The Manager of Mental Health and Addiction Access is responsible for supporting the business functions within Behavioral Health Access related to mental health and addiction patient care coordination. To fulfill that purpose, this position manages the employees who perform the following functions; clinical triage, treatment authorization, resource management, and customer service. This position is responsible for overseeing and supporting business systems to meet the needs of complex interactive mental health and addiction delivery models located in multiple geographic areas.
Responsible for developing infrastructure systems to support complex delivery models across the Mental Health and Addiction Service Line.
Monitors quality standards and ensures accuracy of registration, scheduling, authorizations, billing, denial management, and productivity across multiple sites to promote optimal access, efficiency, and customer and provider satisfaction.
Oversee the development and maintenance of staff procedure manuals.
Monitors monthly denials and trends in denial types and provides follow-up as needed.
Responsible for determining FTEs needed in the department to support new site openings and programs.
Responsible for the management of business operations and human resources management within Behavioral Health Access.
Supervises employees responsible for addressing customer service needs related to accessing mental health and addiction services, billing, and care coordination.
Ensuring that all business processes interface appropriately with FV Contracting, Central Business Office, Corporate Compliance, Information Technology and all other related departments.
Recruits and retains quality staff members.
Designs and implements new staff orientation.
Manages all aspects of the employee lifecycle including selection and on-boarding, orientation, timekeeping, absence management, performance management, and employee departure.
Responsible for routine report management related to financial, quality, and utilization measures.
Develops ad hoc and routine business/financial reports in support of system/strategic planning and organizational planning.
Develops business pro formas as requested to inform and support strategic planning initiatives.
Develops and utilizes management information reports to assess productivity, quality measures and performance trends.
Collaborates with Fairview system credentialing department to ensure timely, efficient and accurate credentialing for all mental health and addiction providers.
Develop and manage quality and efficiency measurement reporting systems designed to advance quality improvement and goal. Performs data analysis and distributes reports in support of quality assurance goals and activities (i.e. productivity, volume reports, client satisfaction, etc.).
Interface and work collaboratively with team members across the Fairview system in order to support information technology, revenue cycle, quality and safety, human resources and all other business operation needs.
Investigates/explores complex issues in order to identify and develop strategic priorities for improvement.
Partner with Health Information Management services to manage processes for discharging medical records and handling the release of information requests.
Evaluate insurance plan contract and communicate relevant information and changes to appropriate stakeholders
Education: Bachelors degree in business, behavioral sciences, healthcare services, education or related field.
Experience: Three years of experience in healthcare, behavioral service, or business setting, coordinating the infrastructure for a multi-location health care program. Experience must include health services billing, financial management and monitoring, staff development and supervision. Proven ability to operate in large, complex system is required. Experience working with an electronic medical record and Microsoft Office required
Education: Masters Degree in related field such as business, behavioral sciences, health care services or education.
Experience: Experience with quality measurement and reporting. Three to five years of experience in health care, behavioral service, or business setting. Preferred experience includes scheduling systems, credentialing processes, and regulatory requirements. Two years of proven leadership experience. Understand complex, highly matrixed organizations.
Together with the University of Minnesota and University of Minnesota Physicians we have created M Health Fairview. M Health Fairview is the newly expanded collaboration among the University of Minnesota, University of Minnesota Physicians, and Fairview Health Services. The healthcare system combines the best of academic and community medicine — expanding access to world-class, breakthrough care through our 10 hospitals and 60 clinics.
Fairview Health Services (fairview.org) is an award-winning, nonprofit health system providing exceptional care across the full spectrum of health care services. Fairview is one of the most comprehensive and geographically accessible systems in the state, with 10 hospitals—including an academic medical center and long-term care hospital—serving the greater Twin Cities metro area.
Its broad continuum also includes 60 primary care clinics, specialty clinics, senior living communities, retail and specialty pharmacies, pharmacy benefit management services, rehabilitation centers, counseling and home health care services, medical transportation, an integrated provider network and health insurer PreferredOne. In partnership ...with the University of Minnesota, Fairview’s 32,000 employees and 2,400 affiliated providers embrace innovation to drive a healthier future through healing, discovery and education.