Vice President of Behavioral Health Medical Services

1000 Alameda St, Los Angeles, CA 90012, USA Req #1091
Monday, March 17, 2025

HealthRIGHT 360 gives hope, builds health, and changes lives for people in need by providing comprehensive, integrated, compassionate care that includes primary medical care, mental health services, and substance use disorder treatment.

Benefits and perks:

  • HR360 offers a robust benefits package, including PTO, 15 paid holidays, commuter benefits, retirement plans, and more!
  • Employees qualify for public loan forgiveness programs
  • Training and professional development opportunities
  • Work with mission driven, compassionate colleagues and make a difference every day in the work that you do.

The Vice President (VP) of Behavioral Health (BH) Medical Services is a key leadership position responsible for leading and driving the effective integration of medical services within the organization’s behavioral health program settings. The VP of BH Medical Services will collaborate closely with both medical and behavioral health leadership to ensure the delivery of high-quality, client-centered care, while also achieving organizational goals related to productivity, compliance, and cost efficiency. This individual will provide administrative oversight to medical staff, identifying potential gaps in program operational workflows and implementing quality improvement strategies in response.   

Key Responsibilities

 
  • Collaborate with medical and behavioral health leadership to determine: 
    • From a client perspective: 
      • appropriate interventions/services by LOC
      • appropriate service duration and frequency of intervention/services by LOC
      • Map out and document the expected interventions clients should receive (from medical personnel) throughout their course of treatment
    • From a medical provider perspective:
      • expected intervention/services by provider type/credential
      • expected service duration and frequency of intervention/services by provider type/credential
      • Map out and document the expected services medical personnel should provide on a daily/weekly basis (based on capacity and census) 
  • Collaborate with medical leadership and fiscal team in determining expected productivity goals by provider by credential.  Standardize the expectations.  
  • Map out services to DMC allowable billing codes and create a readily accessible ‘cheat sheet’ for medical providers
  • Create a BH medical personnel onboarding plan including ensuring medical providers can demonstrate appropriate documentation in Welligent.
  • Review BH Medical personnel productivity dashboard daily. Responsible for identifying causes for low productivity and implementing action plans to resolve them.
  • Responsible for the oversight of Medication Rooms at residential/WM facilities. Conduct walk-throughs and med counts.
  • Partner with Medical and BH leadership and Compliance in ensuring program staff are compliant with Medication Room procedures and documentation. Review processes and identify gaps.   
  • Conduct chart reviews weekly to ensure appropriate documentation. 
  • Lead monthly utilization meetings with Medical and BH leadership.   
  • Partner with Fiscal team in budget preparations, particularly revenue projections related to IMS and BH medical services. 
  • Identify gaps in processes that affect client care and staff productivity. Responsible for leading QI approaches to put appropriate fixes in place.  Once processes are firmed, memorialize through P&Ps and standardize throughout programs. 
  • Partner with VP of QI in determining the lifetime value of a consumer (across LOC and BH and Medical) 

Qualifications  

Education and Experience  Required:  

  • Bachelors  degree or higher in healthcare related field 
  • Minimum of 5 years managerial experience 
  • Extensive experience and track record of meeting productivity and utilization KPIs
  • Experience managing organizational change and re-structuring
  • Ability to effectively lead interdisciplinary teams 

Desired: 

  • Registered Nurse with extensive administrative and team leadership experience
  • Master’s degree in public health administration or business-related field
  • Utilization Review experience
  • Strong background in successfully implementing quality improvement and change management processes

 

Knowledge Required: 

  • Is well versed in medical billing codes
  • Has high financial literacy, including ability to create and track budgets
  • Understanding of clinical documentation requirements and respective regulations and standards
  • Strong proficiency with Microsoft Office applications, specifically Word Outlook and internet applications
 
We will consider for employment qualified applicants with arrest and conviction records. 

Other details

  • Pay Type Salary
  • Min Hiring Rate $190,000.00
  • Max Hiring Rate $205,000.00
Location on Google Maps
  • 1000 Alameda St, Los Angeles, CA 90012, USA