Managed Care Coordinator jobs in San Francisco, CA

Company Description

Behavioral Health Services (BHS) is increasingly expanding services under its Managed Care division which oversees the Office of Coordinated Care (OCC), Utilization Management (UM), and Quality Management (QM).  Additionally, BHS will be standing up the Mental Health Services Center to increase access to care by providing low-threshold behavioral health services, including psychiatric services.  The Behavioral Health Services (BHS) Deputy Medical Director of Managed Care provides effective leadership and strategic direction in the partnership with the areas of service under the Director of Managed Care. 

• ✅ START with this Required Questionnaire
  https://forms.office.com/g/ef8VLtgR7d 
• Annual Compensation
  http://careers.sf.gov/classifications/?classCode=2243
• Application Deadline
  On or after 10/1/2023

Job Description

The role will be 10-30% dedicated to clinical responsibilities with the remaining 70-90% dedicated to Deputy Medical Director responsibilities, which include:

• Supports increased access to care by facilitating planning and implementation for the expansion of low-threshold psychiatric services.
• Participates in BHS Deputy Medical Director group that reports to the Co-Chief Medical Officers
• Knowledgeable in state regulatory requirements and contractual requirements under the Mental Health Plan and the Drug Medi-Cal Organized Delivery System contracts with the Department of Health Care Services (DHCS).
• Knowledgeable in Federal, State and Local regulations and initiatives including Mental Health Services Act (MHSA), Medi-Cal, Drug Medi-Cal Organized Delivery System (DMC-ODS), Mental Health SF, and California Advancing and Innovating Medi-Cal (CalAIM) and their impacts on clinical care
• Collaborates with the Director of Managed Care and with OCC, Utilization Management (UM), and Quality Management (QM) leadership to provide leadership and strategic direction
• Provides medical consultation and oversight of the OCC, UM, and QM divisions
• Demonstrates a high level of clinical knowledge in Substance Use Disorder (SUD) and Mental Health evidence-based practices, analytical ability, critical decision-making skills, and extensive knowledge of healthcare issues, with a focus on the science of integrating services
• Centers DPH and BHS health equity goals in all clinical initiatives and in the planning, development, and implementation of clinical services
• Maintains clinical practice with safety net populations, specifically in the Mental Health Service Center
• Supervises medical staff, including UM Medical Director, OCC Nurse Practitioner, and the medical staff of the Mental Health Service Center, and other staff as necessary. 
• Performs other duties as assigned

Desirable Qualifications
May be considered at the end of the selection process when candidates are referred for hiring

• Board-eligible or board-certified in Addiction Medicine or Addiction Psychiatry
• Personal knowledge about the world, traits, and/or skills gained through direct, first-hand involvement in everyday events, and may include experiences gained through interactions with family, friends, neighbors, schools, programs, congregations, community activities, paid or unpaid work with these communities:
  • Black and African American, Native American, Asian, Native Hawaiian and Pacific Islander, Latino/a/e/x, LGBTQI , recent immigrants, individuals with various socioeconomic status, sexual orientation, gender identity, and physical and mental health needs.

Qualifications

⚠️Required Before Applying⚠️

1. Possession of a valid license to practice medicine issued by the Medical Board of California or the Osteopathic Medical Board of California*
   • AND
2. Possession of a valid DEA license from the DOJ**
   • AND
3. Successful completion of a residency program accredited by the Accreditation Council for Graduate Medical Education or American Osteopathic Association in a Psychiatric medical specialty area (i.e., Board Eligible)
   • AND
4. Five (5) years of post-residency experience as a practicing Psychiatrist
   • Possession of valid Board Certification in a Psychiatric medical specialty area can substitute for two (2) years of the required post-residency experience as a practicing Psychiatrist

*Applicants possessing a valid license to practice medicine issued from another state within the United States of America may apply, but if selected, the candidate will NOT be appointed/hired until they obtain a valid license to practice medicine issued by the Medical Board of California or the Osteopathic Medical Board of California.

**The above minimum qualifications reflect special conditions associated with the position(s) to be filled.  They may differ from the standard minimum qualifications associated with this class code

Important Note: Please make sure it is absolutely clear in your application exactly how you meet the minimum qualifications. Applicants may be required to submit verification of qualifying education and experience at any point during the recruitment and selection process. Please be aware that any misrepresentation of this information may disqualify you from this recruitment or future job opportunities.

