Gerente de Desenvolvimento de TI na SCCON, líder em tecnologia geoespacial. Gerenciar equipe de TI e desenvolver soluções sustentáveis.
EP
Hybrid Manager, Clinical Teams – Behavioral Health Utilization Management
Posted 6 days ago
About the role
- Manager, Clinical Teams focusing on Behavioral Health Utilization Management at Blue Cross NC. Engage with stakeholders to implement population health management strategies and oversee clinical functions.
Responsibilities
- Collaborate and engage with multiple internal stakeholders and external customers to implement population health management
- Assist in the development of operational strategies and innovative solutions
- Maintain awareness of trends, developments, and governmental regulations in managed health care organizations
- Manage the operational performance of multiple integrated clinical functions across multiple lines of business
- Collaborate and integrate with internal and external customers to deliver a fully integrated care delivery model
- Establish and monitor performance and production metrics and goals
- Responsible for the oversight, compliance, and execution of all regulatory or accreditation activities
Requirements
- Bachelor’s degree and 8+ years of relevant experience
- RN, FNP or other APN certification
- For Behavioral Health specific roles, other applicable licensure will be considered (PhD, LMSW, LCSW, LPC, LMFT, etc)
- Must have valid NC license or multistate compact license
- 3+ years of direct supervisory or leadership experience
- Experience in behavioral health focused population health, care management, clinical review or coding, or utilization management in a health care organization/system or health insurance
Benefits
- Work-life balance, flexibility, and the autonomy to do great work
- Medical, dental, and vision coverage along with numerous health and wellness programs
- Parental leave and support plus adoption and surrogacy assistance
- Career development programs and tuition reimbursement for continued education
- 401k match
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