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All positions in DHS require a Criminal Background Check and an Abuse/Neglect Check. Fingerprints may be required.

STATE OF OREGON — DHS Position Revised Date: POSITION DESCRIPTION 5/13/2021

This position is: Agency: Oregon Health Authority Classified Unclassified Division: Health Systems Division Service Mgmt Svc – Supervisory Mgmt Svc – Managerial New Revised Mgmt Svc - Confidential

SECTION 1. POSITION INFORMATION a. Classification Title: Operations & Policy Analyst 4 b. Classification No: X0873 c. Effective Date: d. Position No: 1019576 e. Working Title: and Liaison f. Agency No: 44300 Behavioral Health Intensive g. Section Title: Services Unit h. Employee Name: Vacant i. Work Location (City – County): Salem/Marion j. Supervisor Name: Behavioral Health Intensive Services Manager k. Position: Permanent Seasonal Limited Duration Academic Year Full-Time Part-Time Intermittent Job Share l. FLSA: Exempt If Exempt: Executive m. Eligible for Overtime: Yes Non-Exempt Professional No Administrative

SECTION 2. PROGRAM AND POSITION INFORMATION

a. Describe the program in which this position exists. Include program purpose, who's affected, size, and scope. Include relationship to agency mission. The Oregon Health Authority’s (OHA) goal is to improve the lifelong health of Oregonians. This is achieved through increasing healthcare access and quality while keeping costs under control. OHA has the strategic plan to eliminate health inequalities. OHA’s health definition means all people can reach their full health potential and well-being and are not disadvantaged by their race, ethnicity, language, disability, gender, gender identity, sexual orientation, social class, intersections among these communities or identities, or other socially determined circumstances. Achieving health equity requires the ongoing collaboration of all regions and sectors of the state, including tribal governments to address: (1) The equitable distribution or redistribution of resources and power; and (2) recognizing, reconciling and rectifying historical and contemporary injustices. OHA is overseen by the nine-member citizen Oregon Health Policy Board working toward comprehensive health and health care reform in our state.

Page 1 DHS 0105 (11/09) The OHA mission is helping people and communities achieve optimum physical, mental and social well-being through partnership, prevention and access to quality, affordable health care. OHA’s work is organized into three broad goals: Improve the lifelong health of all Oregonians, increase the quality, reliability and availability of care for all Oregonians and lower or contain the cost of care so it is affordable to everyone.

OHA values health equity, service excellence, integrity, leadership, partnership, innovation and transparency.

The OHA accomplishes its work through eight divisions: 1) External Relations, 2) the Office of Equity and Inclusion, 3) Public Health, 4) Health Systems, 5) Fiscal, 6) Operations, 7) Oregon State Hospital, and 8) Health Policy and Analytics. The Tribal Affairs Director also reports directly to the OHA Director.

The Health Systems Division (HSD) encompasses Medicaid and Behavioral Health Programs. Within HSD, the Office of Behavioral Health is responsible for the design, development, implementation, monitoring, evaluation, and improvement of publicly funded, community-based addiction and mental health service programs through a continuum of treatment options. The Program’s 2019-2021 biennial budget is approximately $3.2 billion dollars.

This position is within the Office of Behavioral Health Services and will provide equity-centered and transformative leadership in the Office of Behavioral Health Services, Intensive Services Unit. This unit coordinates behavioral health services for individuals in Oregon most impacted by health inequalities including, but not limited to: • people who have entered the behavioral health system through Oregon’s and other involved populations • people with complex clinical needs, often with co-occurring mental health, substance use disorders, medical issues, and sometimes intellectual disabilities and traumatic brain injuries.

In addition, many people served by this unit have suffered major trauma and continue to struggle with housing and other social determinants of health.

The Intensive Services Unit provides system management, coordination, and performance evaluation. Working across all levels of government, particularly county and state justice systems, this includes statutory analysis, legislative concept development, Oregon Administrative Rule analysis and management, development and administration, budgetary oversight, program technical assistance, trouble-shooting, barrier removal and care coordination across multiple service and funding systems including the Oregon State Hospital, Residential Treatment Systems, Community Mental Health Programs, local hospital emergency rooms, Acute Care units, Medicaid systems, Coordinated Care Organizations, and providers, with a focus on inclusion of peer run organization and consumer driven input. Further, the unit provides critical coordination with the judicial branch of government including local enforcement, State and Oregon’s court systems to manage and develop behavioral health systems for people who have been committed under Oregon Revised , Chapters 161 and 426. b. Describe the primary purpose of this position, and how it functions within this program. Complete this statement. The primary purpose of this position is to:

