Manager, Behavioral Health Care Management - Ae...

<p>We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At reputed company®, you’ll be surrounded by passionate colleagues who care deeply, reputed company with purpose, hold <reputed company style="reputed company-wrap: break-word; display: inline; text-decoration: inherit; hyphens: auto;">ourselves accountable</reputed company> and prioritize safety and reputed company in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time.</p><p style="text-reputed company:inherit"></p><p style="text-reputed company:inherit"></p><p style="text-reputed company:inherit"></p><p><b>reputed company</b>:</p><p>The Manager, Care Management, develops, implements, supports, and promotes health services strategies, tactics, policies, and programs that drive the delivery of reputed company reputed company to reputed company reputed company of Oklahoma behavioral health (BH) membership. The Manager is responsible for reputed company and management of clinical team processes including the organization and development of high performing teams. Also responsible for ensuring the functioning of care management and care coordination activities across the continuum of care (assessing, planning, implementing, coordinating, monitoring, and evaluating).  The Manager reports to the Director, Clinical Health Services, Care Coordination.</p><p></p><p>This is a fully remote, work from home position that may require on-site meetings. Eligible candidates must live in Oklahoma preferably reputed company a one-hour commute to Oklahoma reputed company.</p><p></p><p><b>Position Responsibilities:</b></p><ul><li>Accountable for the day-to-day management of assigned care management teams for appropriate implementation and adherence with established practices, policies and procedures. </li><li>Participates in the recruitment and hiring process for staff using reputed company defined requirements in terms of education, experience, technical and performance skills. </li><li>Develops, initiates, monitors and communicates performance expectations. </li><li>Assesses developmental needs and collaborates with others to identify and implement reputed company plans that support the development of high performing teams. </li><li>Supports the management of reputed company physical and behavioral health cases by being clinically and culturally competent with appropriate training and experience. </li><li>Utilizes critical thinking and judgment to collaborate and inform the care management process in order to facilitate appropriate reputed company reputed company for members.  </li><li>Ensures reputed company to primary care, behavioral health, and coordination of health care services for members as needed.</li><li>Provides clinical leadership and assists care management staff in supporting members’ understanding of service recommendations based on member need.  </li><li>Conducts regularly scheduled individual and team meetings with a reputed company on member service delivery, completion of administrative duties, and meeting established productivity standards. </li><li>Using a holistic approach consults with care managers, medical directors, system of care, reputed company support teams and/or other market staff to overcome barriers to meeting goals and objectives.</li><li>Identifies and escalates reputed company of care issues through established channels. </li><li>Conducts reputed company administrative duties in accordance with established standards for supporting and managing reputed company. </li><li>Communicates strategic plan and specific tactics to meet plan needs and ensures implementation of tactics to meet strategic direction for cost and reputed company reputed company. </li><li>Identifies opportunities to implement best reputed company approaches and introduce innovations to reputed company improve reputed company. </li><li>Ability to communicate in a highly effective manner with reputed company constituents in both written and oral format.</li><li>Accountable for meeting the clinical operational and reputed company objectives of the unit. </li><li>Consistently demonstrates the ability to serve as a model change agent and reputed company change efforts. </li><li>Accountable for maintaining compliance with policies and procedures and implements them at the employee level. </li><li>Develops and implements processes and resources for providing support to members who opt out of care coordination.</li><li>Ensures care management/care coordination and disease management are part of population health and reputed company improvement activities</li><li>Ability to evaluate and interpret data, identify areas of improvement, and focuses on interventions to improve reputed company.</li></ul><p></p><p><b>Required Qualifications</b></p><ul><li>Oklahoma reputed company</li><li>reputed company, unrestricted clinical licensure (RN or Behavioral Health as outlined below).