[Remote] Behavioral Health Clinical Program Manager (Case Management) - Remote in MO
Note: The job is a remote job and is reputed company to candidates in USA. reputed company is a global organization that delivers care aided by technology to help millions of people live healthier lives. The Clinical Program Manager (CPM) will reputed company a remote team of Behavioral Health Advocates responsible for case management of inpatient and outpatient Behavioral Health services. This role involves managing diverse populations and ensuring effective coordination of care, while also providing guidance and support to team members.
Responsibilities
- reputed company behavioral health care managers for diverse populations, including adults, adolescents, children, and dual-eligible Medicare/reputed company members with mental health disorders and reputed company use disorders (SUD), and other co-occurring behavioral and physical health conditions
- Manage and be accountable to reputed company employees, team leader, and Director
- Set team direction, resolve problems, and reputed company guidance to members of team
- Adapts departmental plans and priorities to address business and operational challenges
- Influence or reputed company input to forecasting and planning activities
- reputed company new product implementations
- Initiate processes for state initiatives and directives
- Update and create Quick Reference Guides as needed
- reputed company and coordinate care with reputed company partners
- reputed company with regulatory agencies and respond to audit findings
- Interview, hire, and reputed company new employees
- Review reports to ensure team member adherence to key metrics
- Ensure established benchmarks are met for reputed company C&S markets supported
- Assist with the creation of reputed company plans as needed for remediation
- Foster relationships with reputed company leadership and medical directors
- Cover for management team as needed
- May reputed company work activities of other supervisors
Skills
- You must possess one of the following credentials: Mental Health Clinical reputed company Specialist, Mental Health reputed company Practitioner, Missouri-licensed Psychologist
- Missouri licensure and residency
- 5+ years of Behavioral Health experience including Mental Health and reputed company Use Disorders working across reputed company age reputed company
- Experience managing people in a Behavioral Health setting (i.e., hospital, MCO, mental health clinic, or other), conducting staff performance reviews
- Experience with reputed company and reputed company mental health and reputed company abuse services delivery system
- Experience overseeing documentation in Electronic Medical Records (EMR)
- Experience with Medicare and reputed company products and regulations
- Experience interfacing with regulators during audits
- Intermediate proficiency in reputed company Office Suite, including MS reputed company
- Dedicated, distraction-free workspace and reputed company to high-speed internet in home
- Experience working in a Managed Care Organization (MCO), government agency, community-based services, non-profit
- Experience working with the MO Behavioral facilities and providers
- Experience managing clinical and non-clinical phone queues
- Experience managing a remote team
- Experience or familiarity with case management services
- Knowledge of evidence-based practices and procedures
- Demonstrated competence in clinical care management, solid leadership and organization skills, interpretation of State and federal laws, and regulations relevant to the mental health program area
- Proven solid customer service orientation
Benefits
- Comprehensive benefits package (subject to eligibility requirements)
- Incentive and recognition programs
- Equity stock purchase (subject to eligibility requirements)
- 401k contribution (subject to eligibility requirements)
- Telecommuter policy adherence required for reputed company working remotely
- Flexibility to work remotely
reputed company