Job Description The Manager, Clinical Health Services, is responsible for the oversight and management of clinical team processes;and the organization and development of high performing teams. This position will support OhioRISE members with care coordination and population health needs. This is a full time Ohio telework opportunity with routine in-state travel required.
Fundamental Components: â¢ Reinforces clinical philosophy, programs, policies and procedures. â¢ Communicates strategic plan and specific tactics to meet plan. â¢ Ensures implementation of tactics to meet strategic direction for cost and quality outcomes. â¢ Creates direction and communicates a business case for change by focusing on and addressing key priorities to achieve business results. â¢ Identifies opportunities to implement best practice approaches and introduce innovations to better improve outcomes. â¢ Accountable for meeting the financial, operational and quality objectives of the unit. â¢ May be accountable for the day-to-day management of teams for appropriate implementation and adherence with established practices, policies and procedures if there is not supervisor position. â¢ Works closely with functional area managers to ensure consistency in clinical interventions supporting our plan sponsors. â¢ Develop, initiate, monitor and communicate performance expectations. â¢ May act as a single point of contact for the customer and the Account Team which includes participation in customer meetings, implementation and oversight of customer cultural requirements, and support implementation of new customers. â¢ Participate in the recruitment and hiring process for staff using clearly defined requirements in terms of education, experience, technical and performance skills. â¢ Assesses developmental needs and collaborates with others to identify and implement action plans that support the development of high performing teams. â¢ Consistently demonstrates the ability to serve as a model change agent and lead change efforts. â¢ Accountable for maintaining compliance with policies and procedures and implements them at the employee level. â¢ Ability to evaluate and interpret data, identify areas of improvement, and focuses on interventions to improve outcomes.
Required Qualifications â¢ Active unrestricted State Licensure in applicable functional area. (e.g. LCSW, LPC, RN) â¢ Flexibility to work beyond core business hours of Monday-Friday, 8am-5pm, is required â¢ 5-7 years in clinical area of expertise. â¢ 1+ years supervisory/managerial experience â¢ Minimum of two years' experience in children's mental health, child welfare, developmental disabilities, juvenile justice, or a related public sector human services or behavioral health care field, providing community-based services to children and youth, and their family/caregivers; â¢ Background and experience in one or more of the following areas of expertise: family systems, community systems and resources, case management, child and family counseling/therapy, child protection, or child development; and â¢ Demonstrate clinically and culturally competent/responsive with training and experience necessary to manage complex cases in the community across child-serving systems. â¢ Demonstrated proficiency with personal computer, keyboard navigation, and MS Office Suite applications. â¢ Ability to travel in-state 10-25% of the time with personal vehicle; must possess reliable transportation, valid/active drivers license, and proof of vehicle insurance.
Preferred Qualifications â¢ Managed Care Experience â¢ Care Management Experience â¢ If RN, BSN preferred
Education â¢ Master's degree in behavioral health field or If RN, minimum of associates degree.
Business Overview At Aetna, a CVS Health company, we are joined in a common purpose: helping people on their path to better health. We are working to transform health care through innovations that make quality care more accessible, easier to use, less expensive and patient-focused. Working together and organizing around the individual, we are pioneering a new approach to total health that puts people at the heart.
We are committed to maintaining a diverse and inclusive workplace. CVS Health is an equal opportunity and affirmative action employer. We do not discriminate in recruiting, hiring or promotion based on race, ethnicity, gender, gender identity, age, disability or protected veteran status. We proudly support and encourage people with military experience (active, veterans, reservists and National Guard) as well as military spouses to apply for CVS Health job opportunities.
Internal Number: 1682956BR
About CVS Health
Combining CVS Health and Aetna was a transformative moment for our company and our industry, establishing CVS Health as the nation’s premier health innovation company. Through our health services, insurance plans and community pharmacists, we’re pioneering a bold new approach to total health. As a CVS Health colleague, you’ll be at the center of it all.
At CVS Health, we work every day to help people on their path to better health. Never has it been more important for us to deliver on our purpose to our valued customers, patients, members, and employees. With a presence in communities across the country, CVS Health colleagues are and will continue to be a critical piece of the country’s health care solution. The health and safety of our employees, patients, customers, and members is our top priority as we face the impact of COVID-19 together. If you would like to learn about the actions we are taking as a company as we learn more about COVID-19 and its spread, we encourage you to visit our COVID-19 resource center at https://cvshealth.com/covid-19
We offer a diverse work experience that empowers colleagues for career success. In addition to skill and experience, we also seek to... attract and retain colleagues whose beliefs and behaviors are in alignment with our core values of collaboration, innovation, caring, integrity and accountability.
CVS Health is an equal opportunity/affirmative action employer. Gender/Ethnicity/Disability/Protected Veteran – we highly value and are committed to all forms of diversity in the workplace. We proudly support and encourage people with military experience (active, veterans, reservists and National Guard) as well as military spouses to apply for CVS Health job opportunities. We comply with the laws and regulations set forth in the following EEO is the Law Poster: EEO IS THE LAW and EEO IS THE LAW SUPPLEMENT. Please note that we only accept applications for employment via this site.
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