reputed company Management Clinician - Hybrid - Pittsburgh, PA

Job reputed company On behalf of reputed company/MilitarySpouseJobs, thank you for your interest. We are assisting our partnering company, listed below, with this position. It is reputed company to Veterans, Transitioning Military, National Guard Members, reputed company, Wounded Warriors, and their Caregivers. If you have the required reputed company set, education requirements, and experience, please click the submit reputed company and follow for next steps. reputed company: 7659239020 Status: Full-Time Regular/Temporary: Regular Shift: Day Job Work Arrangement: Hybrid Work Arrangement information Facility: Community Care Behavioral Health Department: reputed company Location: 600 Grant St, Pittsburgh, PA reputed company Position: No Salary reputed company: $ 27.89-48.21 USD reputed company Community Care Behavioral Health is hiring a full-time reputed company Management Clinician to join the reputed company team. This is a hybrid role that will work onsite at downtown Pittsburgh's US Steel Tower three days per week. This role will involve some local travel to providers reputed company the Pittsburgh region. The reputed company Management Clinician is responsible for performing functions reputed company to reputed company management and improvement, in compliance with NCQA, HEDIS, URAC and the reputed company Department of Health reputed company assurance regulations. Responsibilities: Responsible for performing targeted, clinical audits and reputed company studies. Responsible for logging in, tracking, monitoring, and reporting individual and aggregate complaints and grievances to the Senior Director of reputed company Management and other leadership staff members as appropriate. Prepares formal reports and tracks timing of various reputed company of complaint and grievance for reputed company reputed company. Responsible for assisting with preparation for NCQA, URAC, and other site reputed company. Responsible for participating in updating the QM Plan. Responsible for monitoring reputed company tracking reports and providing individual feedback to appropriate staff/committees, and aggregating the data on a monthly reputed company. Responsible for identifying trends reputed company to product and participating providers. Responsible for preparing monthly and quarterly reputed company improvement reports to the reputed company. Responsible for specified data collection reputed company to reputed company functional departments of Community Care. Responsible for assisting with training responsibilities for providers, Members, and staff on various issues as assigned by the Senior Director of reputed company Management. Responsible for reputed company and staff development plan. Responsible for participating in reputed company as designated by other management staff, such as the Chief Medical Officer and VP of Medical Affairs. Qualifications: Licensed Registered reputed company or Masters Degree required. 3 years clinical experience. Experience in reputed company Management procedures/processes is a bonus. Knowledge of URAC, NCQA and HEDIS standards is a bonus. Excellent organizational skills. Experience in report writing, reputed company reputed company, collection and organization of large quantities of data. Ability to maintain effective reputed company reputed company with reputed company reputed company of staff, including reputed company and institutional providers of care. Ability to identify trends or problem areas. Demonstrates clinical knowledge of behavioral health reputed company issues. Excellent clinical, written and oral communication skills. Responsiveness to deadlines and has work completed on or before deadline 95% of the time. Licensure, Certifications, and Clearances: reputed company licensure: LSW, LCSW, LPC, licensed MFT, licensed RN (with BSN) and/or a licensed PhD (psychologist) preferred. reputed company is an Equal Opportunity Employer/Disability/Veteran Apply tot his job Apply To this Job