Supervisor of Clinical Program
441696 Supervisor of Clinical Program
Job Description: Position Purpose: Supervise and facilitate the daily operations of the case management and utilization management functions
Position is currently full time remote. Statewide: SC, NH, MO, GA, OH, TX, FL or IN. Oversee the workflow and day-to-day operations of high risk case management and utilization management functions, including implementation of policies and procedures Ensure compliance with established initial and concurrent review, case management, referral, pre-certification and authorization policies, procedures and processes Act as a liaison with other business units and facilitate on-going communications between case management and utilization management staff, community agencies and contracted providers. Provide oversight of telephonic review of inpatient admissions with doctors, hospitals, and other providers. Monitor the effectiveness for existing outreach efforts and ensure appropriate knowledge/education and interventions are conducted for members defined to be at risk. Analyze data to address trends or potential quality improvement opportunities including provider issues, service gaps and member needs
Hours: Thursday-Monday (weekday hours 11 AM - 8 PM & weekend hours 8 AM - 5 PM)
Required
Qualifications: Education/
Experience:
RN license or Master's degree in Behavioral Health or related field. 3
years of case and/or utilization management experience. Experience in a psychiatric health care setting, including familiarity with mental health community resources. Working knowledge of a specialized or technical field, such as clinical nursing, case and/or utilization management. Previous experience as a lead in a functional area or managing cross functional teams on large scale projects. License/Certification: Current state's unrestricted license as a LCSW, LMFT, LPC, PhD, PsyD or RN.
Candidate can sit in any of the states below: USA-Indiana, USA-Florida, USA-New Hampshire, USA-Ohio, USA-Missouri, USA-South Carolina, USA-Georgia
Send resume to email removed or call 484-434-2972Estimated Salary: $20 to $28 per hour based on qualifications.
Job Description: Position Purpose: Supervise and facilitate the daily operations of the case management and utilization management functions
Position is currently full time remote. Statewide: SC, NH, MO, GA, OH, TX, FL or IN. Oversee the workflow and day-to-day operations of high risk case management and utilization management functions, including implementation of policies and procedures Ensure compliance with established initial and concurrent review, case management, referral, pre-certification and authorization policies, procedures and processes Act as a liaison with other business units and facilitate on-going communications between case management and utilization management staff, community agencies and contracted providers. Provide oversight of telephonic review of inpatient admissions with doctors, hospitals, and other providers. Monitor the effectiveness for existing outreach efforts and ensure appropriate knowledge/education and interventions are conducted for members defined to be at risk. Analyze data to address trends or potential quality improvement opportunities including provider issues, service gaps and member needs
Hours: Thursday-Monday (weekday hours 11 AM - 8 PM & weekend hours 8 AM - 5 PM)
Required
Qualifications: Education/
Experience:
RN license or Master's degree in Behavioral Health or related field. 3
years of case and/or utilization management experience. Experience in a psychiatric health care setting, including familiarity with mental health community resources. Working knowledge of a specialized or technical field, such as clinical nursing, case and/or utilization management. Previous experience as a lead in a functional area or managing cross functional teams on large scale projects. License/Certification: Current state's unrestricted license as a LCSW, LMFT, LPC, PhD, PsyD or RN.
Candidate can sit in any of the states below: USA-Indiana, USA-Florida, USA-New Hampshire, USA-Ohio, USA-Missouri, USA-South Carolina, USA-Georgia
Send resume to email removed or call 484-434-2972Estimated Salary: $20 to $28 per hour based on qualifications.
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