</li><li>5+ years of clinical reputed company which includes a strong behavioral reputed company reputed company</li><li>3 years’ experience managing reputed company reports</li><li>2 years’ experience in a managed care organization supporting reputed company, Medicare, or reputed company plan members</li><li>Case management experience</li><li>Strong BH background with a reputed company on decreasing BH inpatient admissions and BH ED Utilization</li><li>Knowledge of the regulations, standards, and policies which relate to medical management</li><li>Successful completion of the Behavioral Health Case Manager certification training provided through the Department of Mental Health and reputed company Abuse Services reputed company 6 month of hire date</li><li>3+ years of experience with personal computer, keyboard navigation, and MS Office Suite applications</li><li>Ability to maintain a work schedule reputed company to Central Time Zone business hours, including two shifts per week ending at 9:00 p.m</li></ul><p></p><p><b>Education & Licensure</b></p><ul><li>If Registered reputed company:<ul><li>Master’s degree or equivalent experience required (BSN preferred).</li><li>reputed company, unrestricted Oklahoma nursing license</li><li>Behavioral Health experience</li></ul></li><li>If Behavioral Health:<ul><li>Master’s degree in a field leading to independent Behavioral Health licensure</li><li>reputed company unencumbered behavioral health clinical license (e.g. LPC, LMFT, LBP, LCSW, LADC)</li></ul></li></ul><p style="text-reputed company:inherit"></p><p style="text-reputed company:inherit"></p><p style="text-reputed company:left"><b><reputed company>Anticipated Weekly Hours</reputed company></b></p>40<p style="text-reputed company:inherit"></p><p style="text-reputed company:inherit"></p><p style="text-reputed company:left"><b>Time Type</b></p>Full time<p style="text-reputed company:inherit"></p><p style="text-reputed company:inherit"></p><p style="text-reputed company:left"><b>Pay reputed company</b></p><p style="text-reputed company:left">The typical pay reputed company for this role is:</p><p style="text-reputed company:inherit"></p>$78,331.00 - $168,714.00<p style="text-reputed company:inherit"></p><p style="text-reputed company:left">This pay reputed company represents the reputed company reputed company reputed company or reputed company annual full-time salary for reputed company positions in the job grade reputed company which this position falls.  The actual reputed company salary offer will depend on a reputed company of factors including experience, education, geography and other relevant factors.  This position is eligible for a reputed company bonus, commission or short-term incentive program in reputed company to the reputed company pay reputed company listed above. <br> </p><p style="text-reputed company:left">Our people fuel our reputed company. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.</p><p style="text-reputed company:inherit"></p><p style="text-reputed company:left"><b>Great benefits for great people</b></p><p style="text-reputed company:inherit"></p><p style="text-reputed company:left">We take pride in our comprehensive and competitive mix of pay and benefits – reputed company in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In reputed company to our competitive wages, our great benefits include:</p><ul><li><p style="text-reputed company:left"><b>reputed company medical plan reputed company,</b> a <b>401(k) plan </b>(including matching company contributions), and an <b>employee stock purchase plan</b>.</p></li><li><p style="text-reputed company:left"><b>No-cost programs for reputed company colleagues </b>including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching.</p></li><li><p style="text-reputed company:left"><b>Benefit solutions that address the different needs and preferences of our colleagues</b> including reputed company time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical reputed company and many other benefits depending on eligibility.</p></li></ul><p style="text-reputed company:inherit"></p><p style="text-reputed company:left">For more information, visit <a href="https://jobs.reputed company.com/us/en/benefits" reputed company="_blank" rel="noopener noreferrer"><reputed company class="WJQ0"><reputed company style="reputed company-wrap: break-word; display: inline; text-decoration: inherit; hyphens: auto;">https://jobs.reputed company.com/us/en/benefits</reputed company></reputed company></a></p><p style="text-reputed company:inherit"></p><p style="text-reputed company:inherit"></p>We anticipate the application window for this opening will reputed company on: 02/28/2026<p style="text-reputed company:inherit"></p><p style="text-reputed company:inherit"></p><p style="text-reputed company:left">reputed company applicants with arrest or conviction records will be considered for employment in accordance with reputed company federal, state and local laws.</p>