System of Care Director (Remote NC)

LOCATION: Remote - this is a home based, virtual position. The person in this position must live in North Carolina or within 40 miles of the North Carolina border. Must be willing to travel as needed.

GENERAL STATEMENT OF JOB

The System of Care (SOC) Director reports to the Director of Member Engagement and directs SOC initiatives and programming at Vaya Health. This position is responsible for the operational performance of the SOC team. The SOC Director serves as the primary liaison between the SOC team and Member Engagement leadership and is a thought leader in Vaya Health, responsible for coordinating all planning, implementation, evaluation, and reporting requirements related to SOC. The SOC Director works with families, youth and system leaders on a state, regional, and local community level to facilitate SOC implementation and sustainability, working across and within the state system and the Vaya region. This position develops and monitors necessary contractual relationships providing strategic planning, cultural competency, consultations, and technical assistance supports.

Note: This position requires access to and use of confidential healthcare information or protected health information (PHI) as described in laws addressing patient confidentiality, including, but not limited to, the federal HIPAA law, the Confidentiality of Alcohol and Substance Abuse Patient Records law, 42 CFR Part 2, and various state laws. As such, the individual filling this position shall be required to be trained regarding such laws and shall be required to observe those laws in his/her capacity as an employee of Vaya Health. The individual filling this position shall also sign a confidentiality statement as an employee of Vaya Health.

ESSENTIAL JOB FUNCTIONS

Lead Community and Statewide SOC Implementation and Sustainability:

• Develops and maintains collaborative relationships with other internal and external leaders, payor partners, and teams, participating in cross-functional clinical and non-clinical meetings between staff, providers, and other SOC stakeholders across all markets
• Leads SOC implementation with SOC stakeholder leadership, including: Department of Social Services; Department of Juvenile Justice/Juvenile Justice and Behavioral Health Partnership; school districts/regional School-based Mental Health Initiative implementation groups; and other relevant child and family serving entities
• Leads application and project implementation processes for SOC-related grant opportunities
• In collaboration with the SOC Manager, ensures regular communication with State SOC team, compliance with SOC-related DHHS expectations, and strong working relationships between State and local SOC collaboratives

SOC Team Leadership:

• Develops policies, procedures, training, and other SOC team job aides as needed
• Develops performance improvement plans or other quality monitoring tools to support performance expectations for SOC team
• Promotes a positive work environment, setting an atmosphere of open communication and feedback
• Functions as a subject matter expert; understands and maintains knowledge of delegated lines of business and external system and agency relationships

Supervision:

• Responsible for hiring, supervision, and regular performance reviews of the SOC Manager
• Responsible for hiring, supervision, and regular performance reviews of SAMHSA SOC Expansion and Sustainability Grant Program Director(s), as applicable

Compliance:

• Ensures SOC-related programming, data collection, and reporting in alignment with Tailored Plan requirements
• Supports preparation for internal and external audits or reviews

KNOWLEDGE, SKILLS, & ABILITIES

This position requires a high degree of autonomy, professional relationships and clinical skills. Thorough knowledge of the following:

• System of Care principles, practices, and application
• Clinical behavioral health (MHSUIDD) and integrated care principles, techniques, and practices, and their application to member care
• Medicaid waiver criteria, including but not limited to eligibility for Vaya Health Plan, service definitions, entitlements and restrictions for state plan Medicaid services, 1915(b) and (c) Waivers, 1115 Waiver criteria and general knowledge of Long-Term Services and Supports
• Non-Medicaid Vaya Health Plan, levels of care and service definitions
• State/local governmental, regional/local healthcare systems, private organizations and resource brokers in the community
• Vaya Health contracts with NC Division of Medical Assistance (DMA), NC Division Mental Health/Developmental Disabilities/Substance Abuse Services and other contracts for which Vaya Health is responsible
• Vaya Health organizational purpose/role per federal and state statute, strategic plan, leadership and departmental roles, relationships and scope

Federal and state confidentiality requirements

• Member and staff health & safety requirements
• Corporate compliance requirements
• Vaya Health Policies and Procedures

Additional requirements include but are not limited to:

• Clear, concise and appropriate verbal, written and electronic communication
• Ability to present in large group settings
• Ability to adapt to rapid changes
• Effectively implement new initiatives
• Computer literacy and familiarity with standard office computer software as well as Vaya Health's Administrative Health Record, Care Management Platform, Excel, Visio, Project Management Software or other required portals or databases

EDUCATION & EXPERIENCE REQUIREMENTS

Master's degree from an accredited school of psychology, social work, counseling or therapy is required.

OR

AND

• A minimum of three (3) years of Manager level experience.
• A minimum of one (1) year experience in Medicaid Managed Care.

Required Licensure/Certification:

PHYSICAL REQUIREMENTS

• Close visual acuity to perform activities such as preparation and analysis of documents; viewing a computer terminal; and extensive reading.
• Physical activity in this position includes crouching, reaching, walking, talking, hearing and repetitive motion of hands, wrists and fingers.
• Sedentary work with lifting requirements up to 10 pounds, sitting for extended periods of time.

RESIDENCY REQUIREMENT: The person in this position is required to reside in North Carolina or within 40 miles of the North Carolina border.

SALARY: Depending on qualifications & experience of candidate. This position is exempt and is not

eligible for overtime compensation.

DEADLINE FOR APPLICATION: Open Until Filled

APPLY: Vaya Health accepts online applications in our Career Center, please visit https://www.vayahealth.com/about/careers/.

Vaya Health is an equal opportunity employer.