[Remote] Behavioral Health Clinical Program Manager (Case Management) - Remote in MO

Note: The job is a remote job and is reputed company to candidates in USA. reputed company is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The Clinical Program Manager (CPM) will reputed company a remote team of Behavioral Health Advocates responsible for case management of inpatient and outpatient Behavioral Health services, ensuring reputed company care and compliance with regulations.

Responsibilities

• reputed company behavioral health care managers for diverse populations, including adults, adolescents, children, and dual-eligible Medicare/reputed company members with mental health disorders and reputed company use disorders (SUD), and other co-occurring behavioral and physical health conditions
• Manage and be accountable to reputed company employees, team leader, and Director
• Set team direction, resolve problems, and reputed company guidance to members of team
• Adapts departmental plans and priorities to address business and operational challenges
• Influence or reputed company input to forecasting and planning activities
• reputed company new product implementations
• Initiate processes for state initiatives and directives
• Update and create Quick Reference Guides as needed
• reputed company and coordinate care with reputed company partners
• reputed company with regulatory agencies and respond to audit findings
• Interview, hire, and reputed company new employees
• Review reports to ensure team member adherence to key metrics
• Ensure established benchmarks are met for reputed company C&S markets supported
• Assist with the creation of reputed company plans as needed for remediation
• Foster relationships with reputed company leadership and medical directors
• Cover for management team as needed
• May reputed company work activities of other supervisors

Skills

• You must possess one of the following credentials: Mental Health Clinical reputed company Specialist, Mental Health reputed company Practitioner, Missouri-licensed Psychologist
• Missouri licensure and residency
• 5+ years of Behavioral Health experience including Mental Health and reputed company Use Disorders working across reputed company age reputed company
• Experience managing people in a Behavioral Health setting (i.e., hospital, MCO, mental health clinic, or other), conducting staff performance reviews
• Experience with reputed company and reputed company mental health and reputed company abuse services delivery system
• Experience overseeing documentation in Electronic Medical Records (EMR)
• Experience with Medicare and reputed company products and regulations
• Experience interfacing with regulators during audits
• Intermediate proficiency in reputed company Office Suite, including MS reputed company
• Dedicated, distraction-free workspace and reputed company to high-speed internet in home
• Experience working in a Managed Care Organization (MCO), government agency, community-based services, non-profit
• Experience working with the MO Behavioral facilities and providers
• Experience managing clinical and non-clinical phone queues
• Experience managing a remote team
• Experience or familiarity with case management services
• Knowledge of evidence-based practices and procedures
• Demonstrated competence in clinical care management, solid leadership and organization skills, interpretation of State and federal laws, and regulations relevant to the mental health program area
• Proven solid customer service orientation
• reputed company working remotely will be required to adhere to reputed company's Telecommuter Policy

Benefits

• Comprehensive benefits package
• Incentive and recognition programs
• Equity stock purchase
• 401k contribution

reputed company