Value Based Care Manager Jobs (NOW HIRING)

Ranked one of Tennessee’s top places to work, MHC is a rare and special place where outstanding company culture is intentional. Where clients and associates are treated the same, as equals. Mental Health Cooperative, Inc. (MHC) was formed in 1993 to serve individuals with severe and persistent mental illness. Since then, we have expanded our services to children and adolescents with severe emotional disorders across Middle and East Tennessee. Our sole purpose is to support and treat those challenged with serious mental illness and poverty. Although based out of Nashville, we serve several communities across middle and East Tennessee with satellite offices in Antioch, Gallatin, Dickson, Columbia, Cleveland, Murfreesboro, Clarksville, Cookeville, Chattanooga, and Memphis. If you are interested in joining a team that is caring, collaborative, innovative and energizing this might be a great place for you!

The Director of Value-Based Care at Mental Health Cooperative (MHC) will lead the organization’s efforts to improve patient outcomes through high-quality, cost-effective, and patient-centered care. This role is responsible for developing and implementing strategies to enhance care coordination, delivery of appropriate care, and maximize performance. The Director will work closely with clinical and operational teams to align initiatives with MHC’s mission and strategic objectives. Additionally, this role will provide leadership in learning and development for care management roles at MHC, ensuring staff are equipped with the necessary knowledge and skills to support value-based care initiatives.

• Strategic Leadership: Develop and execute MHC’s value-based care strategy, ensuring alignment with industry best practices and regulatory requirements.
• Quality & Performance Improvement: Implement initiatives (including audit, compliance, and quality functions) to enhance patient outcomes, reduce costs, and improve key performance indicators related to value-based care models.
• Data Analytics & Reporting: Utilize data-driven insights to monitor performance, identify trends, and drive decision-making to optimize care delivery.
• Collaboration & Integration: Partner with internal departments, healthcare providers, payers, and community organizations to enhance care coordination and operational efficiency.
• Training & Development: Educate staff on value-based care principles, performance metrics, and best practices to drive a culture of accountability and continuous improvement.
• Learning & Development: Provide leadership in the training and professional development of care management roles at MHC, ensuring team members are well-prepared to deliver effective and coordinated care.
• Regulatory Compliance: Ensure adherence to all federal, state, and payer-specific regulations related to value-based care models.
• Financial Oversight: Work with finance teams to develop budgets, track financial performance, and maximize reimbursement opportunities under value-based contracts.
• Other Responsibilities: Responsible for attending all mandatory in-services, continuing education and annual health requirements. Comply with all Corporate Compliance policies, practices and procedures. Report all unethical activities to supervisor, Corporate Compliance Office, Values Hotline number or Human Resource Director. Comply with all OSHA and safety policies, practices, and procedures. Report all unsafe practices or accidents to supervisor, Safety Supervisor and/or OSHA Coordinator. Will be compliant with the relevant regulations concerning the privacy and security of consumer’s protected health information (PHI) as established by the Health Insurance Portability and Accountability Act of 1996 (HIPAA). Participate in proactive team efforts to achieve departmental and company goals. Perform other duties as assigned. Provide leadership to others through example and sharing of knowledge/skill. Follow all policies and procedures set by the Agency.

• Essential Skills and Experience: Master’s degree in Clinical Psychology, Social Work (MSW), Healthcare Administration, or related field. LCSW (Licensed Clinical Social Worker) or LPC (Licensed Professional Counselor) preferred. Minimum of 5 years of clinical experience with at least 3 years in a leadership role within integrated care, behavioral health, or substance use services. Strong understanding of value-based payment models, risk-based contracting, and healthcare quality metrics. Proven ability to analyze healthcare data, identify trends, and implement performance improvement initiatives. Excellent leadership, communication, and stakeholder engagement skills. Experience working within behavioral health or mental health settings is a plus.
• Essential Requirements for the Position: Valid Tennessee Driver’s License Acceptable Motor Vehicle Report (MVR) Acceptable Criminal Background Investigation Cell Phone

Core Competencies: Leadership Skills Ability to lead by example Ability to make sound decisions quickly and decisively Ability to motivate staff Ability to identify strengths and weaknesses of team and develop solutions to combat weaknesses and utilize strengths Is cool under pressure; does not become defensive or irritated when times are tough; can be counted on to hold things together during stressful times Clearly and comfortable delegates tasks; broadly shares both responsibility and accountability Team Oriented Assist teammates as needed Creates and maintains a climate in which teammates want to do their best Can quickly find common ground and solve problems for the good of the team Interpersonal Skills Can negotiate skillfully in difficult situations with both internal and external groups; can win concessions without damaging relationships; can be both direct and forceful as well as diplomatic Customer Service Internal & external customer service indicative of mutual respect & trust Joint Commission Competencies: Consumer Engagement – establishes and maintains a therapeutic relationship via effective, appropriate communication and behaviors with consumers. Suicide Specific Triage Assessments – use of C-SSRS and suicide specific assessment. Appropriate use of Therapeutic Options De-escalation and Restraint. Appropriate Triage Disposition for supported by clinically based rationale. Professional and complete communication and coordination of care. Appropriate use of Therapeutic Options De-escalation. Actively participates in consultation process. Maintain timely availability for calls through appropriate logging in and logging out. Establish further care by scheduling and completing follow up calls. Complete all clinical documentation in specified time periods. Complete all Crisis Management System documentation in a timely manner. Demonstrates ability to work independently, to make critical decisions and to work collaboratively as an integral part of a team. Demonstrates appropriate infection prevention and control through proper hand hygiene. Demonstrates evidenced informed practice related to substance use disorders. Demonstrates evidenced informed practice related to clinical care of children and youth. Reporting to this Position: Learning & Development Lead, Care Management Learning & Development Lead, Intensive Care Management

• Medical Insurance/Prescription Drug Coverage
• Health Savings Account
• Dental & Vision Insurance
• Basic Life and AD&D Insurance
• Short- & Long-Term Disability
• Supplemental Life Insurance
• Cancer Insurance
• Accident Insurance
• Critical Illness Insurance
• 403b- Retirement Plan
• Calm App for medication and mental health
• Gym membership discounts

Mental Health Cooperative embraces inclusion, diversity and equal opportunity.

We're committed to building a team that represents a variety of backgrounds, perspectives, and skills.

Mental Health Cooperative is an equal opportunity employer and does not discriminate on the basis of race, national origin, gender, gender identity, sexual orientation, protected veteran status, disability, age, or other legally protected status.

MHC was founded in Nashville, Tennessee, in response to the need for assertive community-based treatment for individuals who have required frequent inpatient psychiatric hospitalization. Since 1993, MHC has been passionately helping adults with severe mental illness to live quality lives in the community with our state‑of‑the‑art treatment and support. In 1999, MHC recognized the need to support the whole family and expanded services to include children and youth. We established our non‑profit agency by merging three community organizations: Urban Case Management of Meharry Community Health Center, Continuous Treatment Team of Council of Community Services, and Mobile Crisis Team of the Crisis Intervention Center. This fusion resulted in an innovative, comprehensive, and multidisciplinary approach that addresses the specialized needs of individuals living with severe behavioral health conditions and challenges related to poverty. MHC remains the only organization in the state focused solely on this population.

To learn more, visit our website: https://www.mhc-tn.org/about-us/