Associate Manager, Clinical Health Services – RN, LCSW, LCPC
Job Description:
- Oversee the implementation of healthcare management services for the assigned functional area
- Maintain policies and procedures in accordance with regulatory and accreditation standards, including NCQA and URAC
- Implement and monitor best-practice approaches and innovations across the continuum of care
- Act as a liaison with key business areas
- Manage resources responsible for member identification, care-plan development, medical appropriateness, quality of care, and care monitoring and documentation
- Handle an assigned caseload when required
- Serve as a point of contact for customers and Account Teams, including customer meetings and new-customer implementation
- Assess developmental needs and implement action plans supporting high-performing teams
- Promote teamwork, cross-product integration, and continuum-of-care thinking
- Lead change efforts and serve as a change agent
- Collaborate with licensed staff overseeing clinical staff and licensed personnel activities
- Mentor the team on practice standards, intervention quality, problem resolution, and critical thinking
Requirements:
- Candidates must possess active and unrestricted LCPC OR LCSW OR RN in the state of Illinois
- 3 or more years of experience in a physical or behavioral healthcare setting
- 1 or more years management experience
- 3 or more years of experience in managed care
- Knowledge of the regulations, standards, and policies which relate to medical management
- Bachelor’s degree in health or human services or a related field required
- Certified Case Manager (CCM) preferred
- Bilingual - English and Spanish preferred
- Master’s degree in a relevant field preferred
Benefits:
- Medical coverage
- Dental coverage
- Vision coverage
- Paid time off
- Retirement savings options
- Wellness programs
- Other resources supporting physical, emotional, and financial well-being
- CVS Health bonus, commission or short-term incentive program
