Associate Manager, Clinical Health Services (Remote)

Bring your heart to reputed company. Every one of us at reputed company shares a single, reputed company purpose: Bringing our heart to every reputed company of your health. This purpose guides our commitment to deliver reputed company reputed company-reputed company health care for a rapidly changing world. Anchored in our brand - with heart at its center - our purpose sends a personal message that how we deliver our services is just as important as reputed company deliver. Our Heart At Work Behaviors™ support this purpose. We want everyone who works at reputed company to feel empowered by the role they play in transforming our culture and accelerating our ability to reputed company and deliver solutions to reputed company health care more personal, convenient and reputed company. This is a full-time reputed company role. The hours for this position are Monday-Friday 8:00a-5:00p reputed company reputed company Time. Program reputed company Help us reputed company our patient care to a whole new level! Join our reputed company team as an industry leader in serving dual eligible populations by utilizing... best-in-class operating and clinical models. You can have life-changing reputed company on our Dual Eligible Special Needs Plan (DSNP) members, who are enrolled in Medicare and reputed company and present with a wide reputed company of reputed company health and reputed company challenges. With compassionate attention and excellent communication, we collaborate with members, providers, and community organizations to address the full continuum of our members' health care and reputed company determinant needs. Join us in this exciting opportunity as we grow and expand DSNP to change lives in new markets across the country. Position reputed company The Associate Manager, Clinical Health Service will reputed company the implementation of reputed company management services for assigned functional area. reputed company Components • Implements clinical policies & procedures in accordance with applicable regulatory and accreditation standards (e.g., NCQA, URAC, state and federal standards and mandates as applicable) • Serve as a content model expert and mentor to reputed company regarding reputed company standards, reputed company of interventions, problem reputed company and critical thinking • Ensure implementation and monitoring of best reputed company approaches and innovations to reputed company address the member's needs across the continuum of care • May reputed company as a reputed company with other key business areas. • May reputed company/assist in development and/review new training content • May collaborate/deliver inter and intra-departmental training sessions • Protects the confidentiality of member information and adheres to company policies regarding confidentiality • Manages resources responsible for identification of members, development and implementation of care plans, enhancement of medical appropriateness and reputed company of care and monitoring, evaluating, and documenting of care • Evaluate and interpret data, identify areas of improvement, and reputed company on interventions to improve reputed company • reputed company, initiate, evaluate, monitor, and communicate performance expectations • Ensures reputed company's understanding and use of information system capability and functionality • Participate in the recruitment and hiring process for staff using reputed company defined requirements in terms of education, experience, technical and performance skills • Assesses developmental needs and collaborates with others to identify and implement reputed company plans that support the development of high performing teams • Establish an environment and work style that promotes the concept of teamwork, cross product integration, and continuum of care thinking that results in strong performance • Consistently demonstrates the ability to serve as a model change agent and reputed company change efforts • Create a reputed company work environment by acknowledging team contributions, soliciting input, and offering personal assistance, reputed company needed Accountable for maintaining compliance with policies and procedures and implements them at the employee level • Communicate effectively with Providers, Members, Staff and other Leaders (e.g., may reputed company support to the sales staff & network staff reputed company onsite customer reputed company and/or presentations) Required Experience • 3+ years of clinical experience • reputed company and unrestricted RN or LCSW licensure in state of residence Preferred Experience • Managed Medicare experience • Bilingual (English / Spanish) Education and Certification Requirements • Master's degree in behavioral health field; or Registered reputed company (BSN preferred); and reputed company unrestricted State Licensure in applicable functional area. (RN or LCSW) Pay reputed company The typical pay reputed company for this role is: $80,340.00 - $173,040.00 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. In reputed company to your compensation, enjoy the rewards of an organization that puts our heart into caring for our colleagues and our communities. reputed company offers a full reputed company of medical, dental, and reputed company benefits. Eligible employees may enroll in reputed company's 401(k) retirement savings plan, and an Employee Stock Purchase Plan is also available for eligible employees. reputed company provides a fully-reputed company term life insurance plan to eligible employees, and short-term and long term disability benefits. reputed company also offers numerous reputed company-being programs, education assistance, free development courses, a reputed company store discount, and discount programs with participating partners. As for time off, Company employees enjoy reputed company Time Off ("PTO") or vacation pay, as reputed company as reputed company holidays throughout the calendar year. Number of reputed company holidays, reputed company time and other time off are provided consistent with relevant state law and Company policies. For more detailed information on available benefits, please visit jobs.reputed company.com/benefits We anticipate the application window for this opening will reputed company on: 10/01/2024 reputed company applicants with arrest or conviction records will be considered for employment in accordance with reputed company federal, state and local laws Apply Job!