Additional Information

SELECTION PROCEDURES

Training and Experience Examination:  (Weight 100%)
Not a knowledge quiz, just a brief, multiple-choice assessment of the breadth and depth of knowledge, skills, and/or abilities in job-related areas.

Certification
The certification rule for the eligible list resulting from this examination will be the Rule of Three. Additional selection processes may be conducted by the hiring department prior to making final hiring decisions.

Eligible List/Score Report
A confidential eligible list of applicant names that have passed the civil service examination process will be created, and used for certification purposes only. An examination score report will be established, so applicants can view the ranks, final scores and number of eligible candidates. Applicant information, including names of applicants on the eligible list, shall not be made public unless required by law. However, an eligible list shall be made available for public inspection, upon request, once the eligible list is exhausted or expired and referrals resolved. The eligible list/score report resulting from this civil service examination process is subject to change after adoption (e.g., as a result of appeals), as directed by the Human Resources Director or the Civil Service Commission.

How to Apply
Applications for City and County of San Francisco jobs are only accepted through an online process. Visit careers.sf.gov and begin the application process. Our email communications may come from more than one department so please make sure your email is set to accept messages from all of us at this link. Applicants may be contacted by email about this recruitment therefore, it is their responsibility to contact the Analyst if they update their email address. Applicants will receive a confirmation email that their online application has been received in response to every announcement for which they file. Applicants should retain this confirmation email for their records. Failure to receive this email means that the online application was not submitted or received.

Terms of Announcement and Appeal Rights
This Position Based Test (PBT) is administered in accordance with Civil Service Rule 111A. Applicants must be guided solely by the provisions of this announcement, including requirements, time periods and other particulars, except when superseded by federal, state or local laws, rules or regulations. Clerical errors may be corrected by the posting the correction on the Department of Human Resources website at https://careers.sf.gov/. The terms of this announcement may be appealed under Civil Service Rule 111A.35.1. The standard for the review of such appeals is ‘abuse of discretion’ or ‘no rational basis’ for establishing the position description, the minimum qualifications and/or the certification rule. Appeals must include a written statement of the item(s) being contested and the specific reason(s) why the cited item(s) constitute(s) abuse of discretion by the Human Resources Director. Appeals must be submitted directly to the Executive Officer of the Civil Service Commission within five business days of the announcement issuance date. 

DPH Health Critical Requirements and Information
Please review the following policies regarding DPH employment requirements that safeguard yourself and others. 

• COVID-19 Policies 
• Personal Protective Equipment (PPE)
• Medical Examination Prior to Hiring
• Electronic Health Record (EHR)
• Licensure/Certification/Registration
• Note on ICARE 

Additional Employment Information 

• Information about the Hiring Process 
• Conviction History 
• Employee Benefits Overview 
• Equal Employment Opportunity 
• Disaster Service Workers
• Reasonable Accommodation
• Right to Work
• Copies of Application Documents
• Diversity Statement
• Veterans Preference
• Seniority Credit in Promotional Exams

If you have any questions regarding this recruitment or application process, please contact the analyst, [email protected] 628-271-6704.

We may use text messaging to communicate with you if you include a mobile number in your application. The first message will ask you to opt in to text messaging.

CONDITION OF EMPLOYMENT:  All City and County of San Francisco employees are required to be fully vaccinated against COVID-19 as a condition of employment. Someone is fully vaccinated when 14 days have passed since they received the final dose of a two-shot vaccine or a dose of a one-shot vaccine. Any new hire must present proof of full vaccination status to be appointed. Any new hire who will be routinely assigned or occasionally enter High-Risk Settings, must provide proof of having received a COVID-19 booster vaccine by March 1, 2022, or once eligible.

#ZR1

The City and County of San Francisco encourages women, minorities and persons with disabilities to apply. Applicants will be considered regardless of their sex, race, age, religion, color, national origin, ancestry, physical disability, mental disability, medical condition (associated with cancer, a history of cancer, or genetic characteristics), HIV/AIDS status, genetic information, marital status, sexual orientation, gender, gender identity, gender expression, military and veteran status, or other protected category under the law.