The primary purpose of this position is to serve as liaison between the Office of Behavioral Health Services and the court system, including , district attorneys, defenders, the correctional system, the , and the state guardianship program. This person will focus specifically on the planning,

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policy and program recommendations for people who have entered the behavioral health system through Oregon’s courts as a result of civil commitment, guilty except for insanity, aid and assist, or hold. The person in this position will identify program policy development needs, including administrative, legislative and funding changes to improve the effectiveness of the services and service delivery system. The person in this position will engage and work with individuals and organizations across the state, stakeholders, behavioral health consumers, and a diverse group of community mental health programs, coordinated care organizations, service providers, and the Oregon State Hospital to improve systems, support policy and program development and collect feedback and work to achieve consensus.

You will work in a way that leads to a more health-based, equitable and effective approach to the system in Oregon by ensuring cross-agency, particularly across the Oregon Health Authority and the criminal justice system, person-centered response. You will lead in recognizing and rectifying historical injustices brought about by discrimination and system oppression of Oregon’s communities of color.

SECTION 3. DESCRIPTION OF DUTIES

List the major duties of the position. State the percentage of time for each duty. Mark “N” for new duties, “R” for revised duties or “NC” for no change in duties. Indicate whether the duty is an “Essential” (E) or “Non-Essential” (NE) function.

% of Time N/R/NC E/NE DUTIES

Note: If additional rows of the below table are needed, place curser at end of a row (outside table) and hit “Enter”. At all times Consistently treat customers, stakeholders, partners, vendors, and co-workers with dignity and respect. Create and maintain a work environment that is respectful and accepting of diversity. Set clear guidelines and model expected office professional behaviors. Establish and maintain clear methods for reporting inappropriate actions. 75% Liaison with courts and corrections:

-Develops and maintains collaborative relationships with representatives from the court and corrections systems including judges, district attorneys, and attorneys to develop deep understandings between those systems and the behavioral health system

-Facilitate collaboration between court and corrections systems and the various behavioral health service provider systems by explaining complex policies and developing strategies to implement improvements to the system. Participants may include the Oregon State Hospital, community mental health programs, coordinated care organizations, residential programs, and programs for social determinants of health including housing and shelter.

-Advocate for behavioral health best practices for people coming through the court and corrections systems by independently analyzing the various factors affecting the ability of the system to be effective and removing barriers as needed. Making recommendations to both the OHA policy and system teams as well as the court and corrections systems to prevent future barriers.

-Work with Behavioral Health Leadership and HSD Policy staff to

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% of Time N/R/NC E/NE DUTIES develop policy options that support improvements in the behavioral health system as it relates to people who have entered through court processes

- Conduct research and program analysis to explore impacts, pricing/ability to implement and alternative options. Identify needed systems changes across a variety of levels of government and articulate needed changes effectively to OHA leadership.

- Perform Community Mental Health Program/Coordinated Care Organization Contract/OAR/ORS analysis as it relates to policy options

- Perform analysis and technical report writing for OHA leadership, Legislative priorities and the Governor’s Behavioral Health Workgroups to promote policy and budget package options

- Participate in Behavioral Health Leadership meetings to support policy and program development. Prepare and present highly complex explanations of the court and corrections system to OHA leadership and staff in order to mitigate barriers and create policy initiatives.

-Provide subject matter expertise for court and corrections-involved populations to ensure needs are appropriately represented and addressed

-Develop stakeholder engagement plans and engage a broad range of stakeholders at all levels of the court and corrections system throughout the State of Oregon to capture consumer and provider voice. Facilitate listening sessions and focus groups and gather and report data collected. Hear and learn directly from individuals, communities, and organizations who engage in and are impacted by interactions between their mental health and/or substance misuse needs and the criminal justice system. Synthesize content from stakeholder engagement into actionable recommendations presented to Behavioral Health and OHA leadership. 20% -Contract Administration and evaluation

-Develop Requests for Proposals and administer in relation to court and corrections liaison activities

-Review court dockets and forecast system workflow issues

-Review Oregon State Hospital census data and develop strategies to reduce barriers to admission and discharge in collaboration with Oregon State Hospital Staff, HSD staff, local programs and courts.

-Evaluate system utilization and outcomes to determine health inequities and work with stakeholders to develop strategies to address inequities.

Ensure contracts promote and ensure OHA’s health equity definition and are written in a way that contractors provide equitable services to

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% of Time N/R/NC E/NE DUTIES people in Oregon most impacted by health inequalities.

