Associate Manager, Clinical Health Services

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🕒 Agosto 25

🤠 Texas – Remoto

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💵 $80.340 - $173.040 / ano

⏰ Tempo Integral

🟢 Júnior

🟡 Pleno

👔 Gerente

👻 Score fantasma 0%

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🗣️🇺🇸🇬🇧 Inglês obrigatório

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Logo of CVS Health

CVS Health

10.000+ funcionários

Fundada em 1963

🏥 Saúde

⚕️ Seguro de Saúde

🛒 Varejo

Healthcare • Healthcare Insurance • Retail

CVS Health é uma empresa líder de saúde nos Estados Unidos, dedicada a ampliar o acesso e a acessibilidade ao cuidado. A empresa adota uma abordagem abrangente que inclui serviços de saúde, seguro saúde e gestão de benefícios farmacêuticos (PBM). Por meio de suas subsidiárias, como Aetna e CVS Caremark, a CVS Health oferece uma variedade de serviços que promovem o bem-estar, a gestão de condições de saúde e a cobertura acessível de medicamentos prescritos. A CVS Health opera farmácias de bairro, oferece serviços de farmácia por correspondência e gerencia programas de medicamentos de especialidade, com o objetivo de tornar o cuidado com a saúde conveniente e acessível para todos. Movida pela missão de conectar pessoas a serviços essenciais de cuidado, a CVS Health está comprometida em fomentar comunidades mais saudáveis e apoiar o bem-estar de todas as pessoas.

Descrição

• Oversee healthcare management staff and organize and develop high-performing teams • Ensure consistency in clinical interventions supporting members • Meet the financial, operational and quality objectives of the unit • Manage assigned care management teams and ensure adherence to established practices, policies and procedures • Participate in recruitment and hiring using defined education, experience, technical and performance requirements • Develop, initiate, monitor and communicate performance expectations • Assess developmental needs and implement action plans supporting high-performing teams • Support management of complex physical and behavioral health cases • Use critical thinking and judgment to facilitate appropriate healthcare outcomes • Ensure access to primary care, behavioral health and coordinated healthcare services • Provide clinical leadership and assist care management staff • Conduct individual and team meetings focused on member service delivery, administrative duties and productivity standards • Consult with care managers, medical directors, system of care, social support teams and market staff to overcome barriers • Identify and escalate quality-of-care issues • Complete administrative duties for supporting and managing a team • Communicate strategic plans and tactics to achieve cost and quality outcomes • Identify best-practice and innovation opportunities to improve outcomes

🎯 Requisitos

• 1 or more years of Managed Care experience • 3 or more years of clinical experience • 1 or more years of Management/Leadership experience • RN license or independently licensed clinician in Behavioral Health field in the state of Texas • BSN required for RN license • Masters degree required for BH license • Knowledge of the regulations, standards, and policies which relate to medical management (preferred)

🏖️ Benefícios

• 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 in addition to base pay

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