!. Travel Nurse, Traveler, Contract Nurse - whatever you like to be called, Lead has the perfect posi...

Care Team Solutions
New York, New York

We've worked hard for you to enjoy some one-of-a-kind benefits you'll not likely find anywhere else, because they benefit you more than they benefit us:. Must Have 2+ Years of recent Medical/Surgical/Telemetry experience. We've talked to thousands of travel nurses like you. But the one thing nurse a...

Amare Medical Network
New York, New York

Close monitoring and observation of the patient's heart rate, blood pressure and respiration for signs of distress represent a primary function of and ICU nurse. ICU registered nurses (RNs) provide care to critical medical, surgical and traumatized patients. ...