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Commonwealth of Pennsylvania |
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POSITION DESCRIPTION FOR JOB POSTING |
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Position Number: 50705029 |
Description Activated On: 8/18/2026 9:14:46 AM |
Position Purpose: Describe the primary purpose of this position and how it contributes to the organization’s objectives. Example: Provides clerical and office support within the Division to ensure its operations are conducted efficiently and effectively. To monitor the contract provisions of the behavioral health managed care program within established counties in a specific division of the Office of Mental Health & Substance Abuse Services |
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Description of Duties: Describe in detail the duties and responsibilities assigned to this position. Descriptions should include the major end result of the task. Example: Types correspondence, reports, and other various documents from handwritten drafts for review and signature of the supervisor. The incumbent in this position is required to demonstrate the following skills and perform the following duties and responsibilities as part of the ongoing evaluation of the behavioral health managed care system and the monitoring of the contracts between DPW and the counties involved in the behavioral health managed care system as part of your supervisors team. • Be knowledgeable and provide consultation to county and provider staff on the Department’s rules and regulations regarding the provision of community mental health services. • Be knowledgeable and provide consultation to others about the contract components between the Department and counties within the Southeast Division Office of Mental Health and Substance Abuse Services which are involved in the behavioral health managed care programs for Chester, Montgomery, Bucks, Philadelphia and Delaware Counties. • Apply sound principles in collecting information/data, both routinely and on an ad hoc basis, and interpret and analyze information to assess compliance to contractual, regulatory, and departmental standards for HealthChoices and CHIPPs. • Communicate findings, recommendations, corrective actions, and policy interpretations, both orally and in writing, to a variety of interested and invested persons and agencies within the Department and the community. • Follow/track corrective actions to assess resolution of issues. • Attend and participate in organizational meetings within the communities; including committees, advisory boards, and advocacy organizations. • Establish and adhere to protocols for communicating issues (concerns, complaints, problems, etc.) to appropriate individuals, committees, agencies, and organizations. Represent OMHSAS at various levels of community planning and review opportunities. • Prepare reports in a clear, concise format that can be readily understood by the recipients of the reports. Reports must be generated within established time frames for review by committees, work groups, agencies, and departments who have responsibilities for oversight of the behavioral health managed care program. • Routinely assess information (printed and electronic materials) provided to consumers/families for accuracy, appropriateness and compliance to contract provisions. • Assess validity of reports received from others by: • conducting on-site visits to counties, MCOs, public and private agencies in conjunction with other Departmental, regulatory, consumer, or county review activities; • follow-up on identified issues; • participate in development and monitoring of corrective actions as required. • Interface with county contract monitors and other Departmental agencies (OMAP, and other Bureaus within OMHSAS) necessary to verify reports, trends, compliance issues, contract revision needs, etc. • Provide consultation to counties, agencies, and organizations with regard to program evaluation and performance objectives, outcomes and improvements. • Provide on-site reviews regarding community MH service provision and standards of health and safety to determine conformance to Departmental policy and regulations. • Provide consultation and technical assistance of a regulatory nature to mental health services providers and county mental health programs. • Conduct on-site visits of mental health programs and agencies to evaluate facilities and programs for compliance to state and federal rules, regulations and policies, and program standards. • Report findings of on-site visits within established time frames to allow for plans of correction as necessary and/or for processing of licensing/approval certificates. • Participate, as requested, on task forces to provide input into policy, regulation, and contract development and expansion. • Participate in and assist in conducting conferences, seminars, symposiums, in the area of behavioral health managed care programs and mental health service delivery to insure a thorough knowledge of principles, methods, policies, contract issues, and regulations relative to community mental health. • Conducts investigation of complaints or major incidents related to client care, professional and administrative practices. Interviews involved parties including family members, consumers, administrators and treatment professionals. Prepares reports and recommendations for corrective action. • Responsible for developing expertise in specific program and financial areas as assigned by supervisor such as children’s services, CASSP, serious mental illness, housing, eldercare, OBRA, Community Support Program ad state and federal financial issues. • Conducts audits of county administrative practices and provider agencies with the Bureau of Financial Operations. Reviews audit reports, recommends issues requiring corrective action and assists with follow-up monitoring. Provides technical assistance to ensure compliance with recommendations. • Is knowledgeable of CHIPP contractual agreements with each county. Monitors established outcomes, reviews required data reports and identifies best practice and/or potential areas of non-compliance. • Overnight travel may be required to conduct on-site visits and/or attend organizational meetings in the communities and perform the duties as listed above. • Perform other related duties as required. PERFORMANCE OBJECTIVES 1. To monitor the contract provisions of the behavioral health managed care program with counties in the Southeastern Division of the Office of Mental Health and Substance Abuse Services as part of your supervisors Team. 2. To provide accurate and relevant information regarding contract compliance to the Department, interested parties, and the community. 3. To detect urgent discrepancies in reporting mechanisms, problems within the service provisions and significant consumer issues in a timely manner for immediate resolution to allay adverse consequence to consumers, community, or the Department. 4. To track and report on the status of corrective actions and outcomes of completed corrective actions as assigned. 5. To conduct site visits and write reviews of visits within three(3) weeks prior to the expiration of the license/approval of an agency/program, and within three (3) months of assignment to a new facility. 6. To provide ongoing technical assistance to providers who require/request changes or upgrades to their programs in order to meet applicable regulations. 7. To review and comment as requested on pertinent draft bulletins, policies and procedures within the time frames established for review/comment. 8. To participate in training as needs are identified. 9. Establishes positive, proactive relationships with major stakeholder groups such as county administrators and their staff, family and consumer groups and other advocacy organizations. ADA ESSENTIAL JOB FUNCTIONS Provide consultation to county and provider staff on the Department’s rules and regulations, on the contract components between the Department and the counties within the Southeastern Division of the Office of Mental Health and Substance Abuse Services; apply sound principles in collecting information/data, communicate findings, recommendations, corrective actions and policy interpretations, both orally and in writing. |
Decision Making: Describe the types of decisions made by the incumbent of this position and the types of decisions referred to others. Identify the problems or issues that can be resolved at the level of this position, versus those that must be referred to the supervisor. Example: In response to a customer inquiry, this work involves researching the status of an activity and preparing a formal response for the supervisor’s signature. Able to work independently, within the scope of the position. Some identified decisions will remain with the Team Leader, CPM or Harrisburg. If this is not clearly known, supervisory guidance is to be obtained. |
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Requirements Profile: Identify any specific experience or requirements, such as a licensure, registration, or certification, which may be necessary to perform the functions of the position. Position-specific requirements should be consistent with a Special Requirement or other criteria identified in the classification specification covering this position. Example: Experience using Java; Professional Engineer License Experience: Licenses, registrations, or certifications: 1. N/A 2. N/A 3. N/A 4. N/A 5. N/A 6. N/A |
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Essential Functions: Provide a list of essential functions for this position. Example: Transports boxes weighing up to 60 pounds.
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