Director, Value-Based Care

About the role

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.

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.

Responsibilities

• Develop and execute MHC’s value-based care strategy, ensuring alignment with industry best practices and regulatory requirements.
• 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.
• Utilize data-driven insights to monitor performance, identify trends, and drive decision-making to optimize care delivery.
• Partner with internal departments, healthcare providers, payers, and community organizations to enhance care coordination and operational efficiency.
• Educate staff on value-based care principles, performance metrics, and best practices to drive a culture of accountability and continuous improvement.
• 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.
• Ensure adherence to all federal, state, and payer-specific regulations related to value-based care models.
• Work with finance teams to develop budgets, track financial performance, and maximize reimbursement opportunities under value-based contracts.
• Attend all mandatory in-services, continuing education, and annual health requirements.
• Comply with all Corporate Compliance policies, practices, and procedures; report unethical activities to supervisor, Corporate Compliance Office, Values Hotline, or Human Resource Director.
• Comply with all OSHA and safety policies, practices, and procedures; report unsafe practices or accidents to supervisor, Safety Supervisor, and/or OSHA Coordinator.
• Ensure compliance with HIPAA regulations concerning the privacy and security of consumers’ protected health information (PHI).
• 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.

Requirements

• 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.
• Valid Tennessee Driver’s License.
• Acceptable Motor Vehicle Report (MVR).
• Acceptable Criminal Background Investigation.
• Cell Phone.

Skills

• Leadership Skills: Ability to lead by example, make sound decisions quickly and decisively, motivate staff, and identify strengths and weaknesses of the team to develop solutions. Remains composed under pressure and delegates tasks effectively.
• Team Oriented: Assists teammates as needed, fosters a climate where teammates want to do their best, and finds common ground to solve problems for the good of the team.
• Interpersonal Skills: Can negotiate skillfully in difficult situations with both internal and external groups; wins concessions without damaging relationships; is both direct and diplomatic.
• Customer Service: Provides internal and external customer service indicative of mutual respect and 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 supported by clinically based rationale.
  • Professional and complete communication and coordination of care.
  • Actively participates in consultation process.
  • Maintains timely availability for calls through appropriate logging in and logging out.
  • Establishes further care by scheduling and completing follow-up calls.
  • Completes all clinical documentation in specified time periods.
  • Completes all Crisis Management System documentation in a timely manner.
  • Demonstrates ability to work independently, make critical decisions, and work collaboratively as an integral part of a team.
  • Demonstrates appropriate infection prevention and control through proper hand hygiene.
  • Demonstrates evidence-informed practice related to substance use disorders.
  • Demonstrates evidence-informed practice related to clinical care of children and youth.

Reporting To

• Learning & Development Lead, Care Management
• Learning & Development Lead, Intensive Care Management

Physical Demands and Work Environment

The physical demands and work environment characteristics described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

• Physical demands: While performing duties of the job, the employee is occasionally required to stand, walk, sit, use hands to finger, handle or feel objects, tools, or controls, reach with hands and arms, talk, and hear. The employee must occasionally lift and/or move up to 15 pounds. Specific vision abilities required include close vision, distance vision, color vision, peripheral vision, depth perception, and the ability to adjust focus.
• Work environment: The noise level in the work environment is usually moderate.

Benefits

Mental Health Cooperative offers a full comprehensive benefits plan for you to participate in. The following products are available:

• 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 meditation and mental health
• Gym membership discounts