5% Other duties as assigned

SECTION 4. WORKING CONDITIONS

Describe any on-going working conditions. Include any physical, sensory, and environmental demands. State the frequency of exposure to these conditions. The job requires frequent preparation and/or presentation of technical and professional material against assigned deadlines. Some evening and/or weekend work is required. Overnight travel throughout the state is required from time to time. Frequent contact and work with a variety of professional staff in a variety of office, virtual, and meeting room settings is expected.

SECTION 5. GUIDELINES

List any established guidelines used in this position, such as state or federal or , policies, manuals, or desk procedures.

Oregon Revised Statues Oregon Administrative Rules - Emphasis on Oregon Civil commitment, aid and assist, and forensic laws, rules, and procedures OHA/Coordinated Care Organization Contracts Federal Regulations (including but not limited to Medicare and Medicaid regulations and Health Insurance Portability and Privacy Act) SAMHSA Directives, Block Grant Requirements, Best Practices Publications Intergovernmental Agreements Inter- and Intra- Departmental Agreements County Financial Assistance Agreements Tribal Agreements State Medicaid Plan, State Plan Amendments, Medicaid waivers OHA Direct Contracts OHA/HSD Handbook on Confidentiality OHA/HSD/Office of Behavioral Health Policies and Procedures Quality Assurance Protocols Professional practice standards Published reports of Best Practice Guidelines and -Based Practices Diagnostic and Statistical manual of Mental Disorders DSM-5 Oregon Guardianship laws, rules and policies

How are these guidelines used?

The laws, rules, policies, and procedures, together with heavy reliance on data, literature, and local provider input, define and continually update the scope and the detail of behavioral health treatment systems, requirements, and services.

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SECTION 6. WORK CONTACTS

With whom, outside of co-workers in this work unit, must the employee in this position regularly come in contact?

Who Contacted How Purpose How Often?

Note: If additional rows of the below table are needed, place curser at end of a row (outside table) and hit “Enter”. Consumers and Virtually, telephone, in Listen to identify opportunities to Daily, persons with lived person, email improve services and programs to Weekly experience create a simple, meaningful and responsive system Staff from courts, Phone, meetings, email, in Coordination, collaboration, system Daily judges, district person operation, system improvements, attorneys, defense consultation, technical assistance, attorneys, law constitutional, statutory, OAR reviews enforcement, corrections State & federal Phone, meetings, email, in Discuss cooperative and Weekly, As agencies, Governor’s person complementary efforts and programs; requested office act as liaison to federal and state partners in an effort to work collaboratively. Provide consultation and technical assistance Research & Evaluators Phone, meetings, email, in Review and interpret data, plan special Daily person studies and prepare informational presentations.

Other State Agencies Phone, meeting, email, in Research of Policy Options Weekly outside of Oregon person HSD Policy and Phone, meetings, email, in developing the policy options identified Weekly Program Staff person including conducting research, explore impact, pricing/ability to implement and alternative options.

Behavioral Health Phone, meetings, email, in developing the policy options identified Weekly Leadership person including conducting research, explore impact, pricing/ability to implement and alternative options.

Stakeholder Groups, Phone, meetings, email, in developing the policy options identified Weekly CCOs, CMHPs, and person including conducting research, explore other Behavioral Health impact, pricing/ability to implement and System partners alternative options.

Peer groups Phone, meetings, email, in developing the policy options identified Weekly person including conducting research, explore impact, pricing/ability to implement and alternative options.

Intensive Services Unit Phone, meetings, email, in Collaboration, problem solving, program Daily Staff person evaluation

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Advocacy Phone, meetings, email, in Collaboration, problem solving, program As needed organizations, state person evaluation and national

SECTION 7. POSITION-RELATED DECISION MAKING

Describe the typical decisions of this position. Explain the direct effect of these decisions.

Always determine the impact of programs, policies, operations, budgets, and all other aspects of the program on health equity. Ensure decisions prioritize the equitable distribution or redistribution of resources and power and recognize, reconcile and rectify historical and contemporary injustices.

• This position is responsible for developing policy that guides the implementation of behavioral health treatment services and ensuring that all policy furthers the reduction of health inequities. • Services and programs delivered in all counties and tribes are dependent upon these policies. • Makes policy and funding recommendations for behavioral health services as it relates to Behavioral Health Policy and Program work done at OHA. • Develops plan for use of OHA resources to provide training and technical assistance for program implementation. Failure to provide adequate support to local providers could impede the delivery of program services. • Develops plan and strategies to implement state identified priorities in federal and private funding opportunities. • Develops policy and program recommendations and implementation for behavioral health system. • Provides a subject matter expertise for courts and corrections as it relates to the behavioral health system. • This position has independent authority to make decisions regarding the application of OHA rules and policies as they relate to the subject of the courts and the corrections system. Additionally, this position can represent and advise OHA on the best practices as needed to ensure a meaningful positive contribution to the court and corrections system. SECTION 8. REVIEW OF WORK

Who reviews the work of the position?

Classification Title Position Number How How Often Purpose of Review Note: If additional rows of the below table are needed, place curser at end of a row (outside table) and hit “Enter” PEM F: Meetings, email, text, Monthly or as Supervision, align Behavioral Teams (or other electronic requested; this priorities, Health Intensive meeting/Instant Messaging position requires communicate Services platforms), phone independent updates on progress Manager decision-making of major tasks, and judgement. metrics, and projects.

SECTION 9. OVERSIGHT FUNCTIONS

a. How many employees are directly supervised by this position? 0 How many employees are supervised through a subordinate supervisor? 0 b. Which of the following activities does this position do? Plan work Coordinates schedules

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Assigns work Hires and discharges Approves work Recommends hiring Responds to grievances Gives input for performance evaluations Disciplines and rewards Prepares & signs performance evaluations

SECTION 10. ADDITIONAL POSITION-RELATED INFORMATION

ADDITIONAL REQUIREMENTS: List any knowledge and skills needed at time of hire that are not already required in the classification specification. All positions in DHS require a Criminal Background Check and an Abuse/Neglect Check. Fingerprints may be required.

The employee serves as a resource and expert for OHA in the area of forensic behavioral health treatment services. In this capacity the position serves as a link to a variety of Federal, State and local partners in the pursuit of the OHA goals. The employee leads and participates in appropriate task forces, committees, workgroups and advisory panels related to behavioral health policy and program development and implementation.

- Background and expertise in behavioral health, the justice system, or equity centered criminal justice reform and support for behavioral health needs among justice involved populations. - Background and expertise in Oregon’s court systems and/or national work in criminal justice reform to take a treatment-based approach to individuals and families with metal health and/or substance misuse needs interacting with the justice system. - Knowledge of Oregon’s laws related to guardianship, civil commitment, guilty except for insanity, aid and assist, magistrate holds, DUII - Knowledge of Oregon’s Behavioral Health System including Oregon State Hospital, Community Mental Health Programs, Coordinated Care Organizations, residential providers, community-based service providers - Knowledge of Oregon , Oregon Revised Statutes, Oregon Administrative Rules and fiscal accounting/contracting guidelines - Skill in administrative rule development - Skill in development of legislative concepts and budget policy option packages - Knowledge of Oregon and federal legislative processes - Knowledge of federal funding and reporting systems - Knowledge in trauma-informed care - Knowledge of peer delivered services and the effective use of peers in supporting mental health and substance misuse recovery - Skill in providing expert level technical assistance within and outside the organization - Skill in public speaking and presentation, and communicating effectively orally and in writing - Skill in writing and analyzing general, statistical and technical reports - Skill in analyzing complex statewide systems, identifying problems, generating alternatives, building consensus and implementing solutions. This includes presenting and defending data, research and administrative studies. - Ability to build and steward positive relationships with diverse community groups including communities of color, immigrant groups, the disability community, and other traditionally marginalized communities. - Skill developing, implementing policies and programs that promote equity and inclusion and reduce disparities. - Skill in advancing state and community-based initiatives that promote equity and reduce inequity and structural discrimination and racism.

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- Skill in use of collaborative problem-solving and solution driven discussions. - Ability to communicate effectively with a wide range of people, work cooperatively, and influence to resolve issues. - Skill in providing organizational leadership to support inter-and cross-agency collaboration. - Ability to influence systems-wide changes by applying an equity framework to all work. - Ability to lead equity centered, transformative behavioral health work, responsive to the needs of people in Oregon

BUDGET AUTHORITY: If this position has authority to commit agency operating money, indicate the following:

Note: If additional rows of the below table are needed, place curser at end of a row (outside table) and hit “Enter”.

Operating Area Biennial Amount ($00000.00) Fund Type

SECTION 11. ORGANIZATIONAL CHART

Attach a current organizational chart. Be sure the following information is shown on the chart for each position: classification title, classification number, salary range, employee name and position number.

SECTION 12. SIGNATURES

Employee Signature Date Supervisor Signature Date

Appointing Authority Signature Date

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