Clinical Care Specialist

Title: Clinical Care Specialist

State Role Title: 19211

Hiring Range: Up to $55,850

Pay Band: 4

Agency: Dept Behavioral Health/Develop

Location: Central Office

Agency Website: www.dbhds.virginia.gov

Recruitment Type:

Job Duties

The Department of Behavioral Health and Developmental Services’ (DBHDS) Division of Facility Services is seeking an experienced individual to join the Active Treatment Team as one of the Clinical Care Specialist. This position will be responsible for enhancing timely patient flow through DBHDS facilities. This position will also focus on maintaining high-quality patient care by analyzing and reporting data, supporting the utilization review process, collaborating with multidisciplinary teams, and contributing to the agency's goal of maximizing patient outcomes.

Minimum Qualifications

• Knowledge of human behavior/development, medical terminology, psychiatric treatment protocols, healthcare guidelines, and admissions/discharge processes.
• Knowledge of treatment planning and contemporary resources available to individuals with SMI, ID and/or SUD.
• Knowledge of and experience working with federal, state, and local regulations and accreditation requirements governing utilization review, including Medicare, Medicaid, and other revenue collection areas such as insurance rules/regulations.
• Familiarity with DSM-5-TR and its connection to ICD-10-CM codes.
• Knowledge of trends in technology, including EHR, and the ability to apply technology to problem-solving and achieve efficiencies through automation.
• Knowledge of modern business practices such as strategic planning, business planning, budgeting, and customer relations.
• Knowledge of the business lines managed by the Department of Behavioral Health and Developmental Services, including its structure, functions, and processes.
• Knowledge of complex medical information and ability to explain it to patients and providers.
• Knowledge of processes for auditing medical records and identifying areas for improvement.
• Knowledge of how to conduct complete and thorough analyses, determine the impact of actions or plan, make effective recommendations, and present them to senior leaders in order to resolve complex issues and support agency plans and decisions.
• Ability to work as part of a team to meet the agency's mission and objectives, including working effectively with agency management, employees, state agencies, auditors, and other individuals.
• Ability to manage and motivate people both as individuals and in teams.
• Ability to cope with critical deadlines, multiple assignments, changing priorities, maximize performance and productivity, and ensure timeliness and quality of completed assignments.

Additional Considerations

• Experience working in a behavioral health setting.
• Experience in nursing, social work, psychology, healthcare administration, or other related fields.
• Experience in utilization review/management or other relevant programs.
• Experience following healthcare regulations.
• Experience in a professional work environment, with proven ability to communicate effectively both verbally and in writing, and to collaborate successfully with others.

Special Instructions

You will be provided a confirmation of receipt when your application and/or résumé is submitted successfully. Please refer to “Your Application” in your account to check the status of your application for this position.

This position is eligible for telework opportunities; availability, hours, and duration of telework shall be approved as outlined in the Commonwealth telework policy.

For consideration, interested applicants must apply by completing the online application. A resume may also be included with your submission. However, emailed, faxed, and hand-delivered applications and/or resumes will not be accepted. This position is open until filled; however, applications/resumes will begin to be reviewed within seven (7) business days of the date of this posting. Reasonable accommodations are available to persons with disabilities during application and/or interview processes per the Americans with Disabilities Act.

DBHDS welcomes all applicants authorized to work in the U.S. For more information on how to seek this authorization, please refer to Working in the United States or contact the U.S. Citizenship and Immigration Services office directly.

For any technical assistance with the jobs.virginia.gov website, please contact applicantinquiry@dhrm.virginia.gov.

Contact Information

Name: ShaKiera Miles

Phone: N/A

Email: shakiera.miles@dbhds.virginia.gov - Inquiries Only/No Submissions, to include resumes.

In support of the Commonwealth’s commitment to inclusion, we are encouraging individuals with disabilities to apply through the Commonwealth Alternative Hiring Process. To be considered for this opportunity, applicants will need to provide their AHP Letter (formerly COD) provided by the Department for Aging & Rehabilitative Services (DARS), or the Department for the Blind & Vision Impaired (DBVI). Service-Connected Veterans are encouraged to answer Veteran status questions and submit their disability documentation, if applicable, to DARS/DBVI to get their AHP Letter. Requesting an AHP Letter can be found at AHP Letter or by calling DARS at 800-552-5019.

Note: Applicants who received a Certificate of Disability from DARS or DBVI dated between April 1, 2022- February 29, 2024, can still use that COD as applicable documentation for the Alternative Hiring Process.