MGR CLINICAL SERVICES in Richmond, VA at Beacon Health Options

Date Posted: 7/15/2018

Job Snapshot

Job Description

ABOUT THE POSITION

We are currently seeking a dynamic Clinical Manager to join our team at our office in . Richmond, VA or Norfolk, VA.  The Clinical Manager will be responsible for The Clinical Manager ensures that Case Management processes are in compliance with Beacon Health Options’ policy guidelines, external regulatory requirements, NCQA and URAC accreditation standards. The Manager concentrates on clinical workflow development and enhancement, consistency and accuracy of Case Management processes, team productivity, process improvement and system development.

Position Responsibilities:

  • Develop and implement cost-effective and creative solutions for efficient, effective Case management delivery

  • In collaboration with the Clinical Director and/or Director for Case Management identifies opportunities to streamline workflows that result in accurate, high quality production standards and improved results in cost savings, or outcomes measurement

  • Works with the Clinical Director to act as a Case Management interface with other departments as needed regarding workflow development, system enhancement, measurement review, and process improvement

  • Develop effective working relationships with and provide high quality service for external and internal customers

  • Attend and participate in Clinical, QIC meetings and UMCMC as designated

  • Work closely with Manager of Utilization Management and Quality Management and Improvement on all NCQA initiatives

Position Requirements:

Education: Required to be educated in current principles, procedures and knowledge domains of case management based on nationally recognized standards of case management.  Master’s degree or higher in a health related field required or RN licensure with equivalent psych experience.

Licensures: Current, valid and unrestricted licensure for independent practice required with proof on date of hire. Re-verification will take place no less than every 3 years. 

Relevant Work Experience:  

  • A minimum of 5-7 years combined direct behavioral health, supervisory and/or managed care experience required. In addition, if s/he has directly supervised the case management process for more than 3 years, s/he must be in the process of obtaining or hold a certification in case management

  • Leadership skills and supervisory experience, including the ability to develop team performance

  • Excellent written and oral communication skills

  • Self-motivated, able to prioritize multiple issues, excellent organizational skills, ability to track multiple projects/tasks and follow through as needed.

  • Knowledge of CQI principles and ability to manage change

  • Ability to identify opportunities for improvements and recommend and implement innovative solutions

  • Able to work collaboratively with internal staff and external providers

  • Must be detail oriented; able to work independently in an ever changing environment

Knowledge, Skills & Abilities:

  • Excellent written and verbal communication skills

  • Excellent analytical and problem solving skills

  • Excellent computer skills

  • Excellent group and public speaking skills

TO APPLY

Click below on “Apply for this Position” to create a profile and apply for the position

Beacon Health Options is proud to be an Equal Opportunity and Affirmative Action Employer as well as a Drug Free and Tobacco Free Work Environment. EOE/AA/M/F/Veterans/Disabled

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