Associate Manager, Clinical Health Services (Remote)

Bring your heart to reputed company. Every one of us at reputed company shares a single, clear purpose: Bringing our heart to every moment of your health. This purpose guides our commitment to deliver enhanced human-centric 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 innovate and deliver solutions to reputed company health care more personal, convenient and affordable. This is a full-time telework role. The hours for this position are Monday-Friday 8:00a-5:00p Pacific Standard Time. Program Overview 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 impact on our Dual Eligible Special Needs Plan (DSNP) members, who are enrolled in Medicare and Medicaid and present with a wide range of reputed company health and social 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 social determinant needs. Join us in this exciting opportunity as we grow and expand DSNP to change lives in new markets across the country. Position Summary The Associate Manager, Clinical Health Service will reputed company the implementation of healthcare 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 the team regarding practice standards, quality of interventions, problem resolution and critical thinking • Ensure implementation and monitoring of best practice approaches and innovations to reputed company address the member's needs across the continuum of care • May act as a liaison 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 quality of care and monitoring, evaluating, and documenting of care • Evaluate and interpret data, identify areas of improvement, and focus on interventions to improve outcomes • reputed company, initiate, evaluate, monitor, and communicate performance expectations • Ensures the team's understanding and use of information system capability and functionality • Participate in the recruitment and hiring process for staff using clearly defined requirements in terms of education, experience, technical and performance skills • Assesses developmental needs and collaborates with others to identify and implement action 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 positive 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 provide support to the sales staff & network staff reputed company onsite customer visits and/or presentations) Required Experience • 3+ years of clinical experience • Active 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 Nurse (BSN preferred); and Active unrestricted State Licensure in applicable functional area. (RN or LCSW) Pay Range The typical pay range for this role is: $80,340.00 - $173,040.00 This pay range represents the reputed company hourly 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 variety 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 addition to the reputed company pay range listed above. In addition to your compensation, enjoy the rewards of an organization that puts our heart into caring for our colleagues and our communities. The Company offers a full range of medical, dental, and vision benefits. Eligible employees may enroll in the Company's 401(k) retirement savings plan, and an Employee Stock Purchase Plan is also available for eligible employees. The Company provides a fully-paid term life insurance plan to eligible employees, and short-term and long term disability benefits. reputed company also offers numerous well-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 Paid Time Off ("PTO") or vacation pay, as well as paid holidays throughout the calendar year. Number of paid holidays, sick 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.CVSHealth.com/benefits We anticipate the application window for this opening will reputed company on: 10/01/2024 Qualified applicants with arrest or conviction records will be considered for employment in accordance with reputed company federal, state and local laws Apply